1st April 2022

You are an F2 in your GP rotation. Miss Henry, a 35-year-old patient, has come to see you

You are an F2 in your GP rotation. Miss Henry, a 35-year-old patient, has come to see you, she is known to have genital herpes simplex infection. The patient is having a recurrence of her infection. In her last appointment she was given acyclovir, but this has not helped. In her past medical history, she has systemic lupus erythematous, for which she currently takes daily steroids. On examination, you see multiple vesicles around her vulva that appear quite erythemic. Miss Henry admits to constantly scratching the area and has been using lidocaine gel on the area.

What is the appropriate treatment to provide?

Select the SINGLE most appropriate option from the list below. Select ONE option only.