Acyclovir in early pregnancy
Common Questions and Answers about Acyclovir in early pregnancy
zovirax
My daughter has been HSV2 positive for appx three years but has not had any outbreaks since the first year. She is in her last five weeks of pregnancy and her doctor has prescribed acyclovir 400mg once a day. My understanding has been that acyclovir is a twice a day medication. Is the medication going to benefit her at this dosage or does it need to be changed? Thank you!
acyclovir isn't associated with any birth defects so no worries there!
we don't really have info on suppressive therapy and oral herpes. It helps most people have less recurrences though so it's worth trying if you are getting cold sores more than 2x/year.
when you feel the tingle of a cold sore potentially starting, up your dose to 800mg 3x/day for 2 days to help speed healing. You can even head off a cold sore if you start it early enough.
Welcome to the forum. I'll try to help.
There are two reasons for anti-herpes therapy the last 3-4 weeks of pregnancy in women with histories of genital herpes. First is to prevent a recurrent outbreak that would increase the chance of HSV transmission to the baby and would force an otherwise unnecessary cesarean section. The second is to lower the chance of transmission of HSV to the baby.
Not in canada so I go by the ACOG recommendations as well as the extensive research by Dr Zane Brown who has done the majority of the research on herpes and pregnancy. The herpes handbook by Terri Warren, our herpes expert here in medhelp, also supports the dose I recommended.
you never, ever, EVER have to take acyclovir if you don't want to, even during pregnancy.
The medicines are considered very safe in pregnancy, and the protocol is that women with HSV 2 infection, with or without symptoms, get suppressed, not just women with symptoms.
If I were you and your wife, I would insist on daily therapy because everything you have read says you can shed the virus without symptoms and you want the most protection possible.
Has anyone noticed that there is a shortage of Acyclovir in the US? I live on the East coast and have found that it is very hard to get my prescription re-filled.
I take 400mg x2 a day for suppression and I have only been able to get 200mg. With some difficulty I might add. It isn't the end of the world but I am concerned about the supply in a month when I go for another re-fill.
I read on the FDA web site that there is currently a shortage.
http://www.fda.
My question is why would I get blisters a second time in 2 weeks? Since it is a weekend, should I start the Acyclovir again, and can it do me any harm if I do? Being a weekend, I can't get in touch with the physician, and I now have 2 opposing medical opinions, from my physician to stop the Acyclovir, and one from the physician at the urgent care clinic on 8/26 to start the medication again. Thanks for your help.
12 weeks after my last realtionship (because of his affairs) I tested HIV negativ - so this can not be the trigger. The docors in the HIV forum told me that acyclovir does not inhibit the HI virus so that I can trust in my negativ result although being ón acyclovir. Would you agree?
I hope my question is not too long. But I really think that you will take my problems seriously as you did it with all the other Users!
In early Dec-07, I started having redness and itching on the glans and the prepuce, and excessive formation of smegma. This happens to me if I haven't cleaned for a few days properly (though I normally clean everyday). At first I thought it was one such, but when it didn't go with cleaning I showed a doctor. He thought it was possibly a fungal infection and suggested an ointment having Clotrimazole as the active ingredient.
I continued 2 times a day acyclovir for suppression. After that I had bacterial infection in my vagina which the doc gave me metrogel, and then an abcess in my labia which the doc said was a clogged gland, which she drained and gave me flexril for. A few days later, I had arm pain (feels like deep aching in my bone, similar to my leg pain before my outbreak), and a very itchy rash on my the upper part of my breast! It itches a lot, and feels very similar to the way my herpes itched.
The severity of the out break has also increased significantly extremely painful nothing like before. The medication acyclovir doesn.t seem to be helping the out breaks are lasting about 2 weeks to resolve completely. Why is this happening? Is it age related?( i just turned 38) Can it be related to my diet? (transitioning to veganism)What kind of specialist or doctor can i consult?(my ob/gyn is clueless) the same thing is happening to my husband.
In the absence of lesions flu like symptoms are not hsv related. I wouldn't worry as people get sick and hot flashes surely can go with the winter flu bugs. I want to commend you on your protective behavior and always thinking of your partner!!
I also had the typical symptoms of flu, body ache, swollen glands/genitalia howerever, no pain in the mouth or genital area or outbreak. I started taking 400 mg of acyclovir 5x a day for 10 days ending Feb 6/13 ( he filled his scpript for me) I went to the Dr on Feb 5th and was tested for HSV1 & 2 @ the hospitals lab. I called for results on Feb 11, the nurse said it was negitave then in the same breath said it was positive. I asked for both HSV 1& 2?
Hello,
I've had herpes since I was a teenager (HSV-2, I believe, based on the overall frequency of the outbreaks). For years, the outbreaks were occasional and moderate -- itchy, then painful, lasting for several days, then going away completely. In my 30's, the outbreaks became quite rare, but I started taking Acyclovir to protect my partner (he never got it).
Although rare... it IS indeed happening because 1) well I'm the one experiencing it & 2) I have frequent visits nowto my Dr.because I am in the last 4wks of pregnancy & it IS reconfirmed as it is herpes.
I have had tests done ALREADY far as other stds & infections,only think was a yeast infection which I highly doubt is causing things to go crazy because this is not my first one...
So let me better re-word my question..
Was discontinued. With next occurrence, I asked for another anti-viral and was prescribed Acyclovir. This one caused headaches, backache, confusion and fatigue. Was stopped. I am now having a recurrence and didn't take anything. After about 7 days, I felt it was almost over, then wham....came back with a new leison and flu-like symptoms. Tried Acyclovir before bed last night, was up most of night with headache. I haven't taken anything today. I don't know what to do.
You get much better relief from ob's by taking acyclovir 2x/day every single day. You can do this for under $20/month in the US even if you don't have insurance.
Lysine doesn't help to heal ob's faster. It also doesn't suppress the virus.
For acyclovir when you first start feeling an ob about to start, take either 400mg 3x/day for 5 days or 800mg 2x/day for 2 days. Both speed healing at the same rate.
I stopped taking acyclovir in December 2011. I have had numerous outbreaks like once a month or every couple of months. I have had HSV2 four years and four months now. My last outbreak was maybe eight weeks ago. Shouldn't my outbreaks decrease since I have had the virus for some time.I would like to know is that too many outbreaks to be experiencing.
A single large lip bump does not sound like herpes at all. Stop using antivirals, there is no need for that unless you have a confirmed infection and are not managing the infection too well.
Transmission genital to oral is an extremely low chance; 1 in many thousands.
We took a 3 day break from sex then repeated the 3 times a day the following weekend. The raw feeling in my penis got worse to the point I went to the dr. It literally felt like I had a raw sore, but nothing was there. She confirmed everything looked normal, but said it was probably herpes based on my symptoms and my girlfriend's status. She prescribed acyclovir, which I didn't start taking yet.
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