Skip to main content
Xerese Coupon - Xerese 5g of 5%/1% tube of cream

Xerese

acyclovir / hydrocortisone
Used for Cold Sores
Used for Cold Sores

Xerese (acyclovir / hydrocortisone) is a prescription cream that's applied on the lips and around the mouth to help treat cold sores (also known as herpes labialis). It's a combination of two medications: acyclovir (an antiviral) and hydrocortisone (a topical steroid). Xerese (acyclovir / hydrocortisone) works best if you use it 5 times a day as soon as you have a cold sore outbreak (when cold sore symptoms start). Typically, treatment lasts for 5 days. Most people don't experience a lot of side effects from the medication, but it might cause some mild burning and stinging during application.

Last reviewed on February 26, 2024
basics-icon

What is Xerese (acyclovir / hydrocortisone)?

What is Xerese (acyclovir / hydrocortisone) used for?

  • Shorten the healing time and treat symptoms (tingling, pain, burning, itching) of repeated cold sores in people 6 years and older

How Xerese (acyclovir / hydrocortisone) works

Xerese (acyclovir / hydrocortisone) is a combination of two medications.

  • Acyclovir is an antiviral medication. It stops the herpes simplex virus (HSV) from making copies of itself.

  • Hydrocortisone is a steroid. It lowers the amount of inflammatory chemicals that cause redness, itching, and swelling. This helps lower skin inflammation.

Are you looking for information on topical acyclovir (Zovirax) or topical hydrocortisone instead?

Drug Facts

Common BrandsXerese
Drug ClassAntiviral / Corticosteroid
Controlled Substance ClassificationNot a controlled medication
Generic StatusNo lower-cost generic available
AvailabilityPrescription only
coupon-save-icon

Get your GoodRx coupon

Avg retail price
$1448.63(save 17.76%)
GoodRx discount
$1191.40
See prices
basics-icon

What are the side effects of Xerese (acyclovir / hydrocortisone)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Side effects aren't common. See other side effects.

Other Side Effects

  • Dry skin
  • Burning or tingling feeling
  • Skin redness
  • Changes in skin color
  • Skin inflammation

Source: DailyMed

The following side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Rare

Burning, itching, redness, rash, swelling, soreness, or tingling at the application site

change in skin color at the application site

dryness or flaking of the skin

flushing or redness of the skin

unusually warm skin

Incidence not known

Blistering, burning, or crusting of the skin

itching, scaling, severe redness, soreness, or swelling of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

pros-and-cons

Pros and cons of Xerese (acyclovir / hydrocortisone)

thumbs-up

Pros

Combines two medications into one topical cream for convenience

Generally well-tolerated

Safe to use for adults and children 6 years and older

thumbs-down

Cons

Need to apply the medication 5 times a day

Must use at first signs and symptoms of a cold sore for the medication to work as best as it can

Not a cure for cold sores

pharmacist-tips

Pharmacist tips for Xerese (acyclovir / hydrocortisone)

pharmacist
  • Only use Xerese (acyclovir / hydrocortisone) on cold sores around the outside of your mouth. Don't put this medication into your mouth or swallow it. Never use it in your eyes, nose, or ears or on your genitals.

    • Use Xerese (acyclovir / hydrocortisone) as soon as you notice symptoms of a cold sore (e.g., painful, fluid-filled blisters).

      • Wash your hands before and after you use Xerese (acyclovir / hydrocortisone) to prevent getting medication in your eyes or mouth.

        • How to apply Xerese (acyclovir / hydrocortisone): Clean and dry the skin around your cold sore. Then, cover the cold sore (including its outer edges) with the cream thoroughly and completely using your fingertip or a cotton swab. Avoid rubbing the medication in harshly since this can cause the infection to spread or get worse.

          • Don't cover your cold sore with a bandage after you apply Xerese (acyclovir / hydrocortisone).

            • Avoid using skin products, such as makeup, sunscreen, or lip balm, on or around your cold sore to avoid contaminating these products.

              • Xerese (acyclovir / hydrocortisone) isn't a cure for cold sores. It only helps to shorten the time it takes for your cold sores to heal and prevents them from getting worse.

