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    Rockoff, First off, thank you for your contributions to this forum. I do get actual blisters when I describe "breakthrough symptoms". I have learned so much here and I know its a great comfort to the users. They are not as bad as they were when I was not medicated, but I definitely have noticeable blisters. I was diagnosed with an HSV1 infection about 4 years ago after having a genital outbreak. I read that cramping and heave periods are a side effect of Valtrex. I'm not so much bothered by the presence of the small blisters as I am by their near constant nature. I was treated for the initial outbreak and then one or two outbreaks on my genital area and face in the following 2 years. I'm getting an ultrasound to rule out fibroids or polyps anyway. I'm not sure I'm clear on what you mean by "some breakthrough symptoms." Actual blisters? Is it possible that you're "jumping the gun" by ascribing more significance to sensations and small skin changes that don't really mean much? I read that cramping and heave periods are a side effect of Valtrex. I usually have maybe a week and a half a month where I have no symptoms. Over the past year or so my herpes has been out of control. I eat well, exercise, try to minimize stress and try to get enough sleep. What will happen to me if I ever try to go off of suppression, like if I ever decide to have kids? Please keep in mind that studies show that suppressive therapy, while helpful in reducing outbreaks, does not eliminate them in most people. Can I increase my Valtrex dosage or try another drug (Famvir? Yes, but do it under a doctor's supervision, and look critically at the results: do you actually have fewer symptoms on the higher dose, and is the change meaningful? I'm also asthmatic and take a inhaled steroid inhaler (Advair). I eat well, exercise, try to minimize stress and try to get enough sleep. You'll only get recurrences where you got them before. I'm getting an ultrasound to rule out fibroids or polyps anyway. I don't kiss my boyfriend if I have any redness, blistering or itching burning and its simply frustrating and isolating. I had an outbreak genitally and after that had nearly continuous cold sores on my mouth and nose. I was treated with acyclovir, 200 mg 4 times a day and that didn't really work. This is working somewhat well, but I am having some breakthrough symptoms around the time of ovulation. I'm also asthmatic and take a inhaled steroid inhaler (Advair). Could that be lowering my immune system to increase outbreaks? No, I don't think Advair is weakening your immune system, and as I've said, I'm not convinced that your herpes is, in fact, as bad as it may seem. Those are always a good idea, but you have to do what life lets you. What will happen to me if I ever try to go off of suppression, like if I ever decide to have kids? I am extremely worried that my herpes is becoming resistant. Can I increase my Valtrex dosage or try another drug (Famvir? Could that be lowering my immune system to increase outbreaks? How Much Valtrex Can I Take For My Cold Sores if the Prescribed. Valtrex not working for genital herpes. How long does it. Valacyclovir Oral Route Proper Use - Mayo Clinic
     
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