Can New Miconazole Ointment and Antibiotics Treat Genital Herpes? - Urology

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Genital herpes


Due to a herpes sore that has not healed for a long time, I visited the doctor today.
The doctor prescribed Neomycin ointment (green packaging) and an anti-inflammatory medication (Ibuprofen capsules) to be taken two capsules every six hours.
Can these two medications be used for herpes sores? I found online that using steroids can worsen the condition.

Bu Bu, 20~29 year old female. Ask Date: 2023/09/27

Dr. Du Shixi reply Urology


Hello: Currently, there are two non-steroidal medications that are used for wound care.
Wishing you good health.

Reply Date: 2023/09/27

More Info


When it comes to treating genital herpes, it's important to understand the nature of the condition and the medications prescribed. Genital herpes is caused by the herpes simplex virus (HSV), which can lead to painful sores and blisters in the genital area. While there is no cure for herpes, antiviral medications can help manage outbreaks and reduce the severity and duration of symptoms.

In your case, you mentioned that your doctor prescribed New Miconazole Ointment and an anti-inflammatory medication (likely an antibiotic). Miconazole is an antifungal medication primarily used to treat fungal infections, and it is not typically indicated for viral infections like herpes. Therefore, while it may help with any secondary fungal infections that could arise due to skin irritation, it is not effective against the herpes virus itself.

On the other hand, the antibiotic you mentioned (likely a form of penicillin or another type of antibiotic) is generally used to treat bacterial infections. Antibiotics do not have any effect on viral infections, including genital herpes. If your doctor prescribed this medication, it might be to prevent or treat a secondary bacterial infection that could occur due to the open sores caused by herpes.

It's crucial to note that using corticosteroids in the treatment of herpes can indeed exacerbate the condition. Corticosteroids can suppress the immune response, potentially allowing the virus to replicate more freely and worsen the outbreak. Therefore, if you have concerns about the use of steroids, it's essential to discuss this with your healthcare provider.

For the effective management of genital herpes, antiviral medications such as acyclovir, valacyclovir, or famciclovir are typically recommended. These medications can help reduce the duration of an outbreak and lessen the frequency of recurrences. If your doctor did not prescribe an antiviral medication, it would be prudent to discuss this with them, especially if you are experiencing persistent or severe symptoms.

In summary, while New Miconazole Ointment and the antibiotic may provide some relief or prevent secondary infections, they are not the primary treatments for genital herpes. Antiviral medications are the cornerstone of herpes management. If you have any doubts or if your symptoms persist, please consult your healthcare provider for further evaluation and treatment options. It's always best to follow your doctor's advice and ensure that you are receiving the most appropriate care for your condition.

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