Valtrex can be taken with or without food.
Valacyclovir oral suspension (25 mg or 50 mg) can be prepared offhand from 500 mg Valtrex capsules for children, who can’t take the drug in a solid form.
Adult Dosage Recommendations
Cold Sores
The recommended Valtrex dosage for cold sores treatment is 2 grams two times a day, with a 12 hour pause. Treatment should be started at the first symptoms of a cold sore, including burning, itching, or tingling.
Genital Herpes
The advised Valtrex dosage for initial genital herpes is 1 gram two times a day for a 10-day period. Treatment is most efficient, when started within 48 hours after the appearance of first genital herpes symptoms.
For the treatment of recurring genital herpes, the advised Valtrex dosage is 500 mg two times a day for a 3-day period. Start therapy upon the appearance of the very first symptom.
For chronic suppressive treatment of recurrent genital herpes, a patient with normal immune system is required to take 1 gram of Valtrex one time a day. Patients, who have 9 or more recurrences annually, should take 500 mg of Valtrex a day.
HIV-infected patients, who have a CD4+ cell count >100 cells/mm3, are recommended to take 500 mg of Valtrex twice a day for effective chronic suppressive treatment of recurring genital herpes.
Transmission reduction
The recommended Valtrex dosage for genital herpes transmission reduction in patients with 9 or fewer annual genital herpes recurrences is 500 mg one time a day.
Shingles
Shingles – or herpes zoster – treatment requires a patient to take 1 gram of Valtrex 3 times a day for a 7-day period. Treatment has to be started at the first signs of shingles symptoms. It is most efficient, if started within 48 hours after rash appears.
Pediatric Dosage Recommendations
Cold Sores
The recommended Valtrex dosage for cold sores treatment in pediatric patients older than
12 years of age is 2 grams two times a day with a 12-hour pause. Treatment should be started upon the first symptom appearance, such as itching, tingling, and burning.
Chickenpox
The recommended Valtrex dosage for chickenpox treatment in immunocompetent children 2 to 18 years of age is 20 mg 3 times a day for the course of 5 days. The entire dose shouldn’t surpass 1 gram 3 times a day. Treatment should be started at the first appearance of symptoms.
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