What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (2025)

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (1)

Medically reviewed by Emina Ribic (MD). Written by Linda White (MD).

10 Min Read

Cold sores arepainful and unsightly. While they will go away on their own, most of usseek outthe best over-the-counter cold sore medicine. This willhelp in getting rid of a cold sore fast, and with much less pain.

When you can recognize the symptoms, you can start a treatment plan right away. Someover-the-counter (OTC) medswork well. That willhelp to alleviate pain and discomfort, putting you on the pathway to a faster recovery (in as little as 2 to 4 days).

Cold sores go through stages. They begin with almost unnoticeable symptoms, which is when you should start using over-the-counter creams. The next stages, however, are usually when weseek out the top treatment for cold sores because the pain and embarrassment become too much.

A cold sore will form like a blister. In a few days, that blister will burst. After it bursts, it will begin to scab or crust over, which is likely to be the most painful stage. Moisturizing and healing ingredients are essential when the blister has burst open and become exposed.

The sooner you start treatment (as soon as you spotthesymptoms), the better. This will help to reduce the impact and intensity as the cold sores progress. You no longer have to wait for two weeks for cold sores to clear up on their own.

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FDA Approved?

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Reviews

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Virulite Cold Sore Machine Review

Abreva Gel Review

Zilactin Gel Review

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FDA Approved?

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Reviews

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Virulite Cold Sore Machine Review

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FDA Approved?

Money Back?

Reviews

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Read Review

Abreva Gel Review

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FDA Approved?

Money Back?

Reviews

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Read Review

Zilactin Gel Review

What’s the Best OTCCold Sore Medicine?

No two cold sore creams or devicesare equal. Here, you’ll find some of the best products on the market for soothingand healing cold sores. Not only can they help with symptoms, but some willspeed up the healing time dramatically. The sooner that the symptoms of your blisters goaway, the better and more confident that you’ll feel.

#1 Virulite Electronic Cold Sore Treatment

Unlike many other OTCcold sore meds, theVirulite Electronic Device doesn’t require anycreams or gels to heal blisters. Instead, it focuses on an FDA-approved light technology. It’s not strictly a medicine, but we’ve included it because it works and you may not know that it exists.

These light wavelengths work as a catalyst for your immune system. When you place the battery-powered device over the cold sore, it will stimulate your immune system to focus on that particular spot. This helps your body to speed up the healing process and reduce pain naturally.

This is technology that has been used by medical professionals for years. This particular device has undergone years of clinical studies and trials and has come back time and time again with effective results for getting rid of cold sores ina fraction of the time.

Features:

  • FDA-Approved
  • Automatic shut off when treatment is complete
  • Dual activation switches for safety

Advantages:

  • Treatment only takes three minutes a day.
  • The automatic timer ensures you’ll get the right amount of treatment.
  • Internal safety features so you can’t misuse the device.
  • No side effects and drug interactions, which is especially helpful for older and immunocompromised patients.

Disadvantages:

  • Manufacturer warranty is only good for one year.
  • The battery included in the device works on 10-20 cold sores. It will need to be replaced after that.

The Virulite systemcan be used at any stage of your cold sore. If you’re starting to notice symptoms like tingling or itching, you should start using it right away. If you’re already experiencing a painful blister, you can use it to reduce pain and speed up the overall healing process.

We’ve performed a comparison of the best light devices for cold sores.

The average cold sore treatment option can take days before you start seeing results. The Virulite cold sore machine has been proven in multiple studies and reviews to cut that time in more than five days and work consistently, without any adverse side effects or symptoms associated with its use.

Checkthe Price of the Virulite Cold Sore Treatment Device!

#2 HERP-B-GONE Cold Sore Cream

HERP-B-GONEusesessential oils and anti-viral ingredients to fight against cold sores. It was formulated by a doctor, using non-toxic ingredients to heal cold sores quickly. Many of the oils used have either antiviral, anti-inflammatory, or antiseptic properties.

Active ingredients:

  • Coconut oil
  • Lemongrass oil
  • Tea tree oil
  • Peppermint oil

Advantages:

  • Discreet packaging
  • Can be applied at first sign of an outbreak
  • 100% satisfaction guaranteed
  • Promotes fast healing

Disadvantages:

  • Can irritate people with allergies to certain natural oils

Overall, HERP-B-GONEis one of the best ways to treata cold sore. Not only does it receive high praise from nearly every reviewer, but the company even offers a money back guarantee.

It works so well that many people benefit from its healing propertiesin just two or three days. Compared to the 10-14 days a cold sore typically takes to heal on its own, this proven natural solution offers enormous value to the cold sore sufferer.

Checkthe Price of HERP-B-GONE Creamon Amazon!

#3 Abreva Cold Sore Cream

Abreva uses an active ingredient called docosanol. That helps to protect healthy cells around the infected area from becoming infected, too. As those cells stay healthy, they can better fight off the infected cells. This speeds up the healing time and helps to alleviate thesymptoms.

