Cold sore · HSV outbreak · Valacyclovir · Acyclovir

Cold sore & herpes outbreak treatment — antivirals prescribed online

Talk to a licensed clinician at the first tingle. When appropriate, valacyclovir or acyclovir is sent to your pharmacy the same day — antivirals work best when started early.

Board-certified clinicians · Insurance billed · No subscription

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed June 2026

Treat at the first tingle

Antivirals like valacyclovir cut outbreak duration when started in the first 24–48 hours. A telehealth visit lets you start treatment fast.

Episodic or suppressive

For frequent outbreaks, the clinician can prescribe daily suppressive therapy to reduce frequency and transmission risk.

Insurance accepted

We bill your insurance for the visit. Generic valacyclovir and acyclovir are inexpensive on most plans.

What you get

  • Telehealth visit with a licensed clinician
  • eRx for valacyclovir or acyclovir when appropriate
  • Plan for episodic vs. suppressive therapy
  • Same clinician for refills and future outbreaks

FAQs

How fast should I start antivirals?

Episodic treatment works best when started within 24–48 hours of the first sign (tingling, itching, redness). The earlier you start, the bigger the impact on duration and severity.

Can I just have refills on hand?

Yes — many patients keep a single-day dose of valacyclovir on hand to start at the first tingle. The clinician can prescribe this approach after a visit.

What about suppressive therapy?

If you have frequent outbreaks (≥6/year) or want to lower transmission risk to a partner, daily suppressive valacyclovir is an option. The clinician will discuss whether it's right for you.

Do you take insurance?

Yes. We bill your plan for the visit, and generic valacyclovir is on virtually every formulary as a low-cost generic.