Cold Sores / Shingles (Herpes Zoster)

How we can help.

Shingles is often preceded by several days of tingling pain, sensitivity in one area, and possibly fever. A “shingles” rash is caused by the varicella zoster virus. This is the same virus that causes chickenpox. If you had chickenpox before, this same virus goes dormant inside the affected nerve cells. The immune system keeps the virus under control for quite some time, however if your immunity is compromised by stress or illness, the virus can “wake up” to form a painful rash, which becomes shingles (aka, herpes zoster). A shingles rash presents on only one side or pattern (a dermatome) and causes vesicles (blister like lesions) to form in various stages of fluid filled bumps, open sores or scabs. We can provide a prescription for an effective antiviral medication (acyclovir), which is most effective when taken before 48 to 72 hours have passed after symptoms develop. This can greatly reduce the time it takes to heal. We can also provide prescriptions for a nerve pain medication if the lesions continue to cause burning and tingling pain, even after they’ve healed. This type of pain is known as PHN (post herpetic neuralgia).

Cold sores (fever blisters) are a common viral infection. They are small, fluid-filled blisters on or around your lips or corners of the mouth. They often form in patches or clusters. These can leave uncomfortable scabs that can last for several days. Cold sores can be contagious through close contact. These are caused by the herpes simplex virus type 1 (HSV-1). There is another version, HSV (2), that can be spread by sexual contact also known as genital herpes. Cold sores are contagious even before the sore forms. The same medication used for shingles and genital herpes can help to heal the sores more quickly. These medications work best if taken 48 – 72 hours after symptoms develop. These meds can also reduce the length and severity of future outbreaks. We can provide ongoing refills in follow up visits to help prevent future flare ups these sores.

How to get started.

Simply answer some basic health questions and click to sign our consent for telehealth all within our HIPAA compliant patient portal. During your scheduled visit we can determine if you need a new medication or provide you with a refill. We can order labs and tests as well for all Kansas residents.

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How long is the visit?

Most visits are between 5 to 10 minutes based on complexity. Your online visit is kept efficient so you can save time and money instead of driving and waiting for an appointment. You will receive written education about your symptoms / diagnosis and a prescription or refill if appropriate. You can have the prescription sent to your local pharmacy within a matter of minutes or a few hours after your visit.

You don’t require insurance.

There are no hidden fees for our service. Each visit is $39 with an experienced provider. You will simply cover your medications or testing fees that we may order for you after the visit.

How we help through Telemedicine.

Telemedicine has been around since the 1980’s and has vastly improved since then. We are unable to perform a full physical exam, but we can treat you based on your history and symptoms, physical / visual presentation and overall condition. We are able to provide a diagnosis with a high degree of accuracy and provide follow up visits by secure messaging or further visits to ensure effectiveness of your treatment.

Can you refill or prescribe xanax, oxy, norco or other controlled drugs?

We are unable to refill or prescribe opiates, controlled substances, and anti-psychotics. Please contact us if you are unsure if the medication you need is controlled.