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Cold sores progress through five stages and generally last days before the scab falls off and healing is complete: Stage 1 is referred to as the prodrome, or tingling, stage and usually lasts several hours to 2 days. Stage 2 occurs when the area becomes a fluid-filled blister or a cluster of smaller blisters. Mar 19, - Treatment options for cold sores in the early stages Docosanol (Abreva) is an over-the-counter treatment that may shorten a cold sore's.