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Cold sores are small blisters caused by the herpes simplex virus which form around the mouth. Many infected people are asymptomatic, meaning they show no symptoms. But those who do show symptoms may get frequent outbreaks, which can be painful and inconvenient.
There's no cure for cold sores. They usually lie dormant until certain triggers cause them to flare up. To reduce your risk of outbreaks, you can use several preventative measures, including sunscreen, good hygiene, and antiviral medications.

Summary:
- Stress, sunlight, and hormonal changes are common triggers for cold sores. Knowing what triggers yours can help you avoid outbreaks.
- Wash your hands often, especially after touching a cold sore.
- To reduce the risk of transmission, avoid direct skin contact (like kissing) and sharing utensils or lip products during an active outbreak.
- Medications such as Acyclovir and Valacyclovir can speed up healing and reduce outbreaks.
The herpes virus can stay dormant for long periods (sometimes even years) after you’ve been infected with it. When triggered, though, the virus becomes active again, causing cold sores. This is known as a recurrence or outbreak.
Multiple factors can trigger a cold sore, including stress, sun exposure and hormonal changes. These triggers vary from person to person, so finding out what sets off your outbreaks can help prevent a future one.
While you can’t completely eliminate the virus, you can reduce the likelihood of cold sore outbreaks by taking preventative measures.

Be sure to wash your hands thoroughly after touching your cold sore to avoid spreading the virus.
Take extra care not to touch your eyes as this could lead to an eye infection.
It’s also important to avoid oral sex during an outbreak, as this could lead to genital herpes. Refrain from kissing and sharing items like straws, glasses, and utensils while symptomatic.
Once the cold sore heals, sanitise your personal items like your towels, duvet covers, bedding, toothbrush, makeup brushes and any other items you used during the outbreak.
Also, keep your lips hydrated and moisturised as this can help prevent cold sores. Chapped lips are more prone to outbreaks.

Certain foods can prevent a flare-up. Foods high in lysine, for example (an essential amino acid), can reduce the risk of an outbreak. It inhibits viral replication by blocking arginine (another amino acid that helps viruses multiply).
Some foods with high lysine content include:
On the flip side, try to avoid foods high in arginine, which promotes viral replication. This can be a bit tricky, though, as some foods high in lysine are also high in arginine. Focus on foods that have a high lysine-to-arginine ratio, such as dairy products, certain fish, and fruits like mango and apricots. Avoid foods that have more arginine than lysine, like chocolate, seeds and nuts.
Taking vitamin C and D supplements might also help, as they boost the immune system and have antiviral properties. Staying hydrated by drinking plenty of water is also important.

Stress increases the risk of an outbreak because it releases hormones that weaken your immune system, making it easier for the virus to reactivate. Techniques like meditation, yoga, and relaxation exercises can help reduce stress, lowering your risk of a cold sore outbreak.

Wearing SPF can help reduce the risk of recurrences, especially if sunlight is your trigger. Make sure to apply it frequently throughout the day, even during the colder months. Don’t forget to apply it on your lips – using a lip balm with SPF can make it easier to protect them.
For extra protection, wear a wide-brimmed hat to shade your face from the sun.

For herpes, you can get antiviral medication available as tablets or cream with different active ingredients. Most work in the same way, by stopping the virus from replicating.
You don’t always need treatment, as most cold sores heal on their own within a few weeks. But using medication can speed up the healing process and prevent future outbreaks if taken daily. The most common antivirals for herpes include Acyclovir, Valacyclovir and Famciclovir.
People with a compromised immune system are at the most risk of getting cold sores. This includes:
Elderly people may also be at more risk, especially if they’re ill.
If you’ve never had a cold sore, here are some ways you can help protect yourself from infection:
HSV-1 can lead to genital herpes through oral sex. You can reduce the risk of infection by using a condom and wearing dental dams for protection.
If your sexual partner is having an outbreak, don’t have sex, even with protection. Wait until all the scabs have fully healed before resuming sexual activity.
If you’re already infected, you can ask your doctor for daily herpes medication, which helps suppress the virus, reducing the risk of spreading it to others.
HSV-1 is commonly transmitted through direct skin-to-skin contact, like kissing or oral sex. But during an outbreak, it can also spread by sharing drinks, straws or utensils, though it’s less likely since the virus doesn’t survive long outside the body. If you don’t have an active cold sore, it’s very unlikely to spread by sharing personal items.
While you don’t always need treatment for cold sores, using antiviral medications, like Famciclovir, can stop the virus from replicating, reduce your risk of outbreaks and speed up the healing process.
Aside from antivirals, you can use over-the-counter pain relief, like ibuprofen, to help manage the pain. Cold sore patches containing hydrocolloids can also help speed up recovery and may prevent scabs from forming.
For at-home treatments, using propolis and honey has been shown to have antiviral properties, with some studies even finding it to be more effective at healing than Acyclovir.
If you’re struggling with cold sore outbreaks, you can contact our clinician for medical advice on the different treatments available.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
Stress Hormones Epinephrine and Corticosterone Selectively Modulate Herpes Simplex Virus 1 (HSV-1) and HSV-2 Productive Infections in Adult Sympathetic, but Not Sensory, Neurons. J Virol 91:10.1128/jvi.00582-17.
Sunlight and Herpes Virus. Human Herpesvirus Infection - Biological Features, Transmission, Symptoms, Diagnosis and Treatment. IntechOpen.
A Narrative Review of Alternative Symptomatic Treatments for Herpes Simplex Virus. Viruses, 15(6), 1314.
Effect of honey and propolis, compared to acyclovir, against Herpes Simplex Virus (HSV)-induced lesions: A systematic review and meta-analysis. Journal of Ethnopharmacology, 287, 114939.
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Last updated on Nov 21, 2024.
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Nov 21, 2024
Published by: The Treated Content Team. Medically reviewed by: Dr Daniel Atkinson, GP Clinical LeadHow we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
GP Clinical Lead
Dr Daniel oversees all matters clinical at Treated. He supports the rest of our team to make sure everything we’re doing is safe and puts patients first. He also spends a lot of time consulting with patients first hand, so he can see how well things are working and what we can improve. Registered with the GMC (No. 4624794).
MeetHow we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.