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Topical ether and herpes simplex labialis.

M E Guinan, J MacCalman, E R Kern

    JAMA
    |March 14, 1980
    PubMed
    Summary
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    Topical ether did not effectively treat recurrent herpes simplex labialis (cold sores). This study found no significant difference in healing or pain reduction compared to placebo, highlighting the strong placebo effect in cold sore treatment.

    Area of Science:

    • Virology
    • Dermatology
    • Clinical Pharmacology

    Background:

    • Recurrent herpes simplex labialis (cold sores) is a common viral infection.
    • Effective treatments for cold sores are sought to alleviate symptoms and reduce transmission.
    • Topical ether has been proposed as a potential antiviral agent for cold sores.

    Purpose of the Study:

    • To evaluate the efficacy of topical ether in treating recurrent herpes simplex labialis.
    • To compare the effects of topical ether versus placebo on lesion progression, healing time, and pain.
    • To assess the impact of topical ether on viral shedding and lesion viral titer.

    Main Methods:

    • A double-blind, placebo-controlled study involving 51 patients with recurrent herpes simplex labialis.
    • Patients received either topical ether or a placebo within 24 hours of lesion onset.

    Related Experiment Videos

  • Objective measurements included lesion progression, healing time, pain intensity, viral excretion, and viral titer.
  • Main Results:

    • No significant differences were observed between the ether and placebo groups in lesion progression, healing time, pain, or viral shedding.
    • Topical ether did not appreciably reduce lesion viral titer, even with immediate post-application culturing.
    • A high percentage of patients in both groups reported subjective improvement, indicating a substantial placebo effect.

    Conclusions:

    • Topical ether is not an effective treatment for recurrent herpes simplex labialis.
    • The study underscores the significant placebo effect in herpes infection treatment.
    • Objective measurements are crucial for evaluating treatments, especially in conditions with a strong placebo response.