[Question #2126] Herpe medicine

47 months ago
Hi so after my first initial outbreak a couple weeks ago I was taking acyclovir for 3x a day for 7 days, my outbreak was two small blisters, I'm a healthy young  guy, so now I want to keep the virus suppressed so I don't experience a outbreak ever again? What medicine do you recommend I take daily? And what dosage? A gram is a a lot for once a day by valtrex right? Also if I take whatever medication you recommend a day, what's the chance of me experiencing another outbreak? Also if I slipped up with no condom what's the chance of ithe virus transmitting if I'm taking the medicine and having no outbreaks? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
the recommended dose is either 400 mg twice a day with acyclovir or 500 mg once a day of valacyclovir.  You may still break through on medicine with an outbreak or two a year - it's variable.  If you don't use condoms, having sex about twice per week, the transmission rate from male to female will be about 5% per year.

Terri
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47 months ago
Ok, what's the likely hood of me passing my genital herpes to somewhere else on my body, I'm scared to touch my own private part cus if I touch somewhere else on my body it could spread there. I'm not a dirty guy but could I spread it to my face, buttocks or somewhere else if I was shedding let's say or even during a outbreak? Also what's the likely hood of me passing it to a woman if she goes down on me but I'm not having a outbreak? And let's say I'm taking medicine everyday and also if I'm not taking medicine everyday, will she get HSV 2 on her lips or face? Or would it directly travel to her genitals or will she most likely not catch the virus at all if she goes down on me. I don't want my future gf scared to give me head...and there's no way I'm usIng a condom for head 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
What  you are asking about is autoinoculation - transferring virus from one part of your body to another and it is very very unlikely.  If you touch your penis just wash your hands afterwards.  Soap and water rapidly destroy the lipid layer that surrounds the virus and destroys it.

We don't have statistics about the risk of someone giving you oral sex and them getting HSV 2 in the mouth.  What we do know is that it is possible and if it happens, HSV 2 orally would be unlikely to recur often and is shed very infrequently.  It would look like a cold sore.  If someone did get infected by you in this way, her infection would be oral - it would not be genital.  Transmission via oral sex of HSV 2 is not common but not impossible - wish I could give you a more certain answer.

Terri
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47 months ago
Ok thank you, so since I have recently had my first outbreak, is my shedding much stronger for the first year? Should I remain with no sex for the next 2months or can I have sex with a condom. I am currently now taking valtrex daily 500mg since you recommended it.  Also with your research and studies when do you feel might be a cure or vaccine for someone to have access to even if it's Mexico or Europe? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
47 months ago
Your shedding is more frequent the first six months, then it decreases a bit at a year, then a more remarkable decrease at two years.  If you have no lesions present and you have disclosed your status to a partner, I see no issues at all with having sex with a condom firmly in please.  We are close to obtaining therapeutic vaccines that decrease outbreaks and viral shedding.  Those two thing combined will make a huge difference in transmission rates.  A cure?  Farther away

Terri
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