                • Cold sores are contagious until your sores are completely healed, which can take up to 3 weeks. Try to avoid close physical contact with other people when you have a cold sore, even when you're treating it with Xerese (acyclovir / hydrocortisone). This is because cold sores can easily spread to others. Avoid kissing or sharing items (e.g., utensils, lip balm) that have touched your mouth.

                  • Talk with a healthcare professional if your cold sores get worse of if they haven't gotten better after 2 weeks. They can check whether there's a better treatment option for you.

                    • Talk with your primary care provider if you get cold sores often. They might discuss with you about prescribing antivirals pills for you to prevent outbreaks.

                      faqs

                      Frequently asked questions about Xerese (acyclovir / hydrocortisone)

                      How well does Xerese (acyclovir / hydrocortisone) to work?
                      In clinical studies, cold sores healed about 1 to 2 days faster with Xerese (acyclovir / hydrocortisone) treatment than with placebo. In addition, there were fewer cold sores that got worse with Xerese (acyclovir / hydrocortisone) treatment than with placebo. In the study, people were instructed to use Xerese (acyclovir / hydrocortisone) within 1 hour of noticing cold sore symptoms and to continue applying the medication 5 times a day for 5 days. So for the best results, make sure to apply this medication as soon as signs and symptoms of a cold sore appear.
                      How much Xerese (acyclovir / hydrocortisone) to use for cold sores?
                      It's important to apply enough Xerese (acyclovir / hydrocortisone) to completely cover the affected area(s) on your face or lips where you have a cold sore. Use your fingertip or a cotton swab to gently apply the medication onto the top of the sore and onto the outer edge of the sore. Don't rub in the medication since it can cause the infection to spread or get worse. Make sure to apply Xerese (acyclovir / hydrocortisone) 5 times a day for the best results.
                      What's the difference between Xerese (acyclovir / hydrocortisone) and Abreva?
                      Xerese (acyclovir / hydrocortisone) and docosanol (Abreva) are both medications that are used to treat cold sores. But Xerese (acyclovir / hydrocortisone) can be used for people 6 years of age and older, whereas docosanol (Abreva) can be used for those 12 years of age and older. In addition, Xerese (acyclovir / hydrocortisone) is available as a brand-name medication by prescription only, whereas docosanol (Abreva) is available over the counter as either brand-name or a lower-cost generic. Talk with a healthcare professional to see which medication is a better option for you.
                      Can you use Xerese (acyclovir / hydrocortisone) for genital herpes?
                      Xerese (acyclovir / hydrocortisone) is FDA-approved to treat cold sores on the lips or around the mouth only. It's not used to treat genital herpes. Talk to your primary care provider if you have genital herpes. Your primary care provider can prescribe treatment that's specific for genital herpes, such as acyclovir (Zovirax) topical ointment or oral tablets.
                      Can you take Xerese (acyclovir / hydrocortisone) and Zovirax together?
                      Talk to your primary care provider before using Xerese (acyclovir / hydrocortisone) with Zovirax. Both medications contain the same active ingredient (acyclovir), so it's not clear whether it's safe to use them at the same time. Xerese (acyclovir / hydrocortisone) is a cream that you apply onto the cold sore. Acyclovir by itself comes in many different formulations (e.g., cream, ointment, capsule, tablet, oral suspension). Keep in mind that Xerese (acyclovir / hydrocortisone) is only for cold sores on the lips and around the mouth. Only the cream formulation of acyclovir can be used for cold sores; the other acyclovir formulations are used for other forms of herpes infection, chickenpox, or shingles.
                      GoodRxEducationalIcon

                      How to save using GoodRx

                      Compare Prices
                      1. Compare PricesSpecify your dosage and quantity to find out exactly how much you can save.
                      Select your free coupon
                      2. Select your free couponYou can use the displayed coupon, or compare prices at other pharmacies near you.
                      Show coupon to your pharmacist
                      3. Show coupon to your pharmacistPresent your printed or electronic coupon when you pick up your prescription.
                      Get free couponLearn more
                      warings-icon

                      What are the risks and warnings for Xerese (acyclovir / hydrocortisone)?

