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Ask Dr. Norm S. Your Own Question
Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11252
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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Sadly I have herpes. I have been taking acyclovir as

Resolved Question:

Hi, sadly I have herpes. I have been taking acyclovir as suppressive therapy for a few months, first at 2 tablets a day. I was still getting outbreaks so my doctor told me to take it 3 times a day every 8 hours. I went three months with no outbreaks. However this last 2 weeks I have had 2 outbreaks. Bad ones. I did have an upset stomach for 1 day so maybe the tablets weren't absorbed. But that was 6 days before the on. What does this mean am I resistant to acyclovir, just run down? Can you get obs on suppression therapy? My doctor said I shouldnt. I'm very worried now.
Submitted: 1 year ago.
Category: OB GYN
Customer: replied 1 year ago.
In fact I have another outbreak now! Please help what is going on? Why did it work for a few months then stop?
Expert:  Dr. Norm S. replied 1 year ago.

What are your outbreaks like? Do they always occur in the same place? How long do they last? Have they been confirmed by a herpes culture? Thank you.

Customer: replied 1 year ago.
They are blisters. Not always in the same place but generally 3 areas. Not all cultured but some. I thought acyclovir resistance was rare
Expert:  Dr. Norm S. replied 1 year ago.

Acyclovir resistance is rare.

I am suspicious that all your outbreaks are not due to herpes. Genital herpes doesn't really recur more than once a month.

I would recommend that you see your doctor while an outbreak is present to have a herpes culture done. Then your doctor can figure out what is really going on.

Customer: replied 1 year ago.
you think it's unlikey acyclovir is not working for me? Can you still have some outbreaks whilst taking it?
Expert:  Dr. Norm S. replied 1 year ago.

Yes. Acyclovir is not perfect. Women can have outbreaks, but usually many fewer outbreaks than otherwise.

I suspect that it has nothing to do with acyclovir. Your outbreaks are not from herpes.

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