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Herpes and L-Lysine

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Hi All,

 

Jan Still wrote:

> Hello Clarissa and all, Could you please let us see any literature data

> which would actually bring an EVIDENCE that the L-Lysine

> supplementation leads to a reduction of the incidence (or duration) of

> the herpes infection & its symptoms? Any data in man or animals

> (including a control/placebo group) would be good. Thanks Jan

 

A Medline search for the profile (lysine AND herpes) is at:

http://tinyurl.com/cgob6

 

There are 125 references but opinions on the efficacy of L-Lysine are

divided. For example, see:

 

FOR an effect of lysine in herpes:

 

Altern Med Rev. 2005 Jun;10(2):123-7. Safety and effectiveness of an

L-lysine, zinc, and herbal-based product on the treatment of facial and

circumoral herpes. Singh BB, Udani J, Vinjamury SP, Der-Martirosian

C, Gandhi S, Khorsan R, Nanjegowda D, Singh V. Southern California

University of Health Sciences, SCU Research Division, 16200 E. Amber

Valley Drive, Whittier, California 90604, USA. drbetsysingh

CONTEXT: L-lysine, an essential amino acid, inhibits normal replication

of Herpes simplex virus (HSV), shortening the normal course and

duration of the disease. This study was conducted to determine the

effectiveness of a combination of L-lysine with botanicals and other

nutrients in relieving the symptoms of facial and circumoral herpes.

METHODS: This small pilot study was conducted using an outcome

(open-label) model. Thirty male and female participants (15 in each

group) meeting the inclusion/exclusion criteria were admitted to the

study. The 10 outcome measures used to monitor the sores were

tingling, itching, burning, tenderness, prickling, soreness, bump/swelling,

small blister(s), oozing blister(s), and crusting, as well as before-and-

after photographs of the lesion, and a daily diary. RESULTS: At the end

of treatment the ointment produced full resolution in 40 percent of the

participants by the third day and in 87 percent by the end of the sixth

day. A cold sore episode may last up to 21 days without treatment.

CONCLUSIONS: Overall data indicated significant improvement in

participants by the sixth day of treatment for all but two participants.

There were no adverse effects reported during this study. PMID:

15989381 [PubMed - indexed for MEDLINE]

 

Am Fam Physician. 2005 Oct 15;72(8):1527-34. Genital herpes: a

review. Beauman JG. Evans U.S. Army Hospital, Fort Carson,

Colorado 80913, USA. Genital herpes simplex virus infection is a

recurrent, lifelong disease with no cure. The strongest predictor for

infection is a person's number of lifetime sex partners. The natural

history includes first-episode mucocutaneous infection, establishment of

latency in the dorsal root ganglion, and subsequent reactivation. Most

infections are transmitted via asymptomatic viral shedding. Classic

outbreaks consist of a skin prodrome and possible constitutional

symptoms such as headache, fever, and inguinal lymphadenopathy. As

the infection progresses, papules, vesicles on an erythematous base,

and erosions appear over hours to days. These lesions usually crust, re-

epithelialize, and heal without scarring. First-episode infections are more

extensive: primary lesions last two to six weeks versus approximately

one week for lesions in recurrent disease. Atypical manifestations are

common. Infected persons experience a median of four recurrences per

year after their first episode, but rates vary greatly. Genital herpes

simplex virus type 2 recurs six times more frequently than type 1. Viral

culture is preferred over polymerase chain reaction testing for diagnosis.

Serologic testing can be useful in persons with a questionable history.

Effective oral antiviral medications are available for initial, episodic, and

suppressive therapy but are not a cure. There is some evidence that

alternative therapies such as L-lysine, zinc, and some herbal

preparations may offer some benefit. Counseling patients about the risk

of transmission is crucial and helps prevent the spread of disease and

neonatal complications. PMID: 16273819 [PubMed - in process]

 

