ve only had oral outbreaks so far, i asked the doctor for acyclovir and he gave me a prescription for 800mg tablets and to take them 2x daily for a total dose of 1600mg everyday as supressive therapy. i'm concerned this is too high a dose? i thought it should be 400mg and take 2x daily for a total dose of 800mg? it was an ER doctor that gave it to me because i don't have health insurance and went to the county hospital.
Acyclovir is always 2x/day for suppressive therapy. You can not take acyclovir just 800mg 1x/day. It's not effective that way. Call your provider up and question that dose. If they say that that dose works too -ask them to please cite the research that backs that. I guarantee you they can't provide any that shows that 800mg once a day is effective for acyclovir!!
do you have hsv1 or hsv2 genitally? How about orally - which one?
I didn't ask about acyclovir.
I am 23 and I was diagnosed with HSV-1 in mid-December. My diagnosis was by culture. (It was also clear-cut because I've had only one partner--10 days before my outbreak he had a cold sore on his lip and performed oral sex on me).
SInce then, I've had a raised line or paper cut lesion appear on the inside of the left labia about every 1-2 weeks.
The problem subsided and he has now prescribed a prophylactic dosage of Acyclovir 400mg 1 time daily for the next 6 months. At random, the red spots on the glans and prepuce keep reappearing for a day or so. The urologist claims that as long as there is no pain or itchiness, there is nothing to worry.
My points of confusion are:
1. Is this really Herpes? I haven't had sex since Jul-06 (it's true!) - no intercourse, no oral, no skin-contact, no nothing.
I am advised now to increase acyclovir dosage to 3 times a day and have levamisole hydrochloride 75 gms twice a week for another 3 months and check for HSV1 igg again. Please let me know am I on the right path to control herpes, what is the increasing trend in hsv 1 igg signify. My sugar, liver and kidney have normal results now.
I started having very mild genital herpes outbreaks about eight months ago, and for this outbreak (only one small blister) I decided to take acyclovir tablets and acyclovir cream. I have no pain or itching. I have taken it for a day and a half, 200 mg every 4 hours, omitting the nighttime dose. My blister is pretty much gone, and Im wondering, would it be okay to stop taking the acyclovir? I read everywhere that Im supposed to take it for 5 days, but is it for the same reason as antibiotics?
My doctor has perscribed 200mg taken 3 times per day - and has indicated that this is a strong enough dosage for me. My question still remains, is a dosage of 200mg taken 2 times per day effective?
I have a strong adversion to taking meds of any kind. I get dizzy, light headed, tired, cranky and can taste metal in my mouth.
Oh and I should add that only oral herpes type 1 is a risk for Bell's Palsy. Genital herpes is not a cause of it.
Asymptomatic viral shedding in the mouth is less common in people with oral HSV-1 than for genital HSV-2. Most oral to genital HSV-1 transmission probably occurs during overt herpes outbreaks (cold sores). While it is possible she could acquire a gential HSV-1 infection on top of her genital HSV-2, that appears to be a rare occurrence. I wouldn't worry about it.
the dose of acyclovir for an ob should be either 400mg 3x/day for 10 days or 200mg 5x/day for 10 days. please check your dose on your prescription to see if you were prescribed the proper dose.
As I said, I think the provider you saw guessed and guessed wrongly.
You have a history of hsv1 orally already so even if a blood test is + for hsv1 the next time you get one, it's not going to accurately reflect a genital hsv1 infection.
A week later the line did not go away, so my doctor states to me that it was not herpes and he is not sure what it is. As a result he told me to stop taking the acyclovir. Now, on Saturday underneath the right side of my tongue there are about six small white bumps cluster together and doesn’t appear to have any fluids in them. The area next to the bumps is swollen and the bumps really hurt if I push on them or when I eat or swallow, other than that not a problem.
I was originally prescribed 400 mg of acyclovir twice daily for suppression of my herpes type 2. Recently, I asked my doctor to increase my dosage to 800 mg of acyclovir twice daily. Is there any negatives associated with taking a higher dose than what is normally prescribed for suppression. Also, are there any benefits to taking a higher dose regularly for suppression like less shedding?
Once we started dating I began taking a daily dosage of Acyclovir 200mg in August of 2010 (one pill twice daily.. one in the morning and one at night) to mitigate the risk of exposing her to what I believe I had and reduce outbreaks. We are having oral sex but not any other type of intercourse. I have not had an outbreak since beginning this daily dosage of Acyclovir.
My acyclovir says to take 400mg a day for suppressive and 400mg 2xday for 7days for ob. But she let's me change my script to suit me. Should I up the dosage to 2400mg for 2days for ob & 800 a day for suppressive?????
I had a severe herpes outbreak (8 blisters everywhere) beginning April 24 when my eye doctor took me off of Acyclovir after nine years. The Acyclovir was used to prevent further flares in my left eye from Herpes Iritis. Now I am suffering from pain in the muscle and tingling in my right arm. There was a blister in that area which has now healed. My internist has diagnosed me (after MRI) as having bone spur puttting pressure on c-6 or c-7 in my neck and I am facing surgery for that.
My boyfriend and I are planning to go further into the relationship, and however I would like to do the most that I can to prevent him of getting the virus from me. I have stand-by pills of acyclovir with me for around 5 outbreaks that I can remember.
Could you advise help to advise on how much of the dosage that I will need to take for suppressive treatment, and how long will it take to start to be effective?
Thanks in advance for the help.
abreva isn't really effective for oral herpes for the price you pay for that teeny tube. it barely got fda approval to say it speeds the healing of herpes lesions :( It only heals cold sores less than a day sooner than using a placebo. you can get a round of acyclovir for $4 - works a little better and far cheaper. if you use acyclovir, best to start it at the very first sign of a cold sore about to start.
So i got tested about 4 weeks ago for Herpes. I got tested for HSV 1 and 2 both IgM and IgG. Everything was negative, except the HSV 1 IgM was positive, and Negative IgG, and the doc told me that i have a recent infection. Ive never had cold sores or anything, which means it could be an asymptomatic shedding. The doc told me to take Acyclovir 800 mg for 5 days. But then another doc and some articles says that IgM is not reliable. Does that mean that the test might showed me a false positive?
her obgyn really needs to bone up on her herpes and pregnancy info as well as how herpes antivirals work. once daily acyclovir is never effective for herpes suppression :(
she really needs to be on the 3x/day dose if she is going to bother to take it. not worth taking anything less than that. Odds are in the future that the doses are going to be even more frequent than that and higher doses based on some recent research on herpes and pregnancy but for now that is the recommended dose.
If a female is the recipient of oral sex on the day discomfort begins, later an ulcer develops (PCR tests neg for HSV, CMV, etc) but serum IgG test is positive (5) for HSV2, (Neg for HSV1 & HIV neg) what are the chances the partner could develop HSV2 orally? What is the latest that symptoms could appear? (Partner has swollen nodes on day 15, no mention of oral ulcers or sore throat.
acyclovir cream isn't very effective in general. it is actually recommended more so for oral herpes than genital herpes though it's usefulness is limited for both.
Oral antivirals in the cold sore doses work better. plenty of cheaper and better topicals to apply to a cold sore for pain relief than acyclovir. Ask your provider for a prescription for oral acyclovir, famvir or valtrex in the cold sore doses and use an otc pain relief topical instead if the cold sore hurts.
It's too late for a leision culture but go back because it should've cleared up by now, not continue to keep having recurrences like this back to back even while on acyclovir. Odds are that it's not oral herpes going on after all.
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