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Alternative dose for immunocompetent host with a history of 9 or fewer recurrences per year: 500 mg orally once a day
Store Valtrex tablets at room temperature away from moisture and heat.
12 years or older: 2 g orally every 12 hours for a total of 2 doses (4 g)
Usual Adult Dose for Herpes Simplex -- Mucocutaneous/Immunocompromised Host:
hallucinations (seeing or hearing things that are not real);
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Valtrex only for the indication prescribed.
Usual Adult Dose for Herpes Simplex -- Mucocutaneous/Immunocompetent Host:
Valtrex 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.
1 g orally every 8 hours for 7 days




Side effects may be more likely in adults who are 65 or older.


Dosage

See also: Dosage Information (in more detail) What happens if I miss a dose?
Support Group Q & A


Common Valtrex side effects may include:
Valtrex dosing information
How should I take Valtrex?

Side Effects
Do not give this Valtrex to a child without medical advice.
First episode: 1 g orally twice a day for 7 to 14 days
Your pharmacist can provide more information about Valtrex.

Usual Pediatric Dose of Valtrex for Herpes Simplex Labialis:
Slideshow

Therapy should be started at the earliest sign of a cold sore (such as tingling, burning, or itching).
confusion, aggression, or you feel shaky or unsteady;
Chickenpox in immunocompetent host:
Efficacy beyond 8 months has not been established in discordant couples.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
unusual bleeding (nosebleeds, bleeding gums);




Therapy should be started at the first sign of a genital herpes episode. The efficacy has not been established if started more than 24 hours after onset of signs and symptoms.


Maximum dosage: 1 g orally 3 times a day


Avoid sexual intercourse or use a latex condom to help keep you from spreading the virus to others. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent the spread of infection.
Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Some herpes infections need to be treated for longer than others. Use this medicine for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may increase the risk of your virus becoming resistant to antiviral medicine.

Pricing & Coupons
See also: Side effects (in more detail) What other drugs will affect Valtrex?

Recurrent episode: 1 g orally twice a day for 5 to 14 days
2 to less than 18 years: 20 mg/kg orally 3 times a day for 5 days
Interactions
Safety and efficacy beyond 1 year have not been established in immunocompetent patients.

Breastfeeding Warnings




Usual Adult Dose for CMV Prophylaxis:
Where can I get more information?
The use of Valtrex for the treatment of initial and recurrent genital herpes in HIV-infected patients is not approved by the FDA.



First episode: 1 g orally twice a day for 7 to 10 days
tired feeling.

Drug Images
Recurrent episode: 500 mg orally twice a day for 3 days


This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Important information


problems with speech;


Do not share this medicine with another person, even if they have the same symptoms you have.
Stop taking Valtrex and call your doctor right away if you have any signs of a serious side effect that can harm red blood cells, such as: fever, easy bruising or bleeding, red spots on the skin (not related to herpes or chickenpox), bloody diarrhea, vomiting, pale or yellowed skin, weakness, fainting, or urinating less than usual or not at all.
HIV/AIDS, or other conditions that can weaken the immune system; or


Valtrex is used to treat infections caused by herpes viruses, including genital herpes , cold sores , and shingles (herpes zoster) in adults.



You may take Valtrex with or without food.

Professional
Taking this medicine will not prevent you from passing genital herpes to other people. Herpes infections are contagious and you can infect other people even while you are taking with Valtrex.


Lesions caused by herpes viruses should be kept as clean and dry as possible. Wearing loose clothing may help to prevent irritation of the lesions.

nausea, stomach pain;
Safety and efficacy beyond 6 months have not been established in HIV-infected patients.
feeling weak or tired;
Usual Adult Dose of Valtrex for Herpes Simplex Labialis:
Before taking Valtrex, 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.
rash; or


Before taking this medicine
More Pregnancy Warnings
In renal transplant recipient: 2 g orally 4 times a day
Stop taking Valtrex and call your doctor right away if you have any of the following signs of a serious side effect that can harm red blood cells:
Valtrex (valacyclovir) is an antiviral drug. It slows the growth and spread of the herpes virus to help the body fight the infection.



