[Question #7310] Valtrex & Breakout

4 months ago
I’ve been taking 500 MG of Valtrex for 2 weeks - to reduce transmission - everyday and just started to feel a tingle (prodromal stage). I typically have 0-2 breakouts a year. 

Should I stop taking the pill daily or should I increase to 1 MG daily? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
I assume you are taking this to reduce transmission and/or reduce outbreak frequency.  Continue taking the medication and don't change your dose yet.  Give it more of a chance to work successfully.  If, after a month, you still have concerning symptoms, then you could up the dose to 1 gram a day.  How about that?

Terri
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4 months ago
Great! Thank you for that.

My husband and I are currently trying to conceive. With continuing to taking the daily suppression meds, is my shedding risk low if we are trying twice a week? Is there a way for me to test to see if I’m shedding before sex? I was never told if I have HSV1 or HSV2. Just a blood confirmation test 15 years ago. I want to do best best not to give it to him. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
4 months ago
There is no way to test to know if you are shedding at the moment that you have sex.  Boy, I wish!
I think it is important to know if you have HSV 1 or 2, actually, so that at some point, your husband could also test and see if you are the same or different in your herpes status.  If he is infected with the same type that you are, suppression is really not necessary.  And I think you should be certain that the test was not an IgM test but rather an IgG test.  IF you have HSV 2 and he doesn't, the transmission rate to your husband is about 2% per year - about 2 men out of 100 in your circumstances.  But first, before worrying too much about this, I think he should get an IgG test that is type-specific and so should you.

Terri
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