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suppressive meds... Why not?


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I was diagnosed just over a month ago at a local clinic (I'm in the UK). She have me 5 days worth of acyclovir, the numbing cream and sent me on my way. When I asked about suppressive treatment, she said I didn't need it. (I'll be the judge of that, thanks.)

I took the pills and and went to see my own doctor about suppressive meds. I was told again that I didn't need them, even after explaining that my partner does not have herpes.

Yesterday I went to see another doctor. I explained I had been researching ways to prevent or reduce the risk of infecting my partner, and that suppressive meds help.

"I don't want to give you anything that will harm you."

What harm? Surely if I give my partner herpes, that's harming him? I don't see why they are all so against this. I don't want to infect him (he knows there is a risk anyway)but surely doing all I can to reduce the risk is the responsible thing to do?

I will try another clinic next week, wish me luck! But can anyone tell me why they are so reluctant to give me this? What harm is he talking about?

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IDK why they won't prescribe the meds for you. Maybe you should tell them you have frequent painful obs once or twice a month. Make is sound really bad and like you can't cope at all. Its worth a try! Good Luck!

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If needs be, I will lie, but I'd rather not have to. I don't understand why I have to consider lying just to try to reduce the risk to my partner.

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HI, i'm also in the UK and visited a GP this week. I have to say he was lovely and printed me off info to read, gave me double prescription 5 days of acyclovir to take now and 5 days to hold back if I needed them, plus a repeat prescription. When I asked about suppressive treatment he was happy for me to carry on taking. 400mg 3 times a day. I do think you should try another Dr or even go the GUM clinic. Some stories on here about how health professionals treat people makes my blood boil, but as proof for me this week, there are some good guys out there.

Good luck


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I think it is very irresponsible for a Dr. to not prescribe you medicine that will ease your pain and reduce the risk of spreading the disease. You should visit as many docs as you need to until you find one that will do the right thing.

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I'm in Australia so I gather the laws might be different.

For my first OB I was prescribe a high dose of valtrex.

I'm experiencing now my 6th outbreak and it is the worst i've ever had.

I'd already been examined on my first OB and diagnosed I assumed I didn't have to be again.

I was wrong.

Everytime I have a documented outbreak I have to be swabbed and have the contents sent away for testing.

Basically the reason this is the case is because of the governments laws on prescribtion medicine.

We have a PBS system here which makes a large number of required medications a lot cheaper than they would normally be.

I was crying during the exam and asked about supressive therapy.. I have to have a large number of DOCUMENTED cases before they will consider supressive therapy....

My doctor sort of found a cheat way of doing it..

She prescribed me famvir which is working but only 125mg for 5 days. Hopefully this is enough to clear my outbreak.

The tablets come in at $34.20 for 40 which means i'll have enough to treat 7 additional outbreaks.

Surely your doctor would be willing to compramise, I haven't done extensive research on supressive medications but maybe you should do your research. I definatly understand that you don't want to pass it on but if there could be real long term risks associated i'd check it out.

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It is difficult to get it I live i'n Canada one doctor wouldn't prescribe it to me but the next one gave me a year prescription no problem but most don't seem to care and think it's no big deal to have herpes......

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Welcome to the world of herpetic hipocracy. Obviously the hippocratic oath does not pertain to HSV.

Ok, that's dramatic but there is this lack of concern by the medical institution regarding HSV. So far we haven't been able to explain it. The cynical will say doctors don't care. The realistic will say it's nothing to be too worried about. I sure would like to see what those doctors say if they were infected. Probably wouldn't change anything.

That is why people on this forum are trying to change things...please join our efforts.

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Personally I would recommend episodic therapy over suppressive therapy. When I take acyclovir i can feel the weight of the medicine in my system. I am not sure what damage it does or will do but i just dont like the feeling when i take those medicines. Long term damage has been seen in patients like kidney damage and hair loss. check these links out




I would say try biogetica natural medicines instead. since these worked for me I am so happy that i dont need to take acyclovir again. check out my thread. gl.


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As opposed to seeing various doctors until you find the one that does what you WANT them to do, why don't you just ask the doctor what is the harm in the medication. Although doctors are morons like everybody else, they should be able to recite why it could harm you.

