OriginalDrugs

Valtrex (Valacyclovir)

Detailed Information

Valtrex (Valacyclovir hydrochloride) is an antiviral agent, active against most species in the herpes virus family. It slows the growth and spread of the herpes virus so that the body can fight off the infection and lessens the symptoms of these infections and shortens the length of time you are sick. The drug works best if it is used within 48 hours after the first symptoms of shingles or herpes begin to appear. Valtrex does not cure herpes virus infections.

Valtrex is indicated for

  • treatment or suppression of genital herpes and for the suppression of recurrent genital herpes
  • reduction of transmission of genital herpes
  • treatment of herpes zoster (shingles)
  • treatment of cold sores (herpes labialis)

Off-label uses (not FDA-approved)

  • herpes simplex keratitis1
  • recurrent genital herpes in pregnant women4

Natural Alternatives to Valtrex

  • Amino Acid Lysine
    Lysine is one of 20 most common natural amino acids that the body needs for growth and tissue repair. Lysine is an essential amino acid because it cannot be synthesized in the body and its breakdown is irreversible.
    Lysine may be effective against herpes by improving the balance of nutrients that reduce viral growth. L-lysine can be used to treat mouth and genital lesions caused by herpes simplex virus as well as shingles caused by herpes zoster viruses.
    Good sources of lysine are foods rich in protein including meat (specifically red meat, pork, and poultry), cheese (particularly parmesan), certain fish (such as cod and sardines), nuts, eggs, soybeans (particularly tofu, isolated soy protein, and defatted soybean flour), spirulina, and fenugreek seed.
  • Zinc
    Zinc is useful for herpes infections by inhibiting the herpes simplex virus and enhancing the immune system. Topically applied zinc compounds may significantly reduce pain and itching, reduce the duration of infection, accelerate healing and reduce or eliminate recurrence when used in long-term treatments.
  • Propolis
    Laboratory studies report that propolis may have action against herpes simplex virus types 1 and 2.
    For genital herpes infection, a 3% propolis skin cream (made from 75-85% concentrated propolis extract) is applied to the skin four times daily for 10 days. In cases of cervical or vaginal lesions, the same amount of ointment may be applied to the tip of a tampon and inserted vaginally four times daily for 10 days.
  • Tea tree oil
    Tea tree oil has activity against some viruses in laboratory studies. Tea tree oil can reduce the painful healing time by as much as one half. Apply a few drops of tea tree oil directly to the infected area with cotton swab 2 times a day, to help prevent breakouts apply directly upon onset.

Valtrex Advantages & Benefits

  • convenient less frequent dosing regimen (potential for improved compliance)
  • high oral bioavailability2
  • proven in clinical trials to reduce the risk of HSV sexual transmission
  • highly effective
  • safe and well-tolerated
  • very effective for herpes zoster3

Valtrex Drawbacks

  • cannot eradicate latent virus
  • expensive

How Valtrex works

Valacyclovir is a chemical able to enter viral infected host cells. Once in the cell, it is activated by viral enzymes, then mimic a DNA nucleotide - a molecule needed for replication by the virus. Once the molecule binds to any viral DNA under production, it will terminate the production process. The result is that the virus cannot reproduce, thereby stopping it shedding and spreading to other cells.

Valtrex (valacyclovir) effectiveness in preventing HSV transmission
This medication is highly effective. It reduces transmission of overall genital herpes infection (HSV-2 seroconversion) by 50% and of symptomatic genital herpes by 75%.

Valtrex for shingles

Valtrex is widely used in the treatment of shingles. It is proven to speed healing, reduce the pain, and keep new blisters from forming. The medication work in the body to help stop the varicella-zoster virus from multiplying.

For maximum effectiveness, Valtrex should be used early in the course of shingles. Ideally, you should begin taking the medication within the first 2 or 3 days of the rash. The usual dose for herpes zoster is 1 gram (one 1-g tablet) taken 3 times a day for 7 days.

Valtrex (valacyclovir) vs. Famvir (famciclovir)
Valacyclovir appear to be somewhat better than famciclovir for suppression of genital herpes and associated shedding. Valacyclovir and penciclovir appear to have different ability to abrogate HSV reactivation5.

Valacyclovir treatment is comparable to famciclovir treatment in speeding the resolution of zoster-associated pain and postherpetic neuralgia6. Current prices indicate that valacyclovir is the more cost-effective treatment for herpes zoster than famciclovir.


References
  • 1. Asbell PA. Valacyclovir for the prevention of recurrent herpes simplex virus eye disease after excimer laser photokeratectomy. Trans Am Ophthalmol Soc. 2000;98:285-303. PubMed
  • 2. Bras AP, Sitar DS, Aoki FY. Can J Clin Pharmacol. 2001 Winter;8(4):207-11. PubMed
  • 3. Beutner KR, Friedman DJ, Forszpaniak C, Andersen PL, Wood MJ. Antimicrob Agents Chemother. 1995 Jul;39(7):1546-53. PubMed
  • 4. Andrews WW, Kimberlin DF, Whitley R, Cliver S, Ramsey PS, Deeter R. Valacyclovir therapy to reduce recurrent genital herpes in pregnant women. Am J Obstet Gynecol. 2006 Mar;194(3):774-81. PubMed
  • 5. Wald A, Selke S, Warren T, Aoki FY, Sacks S, Diaz-Mitoma F, Corey L. Comparative efficacy of famciclovir and valacyclovir for suppression of recurrent genital herpes and viral shedding. Sex Transm Dis. 2006 Sep;33(9):529-33. PubMed
  • 6. Tyring SK, Beutner KR, Tucker BA, Anderson WC, Crooks RJ. Antiviral therapy for herpes zoster: randomized, controlled clinical trial of valacyclovir and famciclovir therapy in immunocompetent patients 50 years and older. Arch Fam Med. 2000 Sep-Oct;9(9):863-9.