Valacyclovir oral
Common Questions and Answers about Valacyclovir oral
valtrex
I posted here this time last year having been diagnosed with oral HSV1. I had a severe initial outbreak of herpetic gingivostomatitis. Since then I have had on average 1 to 2 outbreaks per month. Sometimes overlapping. One time may be a small blister on lip other time may be swelling and inflammation on gum, usually in the same spot. The outbreaks arent severe but they are all the time. I feel like i'm going crazy.
1) I have the beginnings of a cold sore on the lip. For Valacyclovir and Valtrex the recommended dosage is 2000mg every 12 hours...total of 4000mg in 24 hours. I have 2000mg of Valtrex and 2000mg Valacyclovir from prior outbreaks. Can I take them together for the some effect? Or do I need to take the 4000mg total dose with the same drug?
2) I am getting cold sores on the lip up to 3 times a year. There is no common catalyst. Each outbreak if not treated early is as severe as all the rest.
By the way, the currently recommended treatment for recurrent oral herpes is only 2 large doses of valacyclovir (2 grams), 12 hours apart. In fact, you probably could even skip the second dose; just one 2 gram dose probably would do it.
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Would you double the valacyclovir dosage or at least up it? What about for long-term suppressive therapy? If someone could in particular elucidate how valacyclovir works and WHY it would be important/ unimportant to adjust that dosage based on wanting to suppress both conditions, you would have my eternal thanks.
Doc now has me on valacyclovir because he thinks i have oral herpes. The valacyclovir has taken much of my fever away. And the nystatin and valacyclovir have together mostly cleared up my tongue sores and blisters. But I feel like without the valacyclovir, i'd be very very sick. Also my lymph node on the right side of my groin is still quite swollen.
any opinions about what this might be? two ER doctors said they thought my oral infection was fungal/yeast. only my GP thought it was herpes.
Oral herpes risks HSV-1 genital infection, but the chance of getting it for any particular epiosde of oral sex is vanishingly low if the oral partner isn't having a visible oral herpes outbreak. Anyway, there's a 50-50 chance you're already infected with HSV-1 (half of all adults), in which case you're immune.
In theory, shaving might increase the risk slightly.
I got infected with genital herpes about 5 months ago, from unprotected oral sex from a striper.... I took valacyclovir 1 g twice a day within 24 hours of the initial episode, and kept taking it until I got better, which took a while (a month almost)....
My symptoms (ulcers, itchiness and pain/discomfort) have been recurrent and very persistant since. I think I have had symptoms 3-4 out of every 5 days since day one.
You certainly could acquire oral herpes due to HSV-2 by performing oral sex on your partner, if he happened to have an outbreak or to be shedding virus without symptoms at the time of the exposure. Similarly, oral sex by you on him could transmit HSV-1 to his penis. In the absence of an obvious outbreak, both of these are unlikely for any individual episode of oral sex, but either could happen -- and the chances will rise with the number of such events occur.
The recurrences you experienced after you stopped valacyclovir- were they all on your gums and has starting the valacyclovir helped. The reason I as is that recurrent oral HSV is more typically involving the lips than gums. Lesions on the gums are more likely to be aphous ulcers which don't respond very well to antiviral therapy.
As for your genital lesion, it is most unlikely that this is HSV-2. Here are the reasons I say this:
1.
consistent condom use; and taking anti-herpes suppressive therapy like valacyclovir. Genital to oral transmission is uncommon, but could occur. However, if it's HSV-1, the risk of transmission (for either genital or oral sex) probably is quite low.
Also, has your partner been tested to determine for sure whether she has genital herpes? She could be tested to learn whether she is susceptible to HSV-1 or HSV-2, or perhaps previously infected and therefore immune to a new infection.
GYN is tomorrow.
Dermatologist said blisters were hsv2 instead of 1. But blood tests were negative (too soon). Culture will tell
Don't they "look" the same?
More later this week when tests are back.
I'm not sure that I understand your response.
1. I think that you meant to say that "experience tells us that when people ?quit? taking the valacyclovir, they sometimes do have an outbreak soon after that." This is my concern, that the valacyclovir takes over and that the body's immune response is less engaged in fighting the infection. Do you see what I mean?
2.
