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What Causes Itchy Rash On Face, Arms And Shoulders While On Valtrex?

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Posted on Mon, 6 Jul 2015
Question: I contracted HSV2 about 30 years ago and, after the first outbreak, I have had NO outbreaks at all. For some reason, I had a very bad outbreak about two months ago, and it lasted for nearly a month. I was put on acyclovir, then changed to Valacyclovir for suppression. The doctor prescribed 1000 mg per day, and 2000 if I had an outbreak. I took the meds for a month and then stopped. Within a few days, I was having another outbreak. This one has been even worse. I upped my Valtrex dose to 2000, as prescribed, then, on my own, upped it to 3000 two days ago. My symptoms have finally started to subside but are not completely gone. I also developed an itchy rash on my face, arms, and shoulders, and inside my nose tingles and itches. Could this rash be caused by the Valtrex or is it part of the herpes infection? I am so paranoid about touching any part of my body, putting on my makeup, or even washing myself and I wash my hands CONSTANTLY. I have had such a difficult time emotionally since the outbreaks started that I can hardly function. I am not sure what is related to the HSV and what is related to Valtrex. Should I up my dose to 4000, even with the rash? Also, if my symptoms are better, and I am taking so much Valtrex, am I still highly contagious?
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Answered by Dr. Noble Zachariah (4 hours later)
Brief Answer:
Likely to be due to side effect of Valtrex

Detailed Answer:
Hello,
Welcome and thanks for your query.
I understand your concern.
The symptoms of itching and rashes are likely to be the side effects of Valtrex if there is no vesicle formed. Since you are better regarding the genital vesicles, the disease is under control and you can relax. Reduce the Valtrex dose to 1gram twice a day, the recommended dose for HSV2. You can take an antihistamine tablet for relief of itching.
It's unlikely that you are infectious now but it's always better to practise safe sex.
Do get back to me if you have more queries.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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What Causes Itchy Rash On Face, Arms And Shoulders While On Valtrex?

Brief Answer: Likely to be due to side effect of Valtrex Detailed Answer: Hello, Welcome and thanks for your query. I understand your concern. The symptoms of itching and rashes are likely to be the side effects of Valtrex if there is no vesicle formed. Since you are better regarding the genital vesicles, the disease is under control and you can relax. Reduce the Valtrex dose to 1gram twice a day, the recommended dose for HSV2. You can take an antihistamine tablet for relief of itching. It's unlikely that you are infectious now but it's always better to practise safe sex. Do get back to me if you have more queries.