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Other medical problems
Older adults¡XValtrex has been used in elderly patients and has not been shown to cause different side effects or problems in older people than it does in younger adults. Elderly patients are at a hig risk for dehydration and should drink plenty of fluids.

Cautions
The presence of other medical problems may affect the use of Valtrex. Make sure you tell your doctor if you have any other medical problems, especially:
- Advanced human immunodeficiency virus (H IV) infection or
- Bone marrow transplantation or
- Kidney transplantation¡XPatients with these medical problems may have an increased risk of severe side effects
- Kidney disease¡XKidn disease may increase blood levels of this medicine, increasing the chance of side effects

How to Use
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.

What Is It
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.

Possible food and drug interactions when taking this medication
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).

What side effects can this medication cause?
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 ;


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