From the Research
The initial treatment for viral folliculitis typically involves supportive care and symptom management, with antiviral medications like valacyclovir (1 gram twice daily for 7-10 days) being prescribed for herpes simplex virus folliculitis, as seen in a case study where a 29-year-old woman was successfully treated with valacyclovir 1,000 mg three times daily 1.
Key Considerations
- For mild cases, keeping the affected area clean with gentle washing using antibacterial soap and warm water is recommended.
- Applying cool compresses can help reduce inflammation and discomfort.
- Over-the-counter pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) may be used to manage pain and reduce inflammation.
Antiviral Medications
- Valacyclovir (1 gram twice daily for 7-10 days) is a commonly prescribed antiviral medication for herpes simplex virus folliculitis.
- Acyclovir (400 mg three times daily for 7-10 days) and famciclovir (250 mg three times daily for 7-10 days) are also effective options.
Prevention of Secondary Infection
- It's essential to avoid sharing personal items like towels or razors to prevent spread.
- Refraining from scratching or picking at lesions can help prevent secondary bacterial infection.
Disease Course and Recurrence
- Viral folliculitis typically resolves with appropriate treatment, though recurrence is possible, especially with herpes simplex virus.
- The efficacy of valacyclovir in treating herpes zoster, a related condition, has been established in several studies, including a large comparative study where valaciclovir was at least as effective as aciclovir in controlling symptoms 2.