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What side effects may occur?
Check with your doctor as soon as possible if the following side effect occurs:

- Painful menstruation, including abdominal cramps, diarrhea, or nausea

- Black, tarry stools; ches t pain; chills; cough; decreased frequency/output of urine; fever; flu-like symptoms; headache; lower back/side pain; reduced mental alertness; shortness of breath; unusual tiredness; yello w eyes or skin

- Back, leg or stomach pains; changes in behavior, especially in interactions with other people; difficulty breathing or swallowing; fast, pounding, or irregular heartbeat ; high blood pressure; itching; lightheadedness when getting up from a lying or sitting position; redness of skin ;

What is this Drug
Valtrex (val-ay-SYE-kloe-veer) is used to treat the symptoms of herpes zoster (also known as shingles), a herpes virus infection of the skin; it is also used to treat and prevent genital herpes infect ions. In your body, Valtrex becomes the anti-herpes medicine, acyclovir. Although Valtrex will not cure shingles or genital herpes, it does help relieve the pain and discomfort and helps the sores hea l faster.

Symptoms of overdose may include:
Check with your doctor immediately in case you suspect an overdose. When taken by people with kidney disorders, excessive doses of Valtrex have been known to cause psychological problems and kidney fa ilure.

Before Taking This Medicine
Pregnancy¡XAdequate and well-controlled studies in humans have not been done with Valtrex or acyclovir. However, acyclovir has been used in pregnant women and has not been reported to cause birth defe ts or other problems.

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.

Other Medicines
Other medicines¡XAlthough certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your do or may want to change your dose or other precautions may be necessary. Tell your health care professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine


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