                      Xerese (acyclovir / hydrocortisone) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                      risk-warning

                      Use only on your skin

                      Use Xerese (acyclovir / hydrocortisone) for cold sores that are on the lips and around the mouth only. Don’t put the medication in your eyes, nose, or mouth or on the genitals.

                      risk-warning

                      Avoid using longer than 2 weeks

                      Typically, you shouldn't use Xerese (acyclovir / hydrocortisone) for longer than 2 weeks unless directed by your primary care provider. Let your primary care provider know if your mouth sores have gotten worse or haven't gotten better after 2 weeks. Your primary care provider can examine your mouth sores and see whether you need other treatment.

                      Xerese (acyclovir / hydrocortisone) works to treat cold sores, which are usually caused by HSV (a virus). It might not work well for mouth sores caused by fungal or bacterial infections, which can be hard to tell apart from a viral cold sore. Continuing to use Xerese (acyclovir / hydrocortisone) can cause your mouth sores to get worse if it's not the appropriate medication for you.

                      dosage

                      Xerese (acyclovir / hydrocortisone) dosage forms

                      The average cost for 1 tube of 5g of 5%/1% of Xerese (acyclovir / hydrocortisone) is $1191.40 with a free GoodRx coupon. This is 17.76% off the average retail price of $1448.63.
                      tube of cream
                      Tube of cream
                      DosageQuantityPrice as low asPrice per unit
                      5g of 5%/1%1 tube$1191.40$1191.40

                      Typical dosing for Xerese (acyclovir / hydrocortisone)

                      Apply Xerese (acyclovir / hydrocortisone) to the affected area(s) 5 times a day for 5 days. Xerese cream contains acyclovir 5% and hydrocortisone 1%.

                      interactions

                      Interactions between Xerese (acyclovir / hydrocortisone) and other drugs

                      Xerese (acyclovir / hydrocortisone) may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements (including prescribed and over-the-counter medications, vitamins, and dietary or herbal supplements) that you are currently taking. The list below does not include all possible drug interactions with Xerese (acyclovir / hydrocortisone). Please note that only the generic name of each medication is listed below.

                      Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

                      drug-cost

                      How much does Xerese (acyclovir / hydrocortisone) cost?

                      To access savings, use a GoodRx coupon and pay just a fraction of the retail price.View prices & coupons
                      alternatives

                      What are alternatives to Xerese (acyclovir / hydrocortisone)?

                      There are a number of medications that your doctor can prescribe in place of Xerese (acyclovir / hydrocortisone). Compare a few possible alternatives below.
                      Xerese (acyclovir / hydrocortisone)
                      Used for:
                      • Shorten the healing time and treat symptoms (tingling, pain, burning, itching) of repeated cold sores in people 6 years and older

                      $1191.40 Lowest GoodRx priceView Prices
                      Used for:
                      $10.50 Lowest GoodRx priceView Prices
                      Used for:
                      • Lessen healing time and symptoms (tingling, pain, burning, itching) of cold sores

                      $7.95 Lowest GoodRx priceView Prices
                      images

                      Xerese (acyclovir / hydrocortisone) images

                      This medicine is Colorless Tube Of Cream.

                      Get savings updates for Xerese (acyclovir / hydrocortisone)

                      Receive price alerts, news, and other messages from GoodRx about Xerese (acyclovir / hydrocortisone) and other healthcare topics and relevant savings offers.

                      By providing your email, you consent to receive marketing communications from GoodRx, which may include content and/or data related to men’s health, women's health, reproductive care, or sexual health. You agree to the GoodRx Terms of Use and acknowledge the Privacy Policy. You can unsubscribe at any time.

                      References

                      Best studies we found

                      American Academy of Dermatology Association. (n.d.). Cold sores: Signs and symptoms.

                      Bausch Health US LLC. (2020). Xerese- acyclovir and hydrocortisone cream [package insert]. DailyMed.

                      GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.
                      Was this page helpful?

                      Browse medications

                      View All

                      Research prescriptions and over-the-counter medications from A to Z, compare drug prices, and start saving.