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    • sgt98
      Hey @WilsoInAus ok thank you, I will do my best to move on and stop trawling forums haha. 
    • WilsoInAus
      Hey @sgt98 but there is no feasible infection or outbreak to suppress and antivirals do not suppress an initial outbreak in any event 
    • sgt98
      Thanks @WilsoInAus I understand apologies for this but the only other thing I am worried about is that I did take a course of Famvir on day 1 as I felt like I was having an outbreak of cold sores and am worried that has suppressed the initial outbreak genitally 
    • WilsoInAus
      Hi @sgt98 it is not feasible to obtain a HSV-2 infection from receiving oral sex - only HSV-1 is feasible but you've already got that and immunity from any further infection with HSV-1. You do not need any further tests for HSV. You're feeling regret, try to forgive yourself and calm down, let the rational take over. You know the answer here and it won't be long until you believe it too.
    • WilsoInAus
      Hi @NerdP423 and welcome to the website. You raise a lot of points and I think the best way to address your concerns is add some comments at each key point. I've copied your note again below and added these comments in square brackets. I appreciate any insight (even speculation) as to what has been going on with me. I'm a 37y/o M. I last was intimate with a new partner on 2/11/2022, and a few days later started having a huge amount of discomfort in my face. [The first thing that happens though is that herpes causes lesions or at least some skin based disruption. Other symptoms are then related to the actions of the immune system responding to the virus. Without lesions, it is highly questionable that the ailment is related to herpes, yet testing is useful if you have concerns as you have done so.] About a month after that [herpes causes issues within days, if the first 'symptoms' are a month later - its extremely unlikely they are related to herpes], significant discomfort downstairs, however every test I have ever taken for HSV 1 and 2 has been negative. Here are the details: Face: Previously, some significant tingling and itching on the right side of my mouth, lips and chin (still there, but milder) [herpes does not cause general tingling and itching, it can cause a reasonably concentrated feeling of itch/throb from which a herpes lesion appears within hours]. Occasional hot flashes near my right eye, cheek and ear [herpes does not do this, it may be a immune response to something, or stress]. Sometimes it will feel like the skin is crawling on the right side of my face [herpes does not cause a general crawling sensation]. Never seen anything that looked like a traditional cold sore [that's extremely telling, even people with associated atypical symptoms will have experienced herpes lesions]. Occasionally, the left side of my face will have a momentary feeling of skin crawling, but it's so mild that I am not really worried about it. Downstairs: Thankfully, most of these are now milder than they were before. Occasional momentary pinch of pain at the base of my genitals. [herpes does not cause a general pinch feeling.] Aching pain in my boxer area (groin, leg folds) [nor this] Occasional feeling of cold in my boxer area, butt, or lower back. ( also in my shins and occasionally even my arms) [nor this] On 4/30/2022, I had been in discomfort for almost two months. I scratched an itch, noticed it hurt, and then checked - I did have an open ulcer down there. Took myself to the ER to get swabbed, came back negative. [If this was a PCR then this will be very conclusive.] Practitioner said it may come back negative because it was already open. However the lab report noted that it definitely didn't look like what you'd expect a typical first herpes outbreak to look like [how would the lab know??]. All blood tests negative so far. I had two western blots, the second one was nine months after exposure. [Two negative Westernblots!!! Many that's real convincing]. All other swabs also negative. I went to urgent care, because I know the timeliness of when the Swab is taken matters. One time, a swab was not done, because practitioner said it was folliculitis and wouldn't swab it (It was at my belt line). [Belt line is highly unlikely to relate to herpes.]   A blood test revealed I had low-ish B12 (technically in range, but at the very low end, especially for a man of my size). I had a series of B12 injections, and I am taking a B12 supplement. I am not taking any lysine or arginine at the moment. I was taking the Arganine to see if I could induce an outbreak. [This is irrelevant, there is no known linkage between herpes outbreaks and arginine/lysine intake - its a myth - and B12 infers nothing.] I think what I am asking is - has anyone here ever repeatedly tested negative over and over again over long period of time, before getting a definitive answer, be a positive test, or something else? [The answer to this is: Extremely few people with a HSV-1 infection and even more rarely HSV-2 test repeatedly negative on Westernblot and actually carry the virus. Of the cases that I know of that had delayed detection by a swab and negative blood tests in the meantime (and that's only 3-4 cases), they had some form of lesions within days of infection but did not obtain a swab for various reasons and then obtained a positive swab of a subsequent lesion with the record being 11 months later. A couple of the cases did have some 'background' symptoms they thought might be related to herpes but that isn't ascertained and some did not have any unusual symptoms at all apart from the lesions. Hence as you did not have lesions around your mouth or lips within days of the last sexual encounter as is exceptionally common for a primary oral HSV-1 infection, that pretty much rules out herpes orally as it is. The fact that you had no genital symptoms for a month also rules out genital herpes. I am not aware of anyone at all who has genuinely gone on to test positive by swab or blood in your specific circumstances. There are hundreds if not more than a thousand experiences on this website alone that are similar to yours that are truly negative for herpes I'm one of them!]  
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