Print DiagnosisThere are special labs that test tissue samples to diagnose smallpox. But if a smallpox outbreak happened today, many healthcare professionals might not be able to diagnose the virus in its early stages because they've never seen it. This could allow the smallpox virus to spread. TreatmentThe U.S. Food and Drug Administration, also called FDA, has approved antiviral medicines to treat smallpox. These include: Tecovirimat (Tpoxx). The FDA approved this medicine for use in the U.S. in 2018. Research found that it worked in animals and in lab tests. But it hasn't been tested in people who have smallpox. So experts don't know if it works for smallpox. A study of the medicine in people with no health concerns found it to be safe. Brincidofovir (Tembexa). The FDA approved this drug in 2021 for use in the U.S. Researchers have tested brincidofovir in animals and in labs. It has not been tested in people who have smallpox. People who aren't ill and people who have other viruses have used it safely. History of infectious disease outbreaks and vaccines timeline. Learn about the history of major disease outbreaks, epidemics and pandemics, as well as the impact vaccines and research had on many infectious diseases. Find out more at History of infectious disease outbreaks and vaccines timeline. By Mayo Clinic Staff Request an appointment Symptoms & causes March 17, 2026 PrintShow references Friedman HM, et al. Variola virus (smallpox). https://www.uptodate.com/contents/search. Accessed March 28, 2025. Smallpox. Centers for Disease Control and Prevention. https://www.cdc.gov/smallpox/about/index.html Accessed March 28, 2025. AskMayoExpert. Smallpox. Mayo Clinic; 2024. Smallpox in adult. VisualDx. https://www.visualdx.com. Accessed March 28, 2025. Breman JG. Smallpox. The Journal of Infectious Diseases. 2021; doi:10.1093/infdis/jiaa588. Related Smallpox Products & Services A Book: Mayo Clinic Family Health Book Newsletter: Mayo Clinic Health Letter — Digital Edition Show more products and services from Mayo Clinic SmallpoxSymptoms&causesDiagnosis&treatment Advertisement Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy Opportunities Ad Choices Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. NEW: Mayo Clinic Guide to Better Sleep Listen to Health Matters Podcast Mayo Clinic on Incontinence The Essential Diabetes Book FREE Mayo Clinic Diet Assessment Mayo Clinic Health Letter - FREE book CON-20309654 Diseases & Conditions Smallpox