In late April I had protected sex and unprotected oral sex performed on me with a random girl. Several weeks later I developed red lesions on my scrotum and on my penis. No discharge. Full STD screens 6 weeks and 12 weeks after exposure came up positive only for HPV 1. I’ve never had cold sores. Around June the HPV spread to my mouth and nose. In July it spread to involve my scalp and I got blepheritis and conjunctivitis in both eyes.
Is it a false positive, or at 3 weeks could I have oral HSV-2 and the antibodies are in the process of developing? What is the realistic probability I got oral-to-oral HSV-2, or genital-to-oral HSV-2 with ~5-10 seconds of performing oral sex? I know I should probably test again in 3-4 weeks. Thanks.
Every so often, through oral sex, HSV 1 (oral) transmits to the genital region, and the HSV 2 (genital) transmits to the oral region. But that is atypical.
Also, lesions on your throat for 1 or 2 months tends to extend beyond herpes virus behavior,which usually resolves lesions more quickly. So, I think their are several ambiguities in your situation. Have you had actual medical testing about your concerns?
But for any single exposure, you have to factor in a) the odds the oral partner has oral herpes, b) if so, whether or not s/he is having an outbreak at the time of exposure, c) if no outbreak, whether asymptomatic viral shedding might be present, d) whether the genital partner already has HSV-1, which would make him or her immune (or at least highly resistant) to a new infection, and e) perhaps other factors, like the duration and vigor of exposure, perhaps circumcision status, and maybe still
I would like to add that I had also taken valacyclovir prior. It was four pills-two day dosage. I'm not sure if that is a decrease in spreading the sti but I'm just hoping at this point.
There are 3 antivirals (oral medication) generally prescribed for treating HSV. These are Valtrex/valacyclovir, Famvir/famciclovir, and acyclovir. They require a doctor's prescription.
There are also several topicals that you can get over the counter. Some of these are Abreva, Releev, and Dermoplast.
In addition some people use natural remedies such as honey, which has been found to have antiviral properties.
What is the frequency of asymptomatic HSV-2 shedding orally in lone oral infection. Can HSV-2 also be concurrently shed genitally in lone oral infection. I know HSV-2 can be transmitted to a discordant partner via orogenital contact, but is it likely to be highly transmissible via kissing? Also, although it is lone oral infection, I plan to take daily valacyclovir, which should also reduce any shedding. I thank you for your time.
Nothing more was said as he handed me a prescription for Valacyclovir (two 2000mg doses 12 hours apart). I phoned him back on the Friday and told him that there was no change in my condition. Another prescription for valacyclovir was written and filled (three 2000mg doses 12 hours apart).
On Monday (six days ago) I seen my family doctor for his opinion.
You would be at small risk of oral infection through cunnilingus (oral-vaginal sex), but it would be quite low. This too would be reduced if your partner were taking valacyclovir or other suppressive therapy.
The bottom line: The transmission risks can be managed, and nobody should allow the risk of herpes to seriously interfere with love, romance, and rewarding sex.
I hope this has helped.
Thanks for your reply but I'm a bit confused. If i was a recipient of oral sex, is it possible for me to get oral cold sores from the incident?
Also, I have never gotten oral cold sores in my life. The blood test I took 3 weeks back for hsv1 and hsv2 came back negative so my body wouldn't have any antibodies against the two strains of viruses.
1) Can I have a regular sex life with genital HSV 1 (should I not be worried of infecting partners as long as there is no visible signs on my penis)?
2)I am curious as why it cannot be passed from genital to oral or genital to genital (thus, is it even possible to transmit from the genital region)?
3) If you don't recommend Valtrex, how do you suppose I should deal/treat my genital HSV 1?
Valacyclovir will not skew your HIV test.
I have HSV and take valacyclovir daily but would prefer not to have that known by the surgeon for personal reasons. I understand it is best to always tell them all medications, but is there any chance of an issue with the meds (or HSV) and surgery? Other than maybe a flare up? I'm mostly concerned about serious interactions/side effects. I'd really rather not divulge that information unless it's absolutely necessary.
He seems thus far supportive and of course wants to know how to limit his risk. He has HSV1. My questions are how risky is it for him to perform oral sex on me, and what are his risks given my unique (I seem to be in the minority here) recurrence pattern??
Also if you have any thoughts on the dosage of Valtrex and duration I would be interested in hearing them.
Not to thread jump but I read about a new vaccine in clinical trials...ImmunoVEX HSV2.
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