Herpes Outbreak & Cold Sore Management - Suppressive Treatment
This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains the full information on interactions, side effects, and other important information you should know about the medicine before you start.
You have stated that you wish to take a medication every day in order to reduce your risk of having herpes outbreaks and spreading the virus (to your sexual partners). This is known as “suppressive treatment.” The medication you have been prescribed is Acyclovir, which you are to take 1/2 Tablet 2 times each day (morning and evening).
If you notice the initial signs of an outbreak while taking this medication, you are to double your dose (to 1 Tablet 2 times a day) for 5 days (only). Signs include pain, burning and/or tingling in your genital and/or mouth area, or any sores, blisters and/or ulcers. Remember, if started immediately upon noticing initial signs, this can reduce the duration and/or intensity of the outbreak.
You will automatically be sent a refill every 90 days (subject to a refill visit to help screen for side effects). However, you may request a refill early by logging into your Account (Subscriptions > Next Refill).
If your symptoms aren't getting better after you start taking the medicine or if you develop new or worsening symptoms such as fever, chills, nausea, vomiting, or pain, you should see a doctor in-person and call or message us immediately.
This medicine contains the following active ingredients. If you are allergic to any of these components, similar components, or any of the others components listed in the manufacturer's pamphlet do not take it and call or message us immediately.
This medicine may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please stop the medicine and call or message us or see your doctor in-person.
We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop or discover that one of these conditions applies to you please stop taking this medicine and call or message us immediately.
Pregnancy and Breastfeeding
While Acyclovir is safe to take during pregnancy and breastfeeding, if you become pregnant or are breastfeeding you should stop taking this medicine, call or message us immediately, and talk to a doctor in-person.
Emergency Side Effects
This medicine can cause dangerous and potentially life threatening side effects. If any of the emergency side effects listed in the manufacturer's pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in-person.
Anxiety or agitation
Difficulty swallowing or throat swelling
Jaundice or yellow skin
Liver and kidney disease
Severe skin rash or changes
Severe weakness or fatigue
Shortness of breath or wheezing
Other Side Effects
This medicine can also cause other side effects. If any of the other side effects listed in the manufacturer's pamphlet or those below happen to you please stop taking the medicine and call or message us or see your doctor in-person.
Abnormal heart rhythm
Change in vision
Changes in behavior
Easy bruising or bleeding
High blood pressure
Lightheadedness or passing out
Nausea or vomiting
Medicines, Supplements, and Foods
We have evaluated your health history and the specific health information you provided us, however if anything changes and you start or discover that you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan.
We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.
This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency call 911 or seek immediate medical help in-person. You may need to seek alternative treatment such as those listed below or in the follow-up plan.
Misdiagnosis or Delayed Diagnosis
There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in-person as well but they may have additional signs and symptoms to aid their evaluation. We use the evidence based practice and guidelines as well as clinical decision support to try to minimize these risks. Here are some other diagnoses that we attempt to rule out:
Accepting or Declining Our Recommendation
We are recommending this treatment for you because the potential benefits outweigh the risks in our estimation. You should evaluate this information as well as the manufacturer's pamphlet, any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations although there may also be risks associated with no treatment.
We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can't provide. Message us or talk to your doctor in-person to discuss alternative treatments. Here are some other treatments or strategies that you might consider:
Alternate antiviral medicines
In-person lab testing
Share with Your In-Person Healthcare Team
You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.
You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.
CDC 2015 STD Treatment Guidelines, Genital Herpes. At https://www.cdc.gov/std/tg2015/herpes.htm.
WebMD. Drugs and Medications. Acyclovir. https://www.webmd.com/drugs/2/drug-941/Acyclovir-oral/details