Valtrex can harm your kidneys. This effect is increased when you also use certain other medicines, including: antivirals, chemotherapy, injected antibiotics, medicine for bowel disorders, medicine to prevent organ transplant rejection, injectable osteoporosis medication, and some pain or arthritis medicines (including aspirin, Tylenol, Advil, and Aleve).

Therapy should be started at the earliest sign of a cold sore (such as tingling, burning, or itching).
kidney disease (or if you are on dialysis);
Genital herpes in HIV-infected host:


Take Valtrex exactly as it was prescribed for you. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
You should not use Valtrex if you are allergic to valacyclovir or acyclovir (Zovirax).
Reduction of transmission of genital herpes in immunocompetent host with a history of 9 or fewer recurrences per year: 500 mg orally once a day for the source partner
Most effective if started within 48 hours of onset of rash. The efficacy has not been established if started more than 72 hours after onset of rash.

2 g orally every 12 hours for a total of 2 doses (4 g)
Genital herpes:



What should I avoid while taking Valtrex?

a seizure (convulsions); or





Usual Adult Dose for Herpes Simplex -- Suppression:
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Consumer resources Valtrex Valtrex (Advanced Reading) Professional resources Valtrex (AHFS Monograph) Valtrex (FDA) Related treatment guides Cold Sores Herpes Simplex, Suppression Varicella-Zoster Herpes Simplex, Mucocutaneous/Immunocompromised Host Cytomegalovirus Infection More (3) »
What is Valtrex?
Add to My Med List

Immunocompetent host: 1 g orally once a day
Get emergency medical help if you have signs of an allergic reaction to Valtrex : hives; difficult breathing; swelling of your face, lips, tongue, or throat.
More about Valtrex (valacyclovir) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Espanol 193 Reviews - Add your own review/rating Generic Availability
swelling in your face, hands, or feet.
stomach pain, bloody diarrhea, vomiting; or
kidney problems--little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath.
Generic Name: valacyclovir (val a SYE kloe veer) Brand Names: Valtrex

To make sure Valtrex is safe for you, tell your doctor if you have:
What's That? 10 Of The Most Common Skin Conditions
Usual Adult Dose of Valtrex for Herpes Zoster:

Chronic suppression of recurrent genital herpes:
Treatment with Valtrex should be started as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters).
Start taking Valtrex as soon as possible after the first appearance of symptoms (such as tingling, burning, blisters). This medicine might not be as effective if you first start taking it 1 or 2 days after the start of your symptoms.

Valtrex can be harmful to the kidneys, and these effects are increased when it is used together with other medicines that can harm the kidneys. Tell your doctor about all other medications you are using. You may need dose adjustments or special tests when taking certain medications together with Valtrex.

The efficacy has not been established if started more than 72 hours after onset of signs and symptoms.
It is not known whether Valtrex will harm an unborn baby. However, herpes virus can be passed from an infected mother to her baby during childbirth. If you have genital herpes , it is very important to prevent herpes lesions during your pregnancy, so that you do not have a genital lesion when your baby is born.






Usual Pediatric Dose of Valtrex for Varicella-Zoster:

fever, pale skin;


Drink plenty of water while you are taking Valtrex to keep your kidneys working properly.

headache;
HIV-infected host with CD4 count 100 cells/mm3 or more: 500 mg orally twice a day
Therapy should be initiated at the earliest sign of chickenpox, no later than 24 hours after onset of rash.

The use of Valtrex for cytomegalovirus prophylaxis is not approved by the FDA.
What happens if I overdose?
User Reviews
Overview
See Other Comments for extemporaneous preparation of oral suspension.

The efficacy has not been established if started more than 72 hours after onset of signs and symptoms.





Other drugs may interact with valacyclovir, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

red spots on the skin (not related to herpes or chickenpox);
Valacyclovir can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.
red or pink urine, little or no urination;

Valtrex side effects
Valtrex 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.

Call your doctor at once if you have:
a history of kidney transplant or bone marrow transplant.
Therapy should be started at the first sign of a genital herpes episode. The efficacy has not been established if started more than 24 hours after onset of signs and symptoms.

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