Drug Uses

Valtrex is indicated for the treatment of herpes zoster (shingles), for the treatment or suppression of genital herpes in immunocompetent individuals and for the suppression of recurrent genital herpes in HIV-infected individuals and is also indicated for the treatment of cold sores (herpes labialis).

How Taken

Valtrex comes as a tablet to take it orally. It is usually taken every 8 hours (three times a day) for 7 days to treat shingles. To treat genital herpes it is usually taken twice a day for 5 days. For cold sores, Valtrex is usually taken for one day only. Do not take more or less of it or take it more often than prescribed by your doctor. Use this medication as soon as possible after symptoms appear. Continue to take Valtrex even if you feel well. Do not stop taking Valtrex without talking to your doctor.

Warnings/Precautions

Do not take Valtrex without first talking to your doctor if you are allergic to acyclovir (Zovirax). Before taking this medication, tell your doctor if you have kidney disease or immune system problems. You may need a dosage adjustment or special monitoring during treatment with Valtrex. Valtrex is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether Valtrex passes into breast milk and how it may affect a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

If you miss a dose of Valtrex, take it as soon as you remember and then take your next dose at its regular time. However, if it is almost time for your next dose, do not take the missed dose. Wait and take the next dose at the regular time.

Possible Side Effects

Kidney failure and nervous system problems are not common, but can be serious in some patients taking Valtrex. Nervous system problems include aggressive behavior, unsteady movement, shaky movements, confusion, speech problems, hallucinations (seeing or hearing things that are really not there), seizures, and coma. Kidney failure and nervous system problems have happened in patients who already have kidney disease and in elderly patients whose kidneys do not work well due to age. Always tell your healthcare provider if you have kidney problems before taking Valtrex. Call your doctor right away if you get a nervous system problem while you are taking Valtrex. Common side effects of Valtrex include headache, nausea, stomach pain, vomiting, and dizziness. Side effects in HIV-infected adults include headache, tiredness, and rash. These side effects are usually mild and usually do not cause patients to stop taking Valtrex. Other less common side effects include painful periods in women, joint pain, depression, low blood cell counts, and changes in tests that measure how well the liver and kidneys work.

Storage

Store at 15° to 25°C (59° to 77°F).Keep Valtrex a tightly closed container. Do not keep medicine that is out of date or that you no longer need. Keep Valtrex and all medicines out of the reach of children.

Overdose

Seek emergency medical treatment if an overdose is suspected. The symptoms of an overdose of Valtrex are not well known, but an overdose of acyclovir (Zovirax), which is a similar drug, may cause seizures, hallucinations, and kidney damage (decreased urine production).

More Information

Herpes infections are contagious and you can infect other people, even during treatment. Avoid letting infected areas come into contact with other people. Wash your hands frequently to prevent transmission. Valtrex will not prevent the spread of genital herpes. Avoidance of sexual intercourse and use of latex condoms may prevent spreading the virus to others.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Diagnosing Genital Herpes
A doctor can identify genital herpes by taking cells from the surface of the sores and looking at them under the microscope. The cells can be sent off for lab tests to confirm the diagnosis.
It can also be confirmed by a blood test that checks for antibodies.
Treating and Preventing Genital Herpes
There's no cure yet for genital herpes. Antiviral medications, such as acyclovir, famciclovir, or valacyclovir,* can reduce the severity and duration of symptoms. Treatment should be started as soon as possible and is most effective when started within the first 24 hours of the onset of symptoms.
Acyclovir, famciclovir, and valacyclovir are available as tablets. Acyclovir also comes in a cream or ointment. Antiviral medications can also be used on a daily basis to prevent breakouts of genital herpes. This treatment, also referred to as suppressive therapy, is usually reserved for people who experience more frequent flare-ups. Valacyclovir has also been shown to reduce the risk of transmission (passing on herpes to a sex partner).
It is best to avoid any cream or ointment that doesn't contain a specific antiherpes medication. This includes any preparation containing cortisone or antibiotics. These creams or ointments will not help and in some cases may make things worse. Using rubbing alcohol will only sting - and that's about all. If you are experiencing a lot of pain or discomfort, your doctor may prescribe an appropriate painkiller.
Other measures people can take to ease a breakout include:
* using bath salts and cold compresses
* keeping the infected area clean and dry
* wearing loose clothing and cotton underwear
It's important to make sure that the infection doesn't spread to other parts of the body. One of the more dangerous areas to spread the herpes virus to is the cornea of the eye. This can lead to blindness. Therefore, it is important for people with genital herpes to wash their hands thoroughly after touching sores or blisters and to use clean towels every time they wash - and not to reuse or share them. Genital herpes is not spread by toilet seats, bathtubs, swimming pools, or hot tubs.
There are a few things you can do to reduce your risk of catching herpes. People with genital herpes should inform their sexual partner(s) that they have the condition, and take appropriate precautions. Condoms can help reduce the risk of spreading genital herpes. During oral sex, the risk of genital herpes may be reduced by wearing a condom on the penis, or using a condom cut length-wise or a dental dam over the female genital area. It's important to know that condoms and dental dams do not always provide complete protection from herpes because they do not always cover all affected areas of the skin.
The medication valacyclovir can also help reduce the risk of herpes transmission. It should be used in combination with safer sex practices such as condoms and dental dams.
People with herpes should avoid sex when there are visible sores or use a condom or dental dam every time they have sex. They should also check with their doctor to see whether using medication to reduce the risk of transmission would be an appropriate option for them.
If the first episode of herpes occurs during pregnancy, a woman should see her doctor right away to discuss the steps she should take to reduce the risk of passing herpes on to her baby.

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