Acyclovir Zovirax and valacyclovir Valtrex are the drugs most commonly used for herpes outbreak suppression and treatment during pregnancy. These drugs help reduce how active the virus is. They also help speed up lesion healing. They may also decrease the chance of active lesions at the time of labor. In turn, this decreases the likelihood of needing a cesarean delivery to avoid virus transmission. No evidence links acyclovir or valacyclovir to serious side effects in infants born to mothers who took these drugs during pregnancy.
Treatment with these drugs usually starts around the 36th week of pregnancy. It continues through delivery. Both the American College of Obstetricians and Gynecologists and the Centers for Disease Control and Prevention recommend the following dosages during pregnancy:.
Famciclovir Famvir has also been approved for treatment of recurrent genital herpes. However, there is no data on the use of famciclovir during pregnancy, so this drug is used less often. Genital herpes suppressive treatment can also help reduce your risk of transmitting the infection to new sexual partners.
For example, genital herpes infection can be transmitted through mouth-to-genital contact in addition to genital-to-genital contact, so you should use a condom or dental dam. Sign Up Now. Aug 1, Issue. Am Fam Physician. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. Source Pasternak B, Hviid A.
Topical use of acyclovir ointment is not expected to cause to increase the chance for birth defects. When applied on the skin, acyclovir does not enter the body in large amounts. Also, oral doses of acyclovir have not been associated with birth defects. However, clinical experience has been reassuring. Acyclovir enters breast milk in low amounts. Acyclovir is commonly given to newborns and does not typically cause problems for babies. If you are applying acyclovir cream or ointment directly on your breast, clean the area before nursing.
Be sure to talk to your healthcare provider about all of your breastfeeding questions. I take acyclovir. Can it make it harder for me to get my partner pregnant or increase the chance of birth defects? Popular links under Baby Baby Month by Month.
Popular links under Toddler Toddler Month by Month. Baby Products. Bookmark BookmarkTick BookmarkAdd save. Genital Herpes During Pregnancy All the info you want on how genital herpes can affect you and baby. By Jennifer L. What is genital herpes during pregnancy? Are there any tests for genital herpes? How common is genital herpes during pregnancy? How will my genital herpes affect my baby?
What can I do to prevent genital herpes?
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