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When should you not take valacyclovir?

Understanding When to Avoid Valacyclovir
Valacyclovir, commonly known by its brand name Valtrex, is a prescription medication primarily used to treat infections caused by the herpes virus, including genital herpes, cold sores, shingles, and chickenpox. While it can be highly effective for these conditions, there are specific circumstances under which individuals should refrain from taking this medication.
1. Allergies and Hypersensitivity
One of the most critical considerations is whether a patient has a known allergy to valacyclovir or any of its components. Individuals who have experienced allergic reactions to acyclovir, the active metabolite of valacyclovir, should avoid this medication. Symptoms of an allergic reaction can include rash, itching, swelling, and difficulty breathing, which necessitate immediate medical attention.
2. Renal Impairment
Valacyclovir is primarily excreted through the kidneys, making renal function a significant factor in its safe use. Patients with severe renal impairment or those undergoing dialysis should not take valacyclovir without close medical supervision. In such cases, the drug can accumulate in the body, leading to increased risk of toxicity and severe side effects, including neurological complications.
3. Pediatric Considerations
The safety and efficacy of valacyclovir in children under the age of 12 for cold sores and in children under 2 for chickenpox have not been adequately studied. Therefore, it is generally advised that this medication should not be administered to these age groups unless specifically directed by a healthcare provider. Parents should consult with a pediatrician to explore alternative treatments that may be more appropriate for younger patients.
4. Drug Interactions
Valacyclovir can interact with a variety of other medications, which can either enhance its side effects or reduce its effectiveness. Notably, drugs such as methotrexate, tacrolimus, and certain antiviral medications can pose significant risks when taken concurrently with valacyclovir. Patients should always disclose their complete medication list to their healthcare provider to avoid potentially harmful interactions.
5. Pregnancy and Breastfeeding
While valacyclovir is classified as a Category B medication, indicating that it is generally considered safe during pregnancy, it should still be used with caution. Pregnant women should only take valacyclovir if the benefits outweigh the risks, and it is essential to consult a healthcare provider. Similarly, breastfeeding mothers should discuss the use of valacyclovir with their doctor, as it is excreted in breast milk, and the effects on a nursing infant are not fully understood.
Conclusion
In summary, while valacyclovir is a valuable treatment for herpes virus infections, it is not suitable for everyone. Individuals with allergies to the drug, those with significant renal impairment, young children, and those taking certain other medications should avoid its use unless under strict medical guidance. Always consult a healthcare professional before starting or stopping any medication to ensure safety and efficacy tailored to individual health needs.

Can valacyclovir mess up your stomach?

Common (1% to 10%): Diarrhea, abdominal pain, vomiting.

When is the best time to take valaciclovir?

Taking it at the same time each day will have the best effect. It will also help you remember when to take it. To prevent CMV infection and disease, the tablets should be taken four times a day (i.e. morning, noon, afternoon and evening). It does not matter if you take this medicine before or after food.

What should I avoid while taking valacyclovir?

Drink plenty of water while taking valacyclovir to stay hydrated and support kidney function. Avoid alcohol while using valacyclovir, as it may increase the risk of side effects or interfere with the medication’s effectiveness.

Why do I feel sick after taking valacyclovir?

Nausea is a common side effect of many medications, including valacyclovir. You can take valacyclovir with or without food. But taking it with a meal or snack may lessen the likelihood of nausea. If that doesn’t help, or if you start vomiting after taking valacyclovir, contact your healthcare provider.

How long does it take valacyclovir to clear up an outbreak?

Oral valacyclovir starts working as soon as you take the first dose. However, it can take up to 10 days or more for the herpes blisters to heal and your symptoms to go away even after valacyclovir treatment. For the best results, start treatment at the first sign of a herpes outbreak.

Is it OK to miss a day of valacyclovir?

If you miss a dose of Valtrex, you should take it as soon as you remember. But if you remember a few hours before your next scheduled dose, don’t take the missed dose. You should skip the missed dose altogether and wait to take the next dose at your regular scheduled time.

Why drink a lot of water with valacyclovir?

You should drink plenty of water while taking valacyclovir to help prevent dehydration. Staying hydrated may reduce your risk of developing acute kidney failure as a side effect. If you develop symptoms of kidney problems, your doctor will likely have you stop taking valacyclovir.

Is there any harm in taking valacyclovir?

Kidney damage can happen when taking valacyclovir. Call your healthcare provider right away if you have any of the following symptoms of kidney damage. Severe Allergic Reactions. Valacyclovir may cause allergic reactions, which can be serious.

When is it too late to take valacyclovir?

Valacyclovir works best if it is used within 48 hours after the first symptoms of shingles or genital herpes (e.g., pain, burning, or blisters) begin to appear. For recurrent outbreaks of genital herpes, valacyclovir works best if it is used within 24 hours after the symptoms begin to appear.

Do antivirals weaken your immune system?

Antiviral treatment can boost your immune system if taken promptly at the onset of symptoms of some infectious respiratory diseases. Learn more about when to contact your healthcare provider how this treatment can help you feel better faster.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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