Features:

  • FDA-Approved
  • Heals cold sores from inside out
  • Available for use at home and on-the-go

Advantages:

  • Can be usedup to five times a day
  • Moisturizes
  • Dries clear
  • Odorless
  • Does more than just mask the symptoms

Disadvantages:

  • Risk of spreading the virus through finger application
  • Not good for sores near the inside of the mouth

When you use Abreva as soon as you notice cold sore symptoms, you canreduce the time it takes to healsignificantly. The average healing time is 4.1 days while using the product, but it can happenin just 2.5 days. Its patented signature ingredient makes it idealfor getting rid of cold sores fast.

Checkthe Price of Abreva Creamon Amazon!

#4 Orajel Cold Sore Treatment

Orajel providespain relief for the burning and discomfort that comes with cold sores.

It uses antiseptic and anesthetic ingredients to get rid of cold sore pain quickly. Because it penetrates the skin, this single-dose treatment will decrease the effects of the symptoms until the cold sore has completely healed.

Features:

  • A no-touch applicator

Advantages:

  • The applicator allows the area around the cold sore to be cleaned, so medication can deeply penetrate
  • Instant pain relief

Disadvantages:

  • A single dose may not be enough for everyone
  • Doesn’t reduce thehealing time

If the pain is the biggest problem with your cold sore, Orajel is a great solution. Sometimes, the symptoms of the blister can be the worst part. While itmay not help to speed up healing, it can get rid of the pain that makes the blister so bad in the first place.

If you don’t regularly experience flare-ups, the single-use design is goodvalue. It’s easy to apply and makes life more tolerable.

Checkthe Price ofOrajel Single Dose Treatmenton Amazon!

Benefits of Over-the-Counter Creams & Gels

You can expect the use of OTC treatments to achievethe following:

  • Speed up the healing time by up to 75%
  • Reduce pain and discomfort
  • Prevent cold sore from spreading

Reducing the time it takes fora cold sore is what most people want. Getting rid of pain is essential, but many people want to removethe visual symptoms, too.

Even the top-rated treatments may not be able to heal a cold sore overnight fully. Typically, it takes anywhere from 2-4 days for the blister to become significantly less noticeable. However, everyone reacts differently to treatments and medicines.

The best thing you can do to ensure atreatment works is to follow the instructions carefully. You should also do what you can to reduce the risk of spreading the cold sore to other parts of the body. If a product suggests that you can use it several times each day, take advantage. The more often you use it, the more the medicated ingredients will be able to penetrate the infected area.

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (10)

OTC Cold Sore Medicine vs. Prescription Medication

People who suffer from cold sores frequently may seek out a prescription medication. Some are stronger in their dosage. That can be helpful for people who have frequent outbreaks or if your cold sores are painful. However, if you only experience flare-ups now and then, and they heal within two weeks, OTCmedicine is preferred.

You should see a doctor if your cold sores get worse. If the pain doesn’t start to subside, even with OTC medication, consult with your doctor for further treatment. If itis allowed to get worse, it is possible that a cold sorecan spread to the eyes.

For the most part, however, over-the-counter medication is the best way to getrid of cold sores fast. If you have normal symptoms and feel a cold sore coming on, you can begin using most OTC treatments with immediate effect.

What Are the Possible Side Effects?

Side effects that occur due to the use oftopical cold sore treatments are rare. Most antiviral meds are safe for peopleon other prescription medicines, and also forwomen who are pregnant.

The most common side effects occur due to allergic reactions. See a doctor if you are unfortunate enough to experience any of the following reactions:

  • Trouble breathing
  • Rashes
  • Hives
  • Excessive itching
  • Swelling of the lips, tongue, or face

Always use an OTCcold sore medicine as directedand never take them orally. Some gels require the application with a finger, allowing you to rub it directly into the skin. Be sure to wash your hands thoroughly after applying, or you may increase the risk of spreading the infection elsewhere.

Natural Ways to Treat Cold Sores

The best part about a natural treatment option is that there are veryfewside effects. Some of the most popular treatment options include:

  • Zinc: Zinc has been found to counteract the growth of the herpes simplex virus. You cantake a zinc oralsupplementor use a topical solution.
  • Lemon balm: Itcan soothe an inflamed cold sore, providing instant relief. There is anecdotal evidence to suggest thatapplying a lemon balmwillreduce the chances of cold sores coming back, and it also reduces redness and swelling.
  • Lysine: Taken as a supplement, or using cream that has the amino acid lysine, can help to reduce the symptoms of fever blisters. If taken regularly,lysine can also reduce the frequency of cold sore outbreaks. Theselysine pills a great lip care supplements and help your immune system.

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (11)

How to Prevent Cold Sores

Unfortunately, once the herpes simplex virus is in your system, you have it for life. There is no way to cure cold sores. Each time you experience a flare-up, it’s a matter of treating the symptoms and speeding up the healing process.

