From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Herpetic whitlow is treated primarily with antiviral medications such as acyclovir, valacyclovir, or famciclovir, which work by inhibiting viral DNA replication and reducing the duration and severity of symptoms. The most recent and highest quality study 1 supports the use of acyclovir and its analogues as the gold standard in the treatment of herpes virus infections, including herpetic whitlow.
Treatment Options
- Antiviral medications:
- Acyclovir (400 mg orally five times daily for 7-10 days)
- Valacyclovir (1 gram twice daily for 7-10 days)
- Famciclovir (250 mg three times daily for 7-10 days)
- Pain management: over-the-counter analgesics like acetaminophen or ibuprofen
- Keeping the affected area clean and dry, avoiding bandages that could trap moisture
- Avoiding touching or breaking any blisters to prevent spreading the infection
- Warm compresses for symptomatic relief
Special Considerations
- If the infection is severe or recurrent, or if the patient is immunocompromised, intravenous antiviral therapy might be necessary, as suggested by 2.
- Patients should be aware of potential triggers like stress or illness, which can cause the infection to recur, as mentioned in 3.
- The treatment of herpetic whitlow should focus on reducing the duration and severity of symptoms, as well as preventing the spread of the infection to other body parts or people.