If you use acyclovir, the dose for suppressive treatment is 400 mg (2 tablets) twice daily. It will still be less expensive than valacyclovir, but not as big a difference.
I don't have specific pharmacies to recommend, but you might shop around, both online and locally.
Hi HowardH,
My Valacyclovir is $26 for 30 pills or 30 days...but I got Acyclovir from my incorrect prescription $6.67 for 50 pills or 25 days...
big difference in price...
I think I read I could substitute 2 acy's for 1 val...correct? is 200mg the correct amount for the acy??
Those prices are from walmart with my discount card...any suggestions for discount pharmaceuticals?
Thanks
"I assume you meant both HSV1 and HSV2". Correct.
The normal suppressive dose of valacyclovir is 500 mg once daily.
I'll just say that I'm very familiar with herpes and stand by my advice. Thanks for the thanks.
HowardH,
When I said my doctor sucked, it wasn't just because she gave me a prescription for Acyclovir to lower my HSV values (which she was wrong about), nor that she would prescribe a drug for a patient without double checking herself (I found out myself it was a wrong prescription, and came here for double checking)...but mostly because she rushed me out without answering a few questions and will not take a phone call from me...
I am forced to continue with her because of insurance reasons...
In any case, what do people start out with Valacyclovir? 400mg once daily??? Also, can u tell me if you are a doctor, health professional or just an informed person.
Thank you
Thank you for a complete and understandable answer.
I will ask the 12 year girlfriend to get tested.
One thing...you said in the third paragraph above to always tell a potential partner of HSV2...I assume you meant both HSV1 and HSV2...
Correct?
Paragraph 4 should start "Although your doctor...."
Yup, you have HSV2. You also have HSV1. You have the potential to infect partners with one virus or the other by kissing, vaginal/anal sex, or by oral sex, both giving and receiving.
Your doctor doesn't understand herpes. Anti-herpes treatment will not have any effect on the index value of your HSV2 blood test.
If you have a regular sex partner, she (or he) should have a blood test. If positive for either virus, s/he is alfeady infected with thate HSV type and, can't catch it again. If she is negative for HSV2, and/or if you also have other partners -- especially casual partners for whom testing isn't practical -- you need to do three things: 1) Take suppressive therapy, preferably with valacyclovir (acyclovir would be OK, but is less convenient because of more frequent dosing); 2) Inform each and every parnter of your HSV2 infection; and 3) always use condoms, unless your partner is willing to take the chance of not doing so.
Although your apparently doesn't know herpes or its management very well, this doesn't necessarily mean she otherwise "sucks" as a caring and effective doctor. It's pretty common for otherwise great docs to not understand the complexities of genital herpes and other HSV infection.
It would be test to stick with only one thread. On quick glance at your others, some comments about those questions:
Transmission chance isn't all or nothing. It's highest during an outbreak and lower without one, bu't never zero risk. There aren't good scientific studies on the frequency of genital shedding of the virus in someone with more distant recurrent outbreaks, such as the buttocks. But there certainly is a good chance of genital shedding as well as from the buttock outbreak. In other words, there is no "contradiction" in the advice from knowledgeable experts or websites.
And yes, if you have sex with your regular partner twice a week, you need to take suppressive treatment every day. But as implied above, the first need is for that person to be tested for both HSV1 and HSV2, which can then guide you and her about ways to prevent transmission.
Best wishes.
acyclovir 200mg 5x/day for 10 days