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How should you take this medication?
If you are taking Valtrex for shingles, you should start using it as soon as possible after your doctor has made a diagnosis. It's best to see a doctor and start the drug within 48 hours of first noti cing the rash. If you wait more than 72 hours after you first get a herpes zoster rash, the medication may not be effective.

If you are using Valtrex for genital herpes, begin taking it at t he first sign of an attack. The medication may not be effective if you wait longer than 72 hours after the first attack or 24 hours after a later attack.

If you are taking Valtrex for cold s ores, you should start using it at the earliest signs of infection, such as tingling, itching, or burning.

Why is this drug prescribed?
Valtrex is used to treat certain herpes infections, including herpes zoster (the painful rash known as shingles), genital herpes, and herpes cold sores on the face and lips.

Other medical problems
Breast-feeding¡XIt is not known whether Valtrex passes into breast milk. However, acyclovir does pass into breast milk but has not been reported to cause problems in nursing babies.

Possible Side Effect
Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using Valtrex.

Side effects may include:
- Abdominal pain, aggressive behavior, agitation, allergic reactions, coma, confusion, decreased consciousness, depression, diarrhea, dizziness, facial swelling, ha llucinations, headache, hepatitis, high blood pressure, joint pain, mania, menstrual problems, nausea, rapid heartbeat, rash, visual abnormalities, vomiting

Other Medicines
If you are taking Valtrex with certain other drugs, the effect of either drug could be increased, decreased, or altered. Check with your doctor before combining Valtrex with cimetidine (Tagamet) and/o r probenecid (Benemid).

Cautions
High doses of Valtrex have proved dangerous in people whose immune system is compromised because of HIV infection, bone marrow transplant, or kidney transplant.

If your kidneys are not funct ioning properly, or you are taking drugs that may damage the kidneys such as Neomycin or Streptomycin, Valtrex can make your condition worse or affect your central nervous system (brain and spinal cor d).

Effects on the central nervous system are more common in older adults, leading to such symptoms as agitation, confusion, and hallucinations. Their kidneys are also more likely to be affe cted; and those with kidney problems need a smaller dose. Older adults tend to suffer the pain of shingles for a longer time after healing has begun.


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