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The Original Herpes Home Page Discussion Forums

Subject: "Valtrex use in first trimester" Archived thread - Read only
 
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Conferences Pregnancy & herpes Topic #213
Reading Topic #213
twinkysmom
Member since Apr-1-05
2 posts
Apr-01-05, 02:53 PM (CDST)
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"Valtrex use in first trimester"
 
   I am currently looking to see if anyone here has taken Valtrex or any other antiviral in the first trimester.

I was taking 500mg of Valtrex for suppression until I found out I was pregnant 8 days ago and stopped. I just started an ob. I had called my ob/gyn to ask if it is safe to continue on suppressive therapy before I broke out and he said he would get back to me, then he went out of town for 2 weeks.

I spoke to his nurse practitioner yeserday and she ssid they only prescibe it in the second trimester.

I am 5 weeks along, that's an eternity.

She couldn't give me a reason why they wait.

My outbreaks usually don't subside for 3 or 4 weeks unless treated.
Even then it takes a couple of weeks. I have systemic Lupus which leaves me moderately immunosuppred and makes it hard to get over an ob.

I used Valtrex the last month of my last pregnancy because I had an ob.

Anyone out there have any experience taking this drug in the first trimester?

twincktsmom


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hsvmom
Member since Mar-7-05
59 posts
Apr-01-05, 09:43 PM (CDST)
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1. "RE: Valtrex use in first trimester"
In response to message #0
 
   Valtrex, Famvir, and Zovirax (acyclovir) are all considered Category B drugs during pregnancy. Basically, that means that the drug passes through the placenta, but so far there is not evidence (or not enough sufficient evidence) to show that it is harmful to the fetus. To give you some perspective, Tylenol is also a category B drug for pregnancy.

It is usually prescribed during the 3rd trimester because outbreaks aren't risky until delivery. So because there is a risk taking ANY drugs during pregnancy, ob/gyns like to strike a balance between the benefits and possible risks of the antivirals.

Honestly, I would keep calling until you get an answer. If your ob/gyn is out of town then the nurse practitioner can either look up the answer for you or call whichever associate his patients are being referred to while he is away. You might need to remind them of the lupus so they understand that there is some urgency in finding the appropriate answer.

Best of luck to you!

Mom to 2 neonatal HSV-1 survivors!


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graceadmin
Charter Member
12970 posts
Apr-02-05, 05:00 AM (CDST)
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2. "RE: Valtrex use in first trimester"
In response to message #1
 
The valtrex and acyclovir registeries involved women who took either antiviral during the first trimester for whatever reason ( didn't know they were pregnant, had no choice but to take it etc ). There were no increase in birth defects or miscarriage in mom's who used it. Both registeries have been discontinued due to their findings but you can view them both on the web if you look for them.

I myself took acyclovir my entire 2nd pregnancy. It was my choice, not my doctor's choice ( well I didn't know I was pregnant until I was already around 11 weeks and was on suppression the whole time and then just stayed on it ). That's just my personal experience though and I am certainly not recommending you do it too. Just wanted to let you know that yes women do do that.

Usually if you are on daily suppressive therapy before becoming pregnant they recommend you stop it once you find out you are pregnant ( it's the whole better to err on the side of caution mindset ). It's up to you and your doctor whether you continue on suppression or not and with him being out of town that obviously complicates that decision. Most doctor's will let you treat ob's episodically during pregnancy if that helps you make your decision. No matter what decision you make be sure to drink plenty of water during the ob to keep your body well hydrated. Pregnancy is not the time to drink less so you pee less during an ob.

grace

The first step in stopping the perceived stigma about genital herpes - is to stop believing in it yourself


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graceadmin
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12970 posts
Apr-02-05, 10:31 AM (CDST)
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3. "RE: Valtrex use in first trimester"
In response to message #2
 
Terri answered your question over on webmd too if you haven't seen it yet

grace

The first step in stopping the perceived stigma about genital herpes - is to stop believing in it yourself


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twinkysmom
Member since Apr-1-05
2 posts
Apr-02-05, 12:29 PM (CDST)
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4. "RE: Valtrex use in first trimester"
In response to message #3
 
   I appreiciate all your feedback. I have looked every on paper and on the web for any data on first trimester use of antivirals and havecome up with nothing.

I understood that the drug is a Pregnancy cat. B so I am having difficulty seeing why the hesitancy.

Due to the Lupus I required taking several drugs with with Cat. C ratings during my last pregnancy. I was seeing a materal-fetal specialist at the time and he always pointed to the fact that a sick or suffering mother can sometimes pose a greater risk to the baby than the meds.

My little one did just fine in spite of the meds. and the illness that required them.

I just needed to know that it Valtrex has been used by some at the first trimester. It gives me a bit more peace of mind.

You guys are doing a good thing here.

Thanks again.

twincktsmom


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graceadmin
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12970 posts
Apr-02-05, 09:32 PM (CDST)
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5. "RE: Valtrex use in first trimester"
In response to message #4
 
No one ever wants to say oh yes use this drug 24/7 while pregnant. This is true for all drugs. Some doctors are extreme and say nada, nothing while pregnant just suffer thru it while others are oh yeah sure take it unless there are documented harmful side effects to that particular drug when taken during pregnancy. In a perfect world you'd have a plan in place before you even got pregnant but the reality usually is you find out you are pregnant and your doctor is out of town for 2 weeks

grace

The first step in stopping the perceived stigma about genital herpes - is to stop believing in it yourself


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