This topic contains 10 replies, has 4 voices, and was last updated by Terri Warren 2 months, 3 weeks ago.
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This sounds very challenging for you. One thing that you might try is to split your dose into 500 mg twice a day and if that doesn’t work, you might consider doing 500 mg three times a day. If that doesn’t work there are other medications to treat herpes that you should discuss with your physician. These medicines are normally reserved for people with the immune system problems but in your case, and They might be considered. Before you jump to Bath however, I would adjust your Valtrex does and see how that goes. Sometimes keeping higher levels of the drug in your system rather than one big dose works a little better.
Terri
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There are no effective creams for HSV 2, no.
Here are the medicines for resistant herpes:
Foscarnet: 40 mg/kg IV every 8 to 12 hours for 21 to 28 days or until clinical resolution is attained. Foscarnet can potentially cause severe adverse effects, including nephrotoxicity and electrolyte disturbances.
Cidofovir: 5 mg/kg IV once weekly for 21 to 28 days or until clinical resolution is attained. Note the cidofovir can cause severe renal abnormalities.
Imiquimod 5% cream: Apply to lesions three times per week for 21 to 28 days.
Cidofovir 1% gel: Apply to lesions three times per week for 21 to 28 days, or longer based on the clinical response. This preparation is not commercially available and must be compounded by a pharmacist.All of these medicines have more side effects than the usual medicines.
If you were my in-person patient I would ask that you come off of the antiviral medicines and be off for about 5 days and swab an outbreak when it comes and send for culture and evaluated for resistance. It is rare but happens every now and then in healthy people. Also, it would be good to confirm that these are actually outbreaks for sure and not something else. I have seen this situation before and it turned out that the lesions were not herpetic (though they sure looked like it and she did have a herpes diagnosis). I think an ID doc would be useful at this point.No, do not use both Famvir and Valtrex – that would not be wise, nor useful.
You could try switching to Famvir – some people find it more beneficial.Terri
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Hey. I have HSV 2 for the last 5 years I have been experiencing pain and burning even when I am on Valtrex 2 Gramm daily. For the last year 2017 I have had 25 outbreaks and constan pain in my back and right leg. Nothing works !! I tried Famvir Valtrex Zovirax Lysin tables herpes is slowly destroying my life!! I am 100% sure that nobody suffers the way I do on this forum so don’t get upset. I know exactly how you feel and trust me I feel worst. Good luck dear !!
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Why don’t you ask your doc for gabapentin. It can be very useful for nerve sensations. I had a ruptured disk in my back and the pain into my leg was unbearable. While I was waiting to fly home and get surgery, I was given gabapentin and it really did help. Not a full solution but it did help. It would also be helpful to get a swab test of a lesion and get it tested for resistance.
Terri
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1)Do you know if there will be new HSV2 medications on the market soon? B/c Valtrex and Famvir are NOT working for me. I am currently on Famvir 500mg twice a day which gives me constant migraines but it works MUCH better than Valtrex. Can I take 500mg Famvir in the morning and 500mg Valtrex at night to ease migraines?
I don’t know the answer to this question, sorry
2) Will there be a vaccine that will help current sufferers on the market in the near future?
Sorry, I don’t know the answer to this one either. Right now, there are several therapeutic vaccines in the works but I can’t predict a) if they will be effective and 2) if the companies making them will have enough funding to do a large clinical trial that will be required by the FDA for approval.
the only suggestion I have is to get several swabs done of lesions that are recurrent that you believe are caused by herpes. I’m sorry you have are having such troubles!Terri
3) Seriously,what else can I do? I cannot keep giving up hobbies I love b/c of this and it is greatly affecting my life in a very negative way. I’ve ruled out kids b/c I can’t handle the constant OBs and stress of this. I’m 35YO and really can’t keep living like this. Please hel
I’m so sorry you are having such troubles, wish there was more that I could do to help you. I would encourage you to have lesions swab tested to see if all of the symptoms you are having are actually due to herpes.
Terri
- This reply was modified 5 months, 1 week ago by Terri Warren.
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Maybe you should consider some depression/anxiety meds. I found that my tingling sensation and outbreaks increased when i was stressing out more. I was also prescribed acyclovir ointment early in my diagnoses that treated obs in 1-2days max which may help you. Sometimes what i thought was an ob was actually bacterial vaginosis. Lastly, you are not alone this virus has negatively affected my life in so many ways. I however try to reflect and appreciate all of the blessings and positives in my life to keep me from getting too depressed.
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In addition to gabapentin, I would NOT recommend reducing to 250 once a day of Famvir. That is NOT the the recommendd dose – look it up at the CDC STd site. But there are other herpes drugs that your doctor can consider that are you normally used for immunosuppressed patients. If it goes that direction, I think your doc will send you to be managed by an infectious disease physician. While you have no lesions, you might want to have a genital swab done to see if you are shedding virus with only tingling.
You are only a spectator and have not renewed your subscription. Not sure how you were able to post these follow up questions. I won’t be answering any more, however.
Terri
- This reply was modified 2 months, 3 weeks ago by Terri Warren.
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