Drug Uses

Valtrex is indicated for the treatment of herpes zoster (shingles), for the treatment or suppression of genital herpes in immunocompetent individuals and for the suppression of recurrent genital herpes in HIV-infected individuals and is also indicated for the treatment of cold sores (herpes labialis).

How Taken

Valtrex comes as a tablet to take it orally. It is usually taken every 8 hours (three times a day) for 7 days to treat shingles. To treat genital herpes it is usually taken twice a day for 5 days. For cold sores, Valtrex is usually taken for one day only. Do not take more or less of it or take it more often than prescribed by your doctor. Use this medication as soon as possible after symptoms appear. Continue to take Valtrex even if you feel well. Do not stop taking Valtrex without talking to your doctor.

Warnings/Precautions

Do not take Valtrex without first talking to your doctor if you are allergic to acyclovir (Zovirax). Before taking this medication, tell your doctor if you have kidney disease or immune system problems. You may need a dosage adjustment or special monitoring during treatment with Valtrex. Valtrex is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether Valtrex passes into breast milk and how it may affect a nursing baby. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

Missed Dose

If you miss a dose of Valtrex, take it as soon as you remember and then take your next dose at its regular time. However, if it is almost time for your next dose, do not take the missed dose. Wait and take the next dose at the regular time.

Possible Side Effects

Kidney failure and nervous system problems are not common, but can be serious in some patients taking Valtrex. Nervous system problems include aggressive behavior, unsteady movement, shaky movements, confusion, speech problems, hallucinations (seeing or hearing things that are really not there), seizures, and coma. Kidney failure and nervous system problems have happened in patients who already have kidney disease and in elderly patients whose kidneys do not work well due to age. Always tell your healthcare provider if you have kidney problems before taking Valtrex. Call your doctor right away if you get a nervous system problem while you are taking Valtrex. Common side effects of Valtrex include headache, nausea, stomach pain, vomiting, and dizziness. Side effects in HIV-infected adults include headache, tiredness, and rash. These side effects are usually mild and usually do not cause patients to stop taking Valtrex. Other less common side effects include painful periods in women, joint pain, depression, low blood cell counts, and changes in tests that measure how well the liver and kidneys work.

Storage

Store at 15° to 25°C (59° to 77°F).Keep Valtrex a tightly closed container. Do not keep medicine that is out of date or that you no longer need. Keep Valtrex and all medicines out of the reach of children.

Overdose

Seek emergency medical treatment if an overdose is suspected. The symptoms of an overdose of Valtrex are not well known, but an overdose of acyclovir (Zovirax), which is a similar drug, may cause seizures, hallucinations, and kidney damage (decreased urine production).

More Information

Herpes infections are contagious and you can infect other people, even during treatment. Avoid letting infected areas come into contact with other people. Wash your hands frequently to prevent transmission. Valtrex will not prevent the spread of genital herpes. Avoidance of sexual intercourse and use of latex condoms may prevent spreading the virus to others.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Genital Warts
Also called: Condylomata acuminate, Venereal warts
Genital warts are a sexually transmitted disease (STD) caused by the human papillomavirus (HPV). The warts are soft, moist, pink or flesh-colored bumps. You can have one or many of these bumps. In women, the warts usually occur in or around the vagina, on the cervix or around the anus. In men, genital warts are less common but might occur on the tip of the penis.
You can get genital warts during oral, vaginal or anal sex with an infected partner. Correct usage of latex condoms greatly reduces, but does not completely eliminate, the risk of catching or spreading HPV.
The warts might disappear on their own. If not, your health care provider can treat or remove them. The virus stays in your body even after treatment, so warts can come back.
What are genital warts?
Genital warts may be small, flat, flesh-colored bumps or tiny, cauliflower-like bumps. In men, genital warts can grow on the penis, near the anus, or between the penis and the scrotum. In women, genital warts may grow on the vulva and perineal area, in the vagina and on the cervix. Genital warts vary in size and may even be so small that you can't see them. They can lead to cancer of the cervix in women or cancer of the penis in men.
Genital warts are caused by the human papillomavirus (HPV). There are many kinds of HPV. Not all of them cause genital warts.

How do you get HPV?
HPV is a sexually transmitted infection (STI). The most common way to get HPV is by having oral, vaginal or anal sex with someone who has HPV. The only sure way to prevent genital warts is to not have sex. If you are sexually active, having sex only with a partner who doesn't have HPV and only has sex with you will lower your risk of getting genital warts.
Just because you can't see warts on your partner doesn't mean he or she doesn't have HPV. The infection can have a long incubation period. This means that months can pass between the time a person is infected with the virus and the time a person notices genital warts. Sometimes, the warts can take years to develop. In women, the warts may be where you can't see them--inside the body, on the surface of the cervix.
Using condoms may prevent you from catching HPV from someone who has it. However, condoms can't always cover all of the affected skin.

How are genital warts diagnosed?
If you notice warts in your genital area, see your doctor. Your doctor may be able to diagnose the warts just by examining you. For women, a Pap test can help detect changes on the cervix that genital warts can cause.

Can genital warts be treated?
Yes. Genital warts must be treated by your doctor. Do not try to treat the warts yourself.
The warts can be removed, but the viral infection itself can't be cured. The virus goes on living inside your skin. This is why the warts often return after they have been removed. You may need to have them removed more than once.

How are genital warts removed?
One way to remove the warts is to freeze them. This is called cryotherapy. The warts can also be taken off with a laser.
A treatment called the loop electrosurgical excision procedure (LEEP) can be used to remove the warts. With this method of removal, a sharp instrument shaped like a loop is passed underneath the wart and the wart is cut out of the skin.
Special chemicals can be used to remove the warts. These chemicals dissolve warts in the genital area. They may have to be applied to the area a number of times over a period of several weeks before the treatment is complete.
Chemicals you can buy at the store to remove warts from your hands should not be used for genital warts. They can make your genital skin very sore.

What if I don't get genital warts treated?
Genital warts can grow if you do not get them treated. If you are sexually active, you also risk infecting your partner.
Certain kinds of HPV can cause abnormal cells to grow on the cervix. Sometimes, these cells can become cancerous if left untreated. Other kinds of HPV can cause cancer of the vulva, vagina, anus or penis.

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