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*NEW INFO* Treatment page from the CDC including info on Anti-Viral Resistant Treatment


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This page on the CDC site has recently been reviewed and updated with a lot of great info

 

http://www.cdc.gov/std/tg2015/herpes.htm

 

"Antiviral resistant HSV

 

If lesions persist or recur in a patient receiving antiviral treatment, HSV resistance should be suspected and a viral isolate obtained for sensitivity testing (367). Such persons should be managed in consultation with an infectious-disease specialist, and alternate therapy should be administered. All acyclovir-resistant strains are also resistant to valacyclovir, and most are resistant to famciclovir. Foscarnet (40–80 mg/kg IV every 8 hours until clinical resolution is attained) is often effective for treatment of acyclovir-resistant genital herpes (368,369). Intravenous cidofovir 5 mg/kg once weekly might also be effective. Imiquimod is a topical alternative (370), as is topical cidofovir gel 1%; however, cidofovir must be compounded at a pharmacy (371). These topical preparations should be applied to the lesions once daily for 5 consecutive days.

 

Clinical management of antiviral resistance remains challenging among persons with HIV infection, necessitating other preventative approaches. However, experience with another group of immunocompromised persons (hematopoietic stem-cell recipients) demonstrated that persons receiving daily suppressive antiviral therapy were less likely to develop acyclovir-resistant HSV compared with those who received episodic therapy for outbreaks (372)."

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Well you have 2 autoimmune issues so that really complicates your circumstance.

 

What I suggest is that you show this to your Dr and see if you can get to an Infectious Disease Specialist and show this to them ... see if you can use the treatment they discuss here.

 

It's not your giver's fault *if* you have a resistant strain. It's just what it is. It may even be that with all the other stuff you have, it mutated in you ... that's how a virus or bacteria manages to survive thousands of years... it has to out-adapt our efforts to kill it :p

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Not necessarily ... in your case, you have 2 autoimmune issues so that severely compromises your immune system. ANYTHING that compromises the system (including hormone fluctuations, poor diet, stress, etc) can help the virus to break through. But the ID Dr should understand that ... actually in your case, perhap show this new info to your Rhumetologist and ask him/her to see if they can find out more and figure out if you need to look into this possibility more...

 

The drugs can only do so much ... if your immune system is out of whack, then it's quite possible for the virus to come out even with the drugs :(

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My rheumatologist was worthless... She looked at me like I was crazy and said back to me in a biting tone, when I told her about my neuropathy: that doesn't happen w herpes! That ONLY happens w herpes zoster.... Yes... Cause I'm totally just making this up and enjoy all the horrid aide effects that gave w taking Neurontin for four months.

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@wcsdancer2010 If my giver had sores that lasted 3-5 days without meds and disappeared even quicker whilst taking meds...that would mean neither of us has a resistant strain right? I've had a few sore red spots on my bum and upper back thigh even though I'm on suppressive (which my doc said are ingrown hairs) so I'm kind of worried I have a resistant strain. I haven't had a vaginal outbreak in months though whereas off the meds it was fortnightly.

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