Good morning Ma'am
I am 16 weeks pregnant and have had HSV2 for 7 years. I have been on an off valacyclovir for about 5 years or so. Due to my recurrent outbreaks during my pregnancy I have been put on Valcyclovir for daily suppression. 500mg daily and 1000mg during outbreaks. Outbreaks last about 3-4 days. A recent outbreak has just about healed and yesterday was the fourth day of 1000mg. However yesterday afternoon I noticed what I thought were prodrome symptons although I thought I could be wrong due to the increased dose of medication. However low and behold I woke up in the early hours of this morning with a definite start of another outbreak. This will be the fourth one back-to-back in the space of two weeks or so (I only went back on the daily suppression at the beginning of last week or so). They each heal in a few days but have had another one to take its place...is my immune system that bab due to the baby?
Do breakthrough outbreaks occur on this medication even after 4 days of the increased dose? This is driving me crazy. Also from my research I don't think these outbreaks can hurt the baby as the cycle is from the nerves near the ba
2014-11-20 03:12:04
Hi! If you were my patient I would advise you that you should definitely continue with your suppression and I would continue through delivery. I don't know what your doctors will decide but I would probably just deliver you by c section at 39 weeks and not risk ruptured membranes since you have had so much difficulty. Your immune system does become somewhat suppressed during pregnancy and that is possibly why you have had the increased number of outbreaks. I would also suggest that you ask your doctors for some topical lidocaine which can numb the lesions for awhile (it burns a bit at first). Hope this helps!
2014-11-20 03:12:40
