I'm currently breastfeeding my 5 month old full time. I get frequent cold sores and am wondering if it's ok to take the cold sore dose of valacyclovir - 4 grams now, 4 grams 12 hours later - whenever I get an outbreak (1-2x a month)? Also, does waiting longer before feeding (2-3 hours) reduce the amount of medication that is ingested by the baby? Herpes simplex virus (cold sores or genital herpes) and varicella-zoster virus (chicken pox/shingles) are two members of the herpesvirus family. Symptoms of a herpes infection include outbreaks of little blisters or sores on the skin which could include the breasts or nipples. This article looks at frequently asked questions if you are breastfeeding and have herpes simplex virus or varicella-zoster virus. If you think you might have herpes, consult with your doctor to get a positive diagnosis as blisters on nipples can have other causes. There are two herpes simplex viruses, type 1 (HSV-1) and type 2 (HSV-2). Herpes simplex 1 (cold sore or fever blister) usually appears as an open sore or small blisters in the mouth area. Herpes simplex 2 (genital herpes) is usually transmitted through sexual contact, producing blisters on the skin and the moist lining of the sex organs. Amoxicillin to treat acne Valtrex drug Ciprofloxacin tablets Oct 10, 2017. All about Valacyclovir and pregnancy/breastfeeding. Is it safe to use while pregnant and/or breastfeeding? Learn about Valtrex Valacyclovir Hydrochloride may treat, uses, dosage, side. neonatal dose of 30 mg/kg/day of intravenous acyclovir to the nursing infant. Shingles and Breastfeeding I have a 6 month old that I am exclusively breastfeeding, and I was just diagnosed with shingles. The doctor prescribed Valtrex and informed me that I can't breastfeed while I am taking the medication 1 week. The dosage of acyclovir in milk after valacyclovir is less than 1% of a typical infant dosage and would not be expected to cause any adverse effects in breastfed infants. No special precautions are required when using valacyclovir during breastfeeding. PMID: 22509337 393 Information presented in this database is not meant as a substitute for professional judgment. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site. In one study, administration of valacyclovir to mothers with concurrent herpes simplex type 2 and HIV infections reduced breastmilk shedding of the HIV virus in breastmilk at 6 and 14 weeks postpartum, but not later. In another study in HIV-positive mothers, valacyclovir did not reduced breastmilk shedding of cytomegalovirus (CMV) or infant CMV acquisition. Five mothers who were nursing neonates were given valacyclovir 500 mg orally every 12 hours for 5 days. Median peak acyclovir concentrations in milk of 4.2 mg/L occurred at 2 to 4 hours after the first dose and was similar after the last dose. Infant safety during and after maternal valacyclovir therapy in conjunction with antiretroviral HIV-1 prophylaxis in a randomized clinical trial. You should consult your healthcare provider for breastfeeding advice related to your particular situation. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. The authors calculated the median milk concentration at steady-state to be 2.24 mg/L. The median half-life in milk was 2.1 hours (range 1.3 to 12.2 hours). Using the median milk levels from this study, an exclusively breastfed infant would receive 0.34 mg/kg daily by mouth with this regimen, which is less than 1% of dosage given to neonates. In a study of pregnant women with concurrent HIV and Herpes simplex infections, mothers received zidovudine 300 mg daily from week of pregnancy until 12 months postpartum and nevirapine at delivery. Acyclovir concentrations in human breast milk after valaciclovir administration. Half of the women (n = 74) also received valacyclovir 500 mg orally twice daily from 34 weeks gestation until 12 months postpartum. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Appropriate studies have not been performed on the relationship of age to the effects of valacyclovir in children below 12 years of age with cold sores, and children below 2 years of age with chickenpox. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of valacyclovir in the elderly. However, elderly patients are more likely to have age-related kidney disease, which may require an adjustment in the dose of patients receiving valacyclovir. Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus. Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding. Valacyclovir and breastfeeding Valtrex and Breastfeeding - InfantRisk Forums, Valtrex Valacyclovir Hydrochloride Side Effects, Interactions. - RxList Lasix for Apr 21, 2017. In nursing mothers with herpes, breastfeeding should not be. state that oral or IV acyclovir Zovirax or valacyclovir are compatible with. Herpes and Breastfeeding - Breastfeeding Support. Can Valtrex Be Taken While Breastfeeding - Risks & Reviews. Valtrex for Herpes OK While Breastfeeding - WebMD. This sheet talks about exposure to acyclovir or valacyclovir in a pregnancy or while breastfeeding. This information should not take the place of medical care and. Advice for mothers using Valacyclovir Valtrex while breastfeeding. Includes possible effects on breastfed infants and lactation. Can I take Acyclovir while breastfeeding. Valacyclovir. References. 1. Noti A, Grob K, Biedermann M et al. Exposure of babies to C15-C45 mineral paraffins.