Valacyclovir given in a 5-day regimen of 500 mg twice per day is effective as short-term treatment of episodes of recurrent genital herpes. This study compared the efficacy of a shorter, 3-day course (for 402 patients) with that of a 5-day course (for 398 patients) of valacyclovir for persons with frequent recurrence of symptoms. No significant differences were detected between the 2 dosing schedules for any of the end points measured. Median times to lesion healing, of pain duration, and of episode length for the 5-day versus 3-day treatment were 4.7 versus 4.4 days, 2.5 days versus 2.9 days, and 4.4 days versus 4.3 days, respectively. The proportions of patients with aborted lesions were 26.6% and 25.4% in the 5-day and 3-day groups, respectively. A 3-day course of 500 mg of valacyclovir administered twice daily as episodic treatment of recurrent genital herpes is equivalent to a 5-day course with regard to key markers of efficacy. Genital herpes is one of the most prevalent sexually transmitted diseases in the world today: ∼1 in 5 adults in the United States is seropositive for herpesvirus type 2 (HSV-2) . Valacyclovir (generic for Valtrex) is a medication approved by the FDA to treat different types of herpes infections including HSV-1 and HSV-2. It is also used to treat shingles (herpes zoster), which is caused by the Varicella Zoster Virus (VZV). There are four different ways that herpes medications can be used to treat genital herpes (HSV-1 and HSV-2): 1. To Treat Or Abort An Outbreak When There Are Early Symptoms (Prodrome): For both genital and oral herpes, people can take medication when their specific prodrome tells them an outbreak is about to occur. The medication will stop an outbreak cold (often) and when it does not, it can shorten the outbreak and make it milder than it might have been otherwise. To Prevent Outbreaks When There Are No Symptoms But Outbreaks Are More Likely: Patients also learn the life circumstances or behaviors that lead to more outbreaks. For some, a lack of sleep, increased alcohol, another illness, stress, too much sunlight, irritation, or anything that can affect one’s immunity can spur an outbreak. That means that some patients can know not just when they feel an outbreak coming on but can know when they are more likely to have an outbreak due to their circumstances. They might be under stress, having more sex therefore causing more physical irritation, drinking a bit more than they should, or missing sleep over an extended period.
It slows the growth and spread of the herpes virus to help the body fight the infection. Valacyclovir is used to treat infections caused by herpes viruses, including genital herpes, cold sores, and shingles (herpes zoster) in adults. Valacyclovir is used to treat cold sores in children who are at least 12 years old, or chickenpox in children who are at least 2 years old. Valacyclovir will not cure herpes and will not prevent you from spreading the virus to other people. However, this medicine can lessen the symptoms of an infection. Before taking valacyclovir, tell your doctor if you have HIV/AIDS, a weak immune system, kidney disease (or if you are on dialysis), or if you have had a kidney or bone marrow transplant. Valacyclovir can be harmful to the kidneys, and these effects are increased when it is used together with other medicines that can harm the kidneys. The dose in immunocompromised patients is 1000 mg three times daily for at least seven days (3000 mg total daily dose) and for 2 days following crusting of lesions. This dose should be reduced according to creatinine clearance (see Renal impairment below). For recurrent episodes, treatment should be for three to five days. For initial episodes, which can be more severe, treatment may have to be extended to ten days. For recurrent episodes of herpes simplex, this should ideally be during the prodromal period or immediately upon appearance of the first signs or symptoms. Valtrex can prevent lesion development when taken at the first signs and symptoms of an HSV recurrence. For herpes labialis (cold sores), valaciclovir 2000 mg twice daily for one day is effective treatment in adults and adolescents. The second dose should be taken about 12 h (no sooner than 6 h) after the first dose.
Suppression of Recurrent Genital Herpes in HIV-1-Infected Subjects In HIV-1-infected subjects, frequently reported adverse reactions for VALTREX 500 mg. The dose is 500 mg of Valtrex to be taken twice daily 1000 mg total daily dose. This dose should be reduced according to creatinine clearance see Renal.