Medical Conditions – Social / psychological factors – Cold Sores

  • Social/Psychological Factors?

  • Stress

  • Panic attacks

  • Consume large amounts of alcohol

  • Obstructive Sleep apnoea/hypopnoea

  • Restless leg syndrome

  • Heavy smoker (smoke more than 30 cigarettes daily, cigars, cigarillos, pipes or chew tobacco/beetle nut)

  • Recently stopped smoking (nicotine withdrawal)

  • Poor general well being

  • Poor hygiene