Just as there is no way to cure cold sores, there is no way to 100% prevent them either. Regularly using OTCmedication can also help to prevent the virus from flaring up. But, it’s still not a fool-proofpreventative measure.Here are some hints and tips:

  • Reduce your risk of exposure. If you see someone with a cold sore, try to avoid coming into direct contact with their skin. Cold sores are most contagious after they’ve burst. Avoid kissing anyone with a cold sore at any stage. Also be aware of the food and beverages that you share. The virus can be transmitted easily, so reducing the opportunities for spreading is essential.
  • Practice good hygiene. This may seem like common sense, but frequently washing your hands can be of significant preventative help.
  • Reduce stress. Flare-ups are triggered by stressful situations. It’s not possible to eliminate stress from your life, but find ways to unwind and relax.
  • Avoid too much sun exposure.
  • If you experience frequent outbreaks, ask your doctor about regular antiviral medications.

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (12)

OurPick for the Best Treatment

For a cold sore solution that gets rid of pain quickly, and helps to speed up healing, HERP-B-GONEis one of the best treatment options available (our review here). Because it uses natural ingredients, you can feel safe about using it multiple times a day.

Whether you use the best over-the-counter cold sore medicines, or use a natural treatment option, fighting back against your cold sore can help to reduce the negative symptoms. Not only will you likely feel less irritation, but the blister will go away faster. While you may not be able to prevent future outbreaks completely, take comfort in knowing fast relief is available.

Where To Buy OTC Cold Sore Medicine

You can buy OTC cold sore medicines without prescription at drug stores, grocery stores, discount and department stores, convenience stores, and even some gas stations. You can also purchase them from Amazon. Here are a few more options for you to check out.

SaleBestseller No. 1

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (13)

Abreva 10 Percent Docosanol Cold Sore Treatment, Treats Your Fever Blister in 2.5 Days - 0.07 oz Tube x 2

  • Number 1 Cold Sore Brand: Two 0.07 oz tubes of Abreva 10 Percent Docosanol Cold Sore Treatment
  • Can Heal in 2.5 Days: Fever blister cream contains 10 percent docosanol to shorten the duration of cold sore symptoms (1)
  • Nothing Heals Fever Blisters Faster: 10 percent docosanol cream penetrates deep into skin to tackle cold sores at their source (1, 2, 3)
  • Lip Cream Clinically Proven to Shorten Duration of Symptoms: Cold sore product shortens duration of tingling, pain, burning and itching associated with cold sores (1)
  • Portable Cold Sore Cream: Packaged in a convenient tube for on the go cold sore treatment

$24.49

Buy on Amazon

Bestseller No. 2

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (14)

Mederma Fever Blister Discreet Healing Patch - A Patch That Protects and Conceals Cold Sores - 15 Count

  • INSTANTLY HIDES COLD SORES: Avoid the social embarrassment of a cold sore; the discreet protective barrier instantly hides unsightly fever blisters on the lips or mouth
  • FASTER HEALING: The patch hydrocolloid gel technology creates an optimal healing environment so your skin heals fast
  • 12 HOUR PROTECTION: Each patch provides up to 12 hours of non-stop protection from contamination to the cold sore; apply as early as day 1 to relieve pain
  • EASY TO USE: The discreet patches have a no touch applicator; they're easy to apply and they stay in place to help conceal your cold sore

$13.98 What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (15)

Buy on Amazon

Resources

  1. Hargate, G. A randomised double‐blind study comparing the effect of 1072‐nm light against placebo for the treatment of herpes labialis. Clinical and Experimental Dermatology 2006; 31: 638-641. doi:10.1111/j.1365-2230.2006.02191.x
  2. Dougal, G. and Lee, S. Y. Evaluation of the efficacy of low‐level light therapy using 1072 nm infrared light for the treatment of herpes simplex labialis. Clin Exp Dermatol 2013; 38: 713-718. doi:10.1111/ced.12069
  3. Paula Eduardo, C., Aranha, A.C.C., Simões, A. et al. Laser treatment of recurrent herpes labialis: a literature review. Lasers Med Sci 2014; 29: 1517. https://doi.org/10.1007/s10103-013-1311-8
  4. Treister NS, Woo SB. Topical n-docosanol for management of recurrent herpes labialis. Expert Opin Pharmacother. 2010; 11(5):853-60. doi: 10.1517/14656561003691847.
  5. De Clercq E, Li G. Approved Antiviral Drugs over the Past 50 Years. Clinical Microbiology Reviews. 2016; 29(3):695-747. doi:10.1128/CMR.00102-15.
  6. Kümel G, Schrader S, Zentgraf H, Brendel M. Therapy of banal HSV lesions: Molecular mechanisms of the antiviral activity of zinc sulfate. Hautarzt. 1991; 42:439–45.

Last update on 2025-05-15 / Affiliate links / Images from Amazon Product Advertising API

What’s the Best Over the Counter Cold Sore Medicine? - Cold Sores Cured (2025)

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