[Question #11191] Should I take antivirals and do they impact testing?

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16 months ago
I had a possible exposure 12 days ago, and a few days later experienced prodromal tingling, pinching, bubbling sensations and itching in genital area. No lesions that I can see, but lots of discomfort. 

I had a similar experience and symptoms 12 years ago, about 25+ weeks of prodromal discomfort. However, I was put on small doses of acyclovir and valacyclovir early on, and repeatedly tested negative IGG tests 20 weeks after exposure, even a negative western blot around 20 weeks. I’m now wondering if the antivirals affected the testing long ago, which led me to believe I was negative, and I am just having a new outbreak now. Or is this a new exposure and I should go on the antivirals immediately, as I have read this can potentially prevent herpes. 
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Terri Warren, RN, Nurse Practitioner
16 months ago
When you say you were put on small doses of antivirals early one, for how long did you take them?  Did you stop them before taking the western blot?  
Antivirals taken in very high doses immediately after a possible infection (within hours) may have some impact on viral latency, but your exposure was 12 days ago, way too long ago for this routine.

Terri
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16 months ago
I had a situation 12 years ago,, had what I thought was an outbreak 2 weeks later. Unfortunately the doctor didn’t swab because he said it didn’t look like herpes but looking at photos now I would say it did. He put me on a ten day dose and the.n I went on something later that maybe was more regular, I can’t remember but will update if I can find it. The western blot was about 20 weeks post exposure. Can’t remember if I was on them when doing the western blot but you had administered it so I would imagine we discussed. You said it was negative and I should move on. So I did. Now 12 years later I’m in a similar situation. I’ve treated it as if I was truly negative in the past and this is a new situation (nearly identical symptoms). So I’m asking, assuming I was truly negative, should I go on antivirals asap, or should I avoid them because they may have affected testing in the past and maybe this is just a new outbreak from 12 years ago
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16 months ago
Seeing a doctor today. Should I avoid antivirals? Any reason to or do they impact testing and push out the dates where I can feel conclusive
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16 months ago
I believe it was 10 days acyclovir at 2 weeks post exposure, then a short dose of Valacyclovir at week 7, western blot at week 20, I was off antivirals for 13 weeks at that point
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16 months ago
My symptoms are bothering me and I have some acyclovir leftover, but don’t want to be in testing limbo later
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Terri Warren, RN, Nurse Practitioner
16 months ago
If you don't want to be in testing limbo later, don't take antivirals now.  It is way too late for help in preventing latency now anyway.  And the doses that you took previously did not interfere with testing back then.  I seriously doubt that the experience put you at any risk for HSV anyway

Terri
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