Abreva (Docosonal)

What Is Abreva (Docosonal)?

Abreva is the brand name of the drug docosanol, which is used to treat cold sore infections caused by the herpes simplex virus.
This over-the-counter (OTC) medicine is available as a topical cream. It doesn't cure herpes, but it can speed up healing of sores and decrease symptoms.
Abreva belongs to a class of drugs called antivirals. Once absorbed through the skin, it works by blocking the virus that causes the cold sores from entering the healthy skin cells and growing.
Abreva is manufactured by GlaxoSmithKline and was licensed as an oral herpes medicine in 2000.
In 2007, the drug was the subject of a U.S. nationwide class-action suit against drug companies that claimed it cut recovery time in half. The case was eventually settled.

Abreva Warnings

Cold sores are contagious infections before, during, and after an outbreak occurs. People with cold sores should avoid close or intimate contact (such as kissing) during an outbreak.
You shouldn't share Abreva cream with anyone else, as this may spread the infection.
Abreva doesn't prevent the passing of an infection from person to person, and it doesn't prevent future outbreaks.
You shouldn't use Abreva to treat canker sores (commonly found inside the mouth), shingles, or genital herpes.
Try to avoid getting Abreva in the eyes or mouth.
Stop using Abreva and see your doctor if your cold sore gets worse or the cold sore is not healed within 10 days.
You should tell your physician about any medical conditions or drugs you are taking before starting on Abreva.
Don't give this medicine to a child without first talking to your doctor. Abreva is not approved for use in children younger than 12 years of age.

Pregnancy and Abreva

The Food and Drug Administration (FDA) hasn't evaluated the effects of Abreva during pregnancy. You should not use this medicine without first talking to your doctor if you are pregnant.
It's also not known if Abreva passes into breast milk or could harm a breastfeeding baby. Talk to your doctor before using this drug while breastfeeding.

Abreva (Docosonal) Side Effects

Common Side Effects of Abreva

Some common, less serious side effects of Abreva may include:
  • Headache
  • Redness
  • Swelling
  • Dryness

Serious Side Effects of Abreva

No serious side effects of Abreva are likely to occur, but an allergic reaction is possible. You should seek emergency medical attention if you experience the following:
  • Rash, hives, or itching
  • Swelling of your lips, tongue, or face
  • Breathing difficulties

Abreva (Docosonal) Interactions

You should tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking while on Abreva.

Abreva (Docosonal) Dosage

Your dose of Abreva will depend on the strength of medicine used and the severity of your condition.
Typically, most adults and teens apply Abreva to the affected area five times a day until the sore is healed.
You should apply enough Abreva to completely cover your cold sore and rub it in gently and completely.
Use this medicine exactly as the package instructions or your doctor suggests. Don't use more of this drug for a longer period of time than is recommended.
Remove any cosmetics before applying the topical cream. You can apply cosmetics (such as lipstick) over Abreva, but you should use a separate applicator such as a cotton swab to avoid spreading infection.
Wash your hands before and after applying Abreva.
This medicine should be applied at the very first sign of a cold sore. Early symptoms of a cold sore include tingling, redness, a bump, or itchiness.
If the medication is accidentally removed, re-apply it as soon as possible.
You should store Abreva at room temperature away from moisture and heat. Don't freeze this medication.

Abreva Overdose

If you suspect an overdose, you should contact a poison control center or emergency room immediately. You can get in touch with a poison control center at (800) 222-1222.

Missed Dose of Abreva

If you miss a dose of Abreva, apply it as soon as you remember, then re-apply the next dose on schedule.