Cold Sores: Triggers, Fastest Treatments and How to Avoid Spreading Them

That tingle on your lip means a cold sore is coming. How to treat it early, what triggers outbreaks and how to protect babies and others.

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1–2 minutes

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Edited by Joshua Adebanjo, RN

Woman applying lip balm in a mirror

Cold sores are small blisters on or around the lips caused by the herpes simplex virus (usually HSV-1). The World Health Organization estimates that around two-thirds of people under 50 worldwide carry HSV-1. Once you have it, the virus stays in your body and can reactivate.

Imagine feeling the first tingle on your lip, treating it within the hour, and keeping the cold sore small and short-lived, instead of hiding it for a week.

Symptoms

  • Tingling, itching or burning on the lip before the sore appears
  • Small fluid-filled blisters
  • Blisters burst, crust over and heal in about 7–10 days

Common triggers

  • Colds, flu and fever
  • Stress and tiredness
  • Strong sunlight
  • Periods
  • Injury to the lips

Treatment

  • Antiviral creams such as aciclovir, started at the first tingle
  • Cold sore patches to protect and hide the sore
  • Pain relief and lip balm
  • Antiviral tablets for frequent or severe outbreaks, as prescribed

Avoid spreading it

  • Do not kiss babies, pregnant women near their due date or people with weak immunity while you have a sore
  • Do not share cups, towels, lip balm or cutlery
  • Wash hands after touching the sore
  • Avoid oral sex while you have a sore

Seek urgent care for a baby with a cold sore or blisters, a cold sore near the eye, or widespread sores in someone with eczema or weak immunity.

“But cold sores are harmless, so it does not matter who I kiss.”

For most adults they are a nuisance, but the virus can be dangerous for newborn babies and people with weak immunity. Avoid kissing babies and sharing items while you have a sore.

Your next step: Keep an antiviral cold sore cream or patch at home, and start it at the first tingle next time.

Source: World Health Organization herpes simplex virus fact sheet; NHS cold sores guidance.

Joshua Ibukunoluwa Adebanjo

Founder & Editor-in-Chief

Joshua Ibukunoluwa Adebanjo

RN, RM, RPHN, BNSc (Obafemi Awolowo University)

Joshua is a registered nurse, midwife and public health nurse with clinical experience at Obafemi Awolowo University Teaching Hospitals Complex. He founded Nursing Media Network to give nurses worldwide trustworthy news, career guidance and a stronger public voice, and leads its editorial direction.

Full profile · Editorial policy · joshuadebanjo.com

Health information on Nursing Media Network is for education and does not replace advice from your own nurse or healthcare provider.

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