What is the typical treatment for a symptomatic recurrent HSV episode?

The typical treatment for a symptomatic recurrent herpes simplex virus (HSV) episode is an antiviral medication that effectively reduces the duration and severity of symptoms. In the case of a recurrent episode, the usual approach is to initiate oral antiviral therapy, commonly acyclovir, valacyclovir, or famciclovir.

For recurrent episodes, valacyclovir is often prescribed at a dosage of 500 mg taken twice daily for 3 days. This regimen strikes a balance between achieving therapeutic levels of the medication while minimizing potential side effects. Taking the medication for this duration allows for effective management of symptoms while providing adequate suppression of the viral replication.

Other options provided may not be appropriate for treating a recurrent HSV episode based on their dosing or administration route. For example, a longer duration or higher dosage may not be necessary for managing recurrent symptoms effectively, and intravenous administration is typically reserved for severe cases or immunocompromised patients rather than routine symptomatic episodes.