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Possible Side Effect
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 special precautions should I follow?
Valtrex relieves the symptoms of genital herpes, but it is not a cure. There's also no evidence that it will prevent transmission of the disease. To avoid spreading the infection, don't have sexual in tercourse during a flare-up.

Valtrex is not intended for use in children.

How should this medicine be used?
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.

Possible food and drug interactions when taking this medication
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

Other medical problems
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.


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