Dermatologica. 1987;175(4):183-90. Success of L-lysine therapy in

frequently recurrent herpes simplex infection. Treatment and

prophylaxis. Griffith RS, Walsh DE, Myrmel KH, Thompson RW,

Behforooz A. Department of Medicine, Indiana University School of

Medicine, Indianapolis. A double-blind, placebo-controlled, multicenter

trial of oral L-lysine monohydrochloride for the prevention and treatment

of recurrent herpes simplex (HSV) infection was conducted. The

treatment group was given L-Lysine monohydrochloride tablets (1,000

mg L-lysine per dose) tid for 6 months. A total of 27 (6 male and 21

female) subjects on L-lysine and 25 (6 male and 19 female) subjects on

placebo completed the trial. The L-lysine treatment group had an

average of 2.4 (p less than 0.05) less HSV infections, symptoms were

significantly (p less than 0.05) diminished in severity and healing time

was significantly reduced (p less than 0.05). L-Lysine appears to be an

effective agent for reduction of occurrence, severity and healing time for

recurrent HSV infection. Publication Types: Clinical Trial Controlled

Clinical Trial PMID: 3115841 [PubMed - indexed for MEDLINE]

 

AGAINST an effect of lysine in herpes:

 

Herpes. 2005 Oct;12(2):38-41. Use of complementary and alternative

medicine for the treatment of genital herpes. Perfect MM, Bourne N,

Ebel C, Rosenthal SL. Department of Pediatrics and Sealy Center for

Vaccine Development, University of Texas Medical Branch, 301

University Boulevard, Galveston, TX 77555, USA. Conventional antiviral

drugs have proven effectiveness for genital herpes; however, patients

continue to use a variety of complementary and alternative medicine

(CAM) treatments. Given that patients may be using these products, it is

important that healthcare providers become familiar with the data

regarding safety and efficacy. We have reviewed available scientific

data on six commonly used treatments (echinacea, eleuthero, L-lysine,

zinc, bee products and aloe). Also, information about a number of other

products is presented in tabular form. Currently, there are insufficient

clinical data to be confident of the efficacy and safety of any of these

products for the treatment of genital herpes. It is hoped that future

clinical trials will be conducted with sufficient rigour to provide guidance

to the patients using these products. PMID: 16209859 [PubMed - in

process]

 

I have not time to review the 125 abstracts. Any volunteers to do so and

post a summary to the List?

 

 

Best regards,

 

 

Tel: (H): +353-(0) or (M): +353-(0)

 

 

 

 

Ireland.

Tel: (W): +353-(0) or (M): +353-(0)

 

 

 

" Man who says it can't be done should not interrupt man doing it " -

Chinese Proverb

 

 

 

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Hi All,

 

Jan Still wrote:

> Hello Clarissa and all, Could you please let us see any literature data

> which would actually bring an EVIDENCE that the L-Lysine

> supplementation leads to a reduction of the incidence (or duration) of

> the herpes infection & its symptoms? Any data in man or animals

> (including a control/placebo group) would be good. Thanks Jan

 

A Medline search for the profile (lysine AND herpes) is at:

http://tinyurl.com/cgob6

 

There are 125 references but opinions on the efficacy of L-Lysine are

divided. For example, see:

 

FOR an effect of lysine in herpes:

 

Altern Med Rev. 2005 Jun;10(2):123-7. Safety and effectiveness of an

L-lysine, zinc, and herbal-based product on the treatment of facial and

circumoral herpes. Singh BB, Udani J, Vinjamury SP, Der-Martirosian

C, Gandhi S, Khorsan R, Nanjegowda D, Singh V. Southern California

University of Health Sciences, SCU Research Division, 16200 E. Amber

Valley Drive, Whittier, California 90604, USA. drbetsysingh

CONTEXT: L-lysine, an essential amino acid, inhibits normal replication

of Herpes simplex virus (HSV), shortening the normal course and

duration of the disease. This study was conducted to determine the

effectiveness of a combination of L-lysine with botanicals and other

nutrients in relieving the symptoms of facial and circumoral herpes.

METHODS: This small pilot study was conducted using an outcome

(open-label) model. Thirty male and female participants (15 in each

group) meeting the inclusion/exclusion criteria were admitted to the

study. The 10 outcome measures used to monitor the sores were

tingling, itching, burning, tenderness, prickling, soreness, bump/swelling,

small blister(s), oozing blister(s), and crusting, as well as before-and-

after photographs of the lesion, and a daily diary. RESULTS: At the end

of treatment the ointment produced full resolution in 40 percent of the

participants by the third day and in 87 percent by the end of the sixth

day. A cold sore episode may last up to 21 days without treatment.

CONCLUSIONS: Overall data indicated significant improvement in

participants by the sixth day of treatment for all but two participants.

