Well, that certainly sounds challenging. And I assume that you’ve had these outbreaks swab tested to confirm they aren’t some bacterial thing but indeed HSV? Are you taking any immunosuppressive medicines?
There are a couple of options here 1) have your outbreaks tested for acyclovir resistance (which is rare but happens) or 2) when you get the very first hint that an outbreak is coming, take two grams of valacyclovir and then 12 hours later, 2 grams again. See how that goes. During the outbreak, I would like you to consider 1 grams, three times a day for a week. That is the shingles dose so we know it is safe and effective. You could run this by your doc. Also, instead of 1 gram once a day, you could try 500 mg twice a day to keep your blood levels more even during the day of the meds. Hope these are helpful!
Terri