There were no adverse effects reported during this study. PMID:

15989381 [PubMed - indexed for MEDLINE]

 

Am Fam Physician. 2005 Oct 15;72(8):1527-34. Genital herpes: a

review. Beauman JG. Evans U.S. Army Hospital, Fort Carson,

Colorado 80913, USA. Genital herpes simplex virus infection is a

recurrent, lifelong disease with no cure. The strongest predictor for

infection is a person's number of lifetime sex partners. The natural

history includes first-episode mucocutaneous infection, establishment of

latency in the dorsal root ganglion, and subsequent reactivation. Most

infections are transmitted via asymptomatic viral shedding. Classic

outbreaks consist of a skin prodrome and possible constitutional

symptoms such as headache, fever, and inguinal lymphadenopathy. As

the infection progresses, papules, vesicles on an erythematous base,

and erosions appear over hours to days. These lesions usually crust, re-

epithelialize, and heal without scarring. First-episode infections are more

extensive: primary lesions last two to six weeks versus approximately

one week for lesions in recurrent disease. Atypical manifestations are

common. Infected persons experience a median of four recurrences per

year after their first episode, but rates vary greatly. Genital herpes

simplex virus type 2 recurs six times more frequently than type 1. Viral

culture is preferred over polymerase chain reaction testing for diagnosis.

Serologic testing can be useful in persons with a questionable history.

Effective oral antiviral medications are available for initial, episodic, and

suppressive therapy but are not a cure. There is some evidence that

alternative therapies such as L-lysine, zinc, and some herbal

preparations may offer some benefit. Counseling patients about the risk

of transmission is crucial and helps prevent the spread of disease and

neonatal complications. PMID: 16273819 [PubMed - in process]

 

Dermatologica. 1987;175(4):183-90. Success of L-lysine therapy in

frequently recurrent herpes simplex infection. Treatment and

prophylaxis. Griffith RS, Walsh DE, Myrmel KH, Thompson RW,

Behforooz A. Department of Medicine, Indiana University School of

Medicine, Indianapolis. A double-blind, placebo-controlled, multicenter

trial of oral L-lysine monohydrochloride for the prevention and treatment

of recurrent herpes simplex (HSV) infection was conducted. The

treatment group was given L-Lysine monohydrochloride tablets (1,000

mg L-lysine per dose) tid for 6 months. A total of 27 (6 male and 21

female) subjects on L-lysine and 25 (6 male and 19 female) subjects on

placebo completed the trial. The L-lysine treatment group had an

average of 2.4 (p less than 0.05) less HSV infections, symptoms were

significantly (p less than 0.05) diminished in severity and healing time

was significantly reduced (p less than 0.05). L-Lysine appears to be an

effective agent for reduction of occurrence, severity and healing time for

recurrent HSV infection. Publication Types: Clinical Trial Controlled

Clinical Trial PMID: 3115841 [PubMed - indexed for MEDLINE]

 

AGAINST an effect of lysine in herpes:

 

Herpes. 2005 Oct;12(2):38-41. Use of complementary and alternative

medicine for the treatment of genital herpes. Perfect MM, Bourne N,

Ebel C, Rosenthal SL. Department of Pediatrics and Sealy Center for

Vaccine Development, University of Texas Medical Branch, 301

University Boulevard, Galveston, TX 77555, USA. Conventional antiviral

drugs have proven effectiveness for genital herpes; however, patients

continue to use a variety of complementary and alternative medicine

(CAM) treatments. Given that patients may be using these products, it is

important that healthcare providers become familiar with the data

regarding safety and efficacy. We have reviewed available scientific

data on six commonly used treatments (echinacea, eleuthero, L-lysine,

zinc, bee products and aloe). Also, information about a number of other

products is presented in tabular form. Currently, there are insufficient

clinical data to be confident of the efficacy and safety of any of these

products for the treatment of genital herpes. It is hoped that future

clinical trials will be conducted with sufficient rigour to provide guidance

to the patients using these products. PMID: 16209859 [PubMed - in

process]

 

I have not time to review the 125 abstracts. Any volunteers to do so and

post a summary to the List?

 

 

Best regards,

 

 

Tel: (H): +353-(0) or (M): +353-(0)

 

 

 

 

Ireland.

Tel: (W): +353-(0) or (M): +353-(0)

 

 

 

" Man who says it can't be done should not interrupt man doing it " -

Chinese Proverb

 

 

 

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