Sign in to follow this  
Followers 0
PeaceGirl32

Prednisone and Valtrex for first OB??

6 posts in this topic

After so much reading on this site, I am very confused by the treatment I received from my doctor.

Here are the facts:

Symptoms =

-sores in genital area (3, he said)

-extreme sciatic pain that began prior to the sores and remained

Treatment =

-Prednisone 50mg 1x/day for 5 days

-Valtrex 1000mg 2x/day for 7 days

Results =

-Sciatic pain decreased completely while on Prednisone, but came back.

-Sores healed

My fear is that the Prednisone could have rendered the Valtrex ineffective, hence the continued sciatic pain possibly indicating continued infection?

My doctor did mention Shingles as something to rule out, which could explain the Prednisone. I'm still waiting for the swab results to find out my exact diagnosis.

Has anyone else been given Prednisone to assist with other symptoms during OBs?

Share this post


Link to post
Share on other sites
After so much reading on this site, I am very confused by the treatment I received from my doctor.

Here are the facts:

Symptoms =

-sores in genital area (3, he said)

-extreme sciatic pain that began prior to the sores and remained

Treatment =

-Prednisone 50mg 1x/day for 5 days

-Valtrex 1000mg 2x/day for 7 days

Results =

-Sciatic pain decreased completely while on Prednisone, but came back.

-Sores healed

My fear is that the Prednisone could have rendered the Valtrex ineffective, hence the continued sciatic pain possibly indicating continued infection?

My doctor did mention Shingles as something to rule out, which could explain the Prednisone. I'm still waiting for the swab results to find out my exact diagnosis.

Has anyone else been given Prednisone to assist with other symptoms during OBs?

Prednisone and other steroids are actually contraindicated in the treatment of Herpes simplex. They can make things worse. I would not necessarily say the Prednisone "rendered the Valtrex ineffective." I would just say that the steroid would either have no effect or, possibly, made your Herpes outbreak worse.

Steroids do not cure anything. They only suppress and mask symptoms. That is likely why your sciatic pain was not noticed while you took the Pred.

I'm not sure what you mean about "sciatic pain possibly indicating continued infection."

Regardless of what meds the docs give you, if you do have herpes, you have herpes for life. You will always have the infection once you get it, unless medical science comes up with a cure in the future.

What tests did that doc perform to check for Herpes simplex?

:wavey:

Share this post


Link to post
Share on other sites

Something positive: OB did not get worse while on Prednisone.

As for my concern about making the valtrex ineffective, I guess my question is how an anti-viral medication is supposed to work when steroids can suppress the immune system. A question to ask my doctor next week.

My comment about the sciatic pain indicating continued infection is due to the fact that, while this is my first outbreak of sores, I have had sciatic pain in the past with skin irritation. From my research, I have learned that sciatic pain can be caused by infection. Due to the continued pain, I am concerned about another possible OB now that I am done with the valtrex. I am most definitely aware that, if this is in fact herpes, it is with me for life.

My doctor did a swab of the sores to test and I should find out the results this week.

Share this post


Link to post
Share on other sites
Something positive: OB did not get worse while on Prednisone.

As for my concern about making the valtrex ineffective, I guess my question is how an anti-viral medication is supposed to work when steroids can suppress the immune system. A question to ask my doctor next week.

Ahhhh...now I understand what you were getting at. I would be very interested in your doctor's answer to that question, as you make an excellent point about steroids potentially interfering with the immune response.

My comment about the sciatic pain indicating continued infection is due to the fact that, while this is my first outbreak of sores, I have had sciatic pain in the past with skin irritation. From my research, I have learned that sciatic pain can be caused by infection. Due to the continued pain, I am concerned about another possible OB now that I am done with the valtrex.

Oh, okay, got it!

Your situation is probably going to be a bit unclear. How can you tell whether sciatic discomfort is related to prodrome or whether it is just your normal sciatic nerve issues? I know of no way.

Since you (may be) new to HSV, you could potentially have another outbreak soon after your primary. Those who do experience recurrences, seem to have greater frequency in the first year or so. Unfortunately, you'll just have to wait and see how that goes for you. There is no way to predict it. Worrying definitely doesn't help, since unmitigated stress is a known trigger for outbreaks.

I am most definitely aware that, if this is in fact herpes, it is with me for life.

Okay, good. Your wording in the previous post made it unclear to me.

My doctor did a swab of the sores to test and I should find out the results this week.

Did the doctor order the lab to "type" your sample? If you are not sure, you might want to call and request he add that, if it was not already done.

Share this post


Link to post
Share on other sites

My doctor did mention Shingles as something to rule out, which could explain the Prednisone. I'm still waiting for the swab results to find out my exact diagnosis.

You know, it is interesting that some of the literature mentions using corticosteroids in combo with antiviral meds when treating neuralgia associated with herpes zoster (shingles). What I've read says it can give "modest" pain relief.

Odd, since the same articles often state something to this effect: "Chronic corticosteroid use, chemotherapy and radiation therapy may increase the risk of developing herpes zoster."

Share this post


Link to post
Share on other sites

Quick update: results are back and it is definitely HSV2.

Prednisone was an effort to help with the sciatic pain and the off chance that it was shingles, but it is not part of my new prescription of Valtrex to be filled the moment I suspect an OB.

So, now it's time to continue putting my plans into action of how to change my lifestyle, get more exercise, take supplements, etc. etc. (pretty sure I would be continuing regardless - good wake-up call!)

Life goes on and, I can't say it enough, this site and those of you responding have been such a great help!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now
Sign in to follow this  
Followers 0

  • Latest Buzz

    • thebear123
      I honestly can't tell anymore if I'm breaking out or not. I mean, I felt a tingle in my penis a couple days ago. I looked into my urethra just now and it looks like abrased but it's very shallow and mild. I feel like my urethra always looks abrased now though. I'm posting this too after she told me felt tingling again down there for a third time today. 
    • K_Sock
      @BabyBlue 29 from Toronto. I'd be happy to chat. 
    • radiance86
      I'm a bit confused about the waiting 10 weeks? I had similar symptoms to you on a Sunday (right after I had unprotected sex Saturday). I rode it out and got tested the following week Friday. Got my results back the following week, Tuesday. Was that too soon to have gotten tested? Should I retest now or wait 10 weeks? I am getting kind of the typical symptoms. Itching, sores are gone but a few are still idk not painful but sore at the touch. There is a weird pain or pressure in my butt and the back of my thighs. I get random shots of nerve pain. I know how you feel, being sure but also hoping that it could be something else. It's kind of trying. And it's great that you have at least been able to share this with your mom. I couldn't even dream of letting anyone else know and that hurts. 
    • radiance86
      Very uplifting in my time of need.
    • radiance86
      A huge pickle. I guess I find that with each passing day, things get better. It's not a death sentence, although socially it feels like one.  The Saturday morning sex was with a new partner, yes. He is African American as well. The clinic that I went to, is a free state clinic, so I guess Herpes tests aren't typically on their panel but because I was freaking out a bit and crying at the Dr's, I think they tested me for it as well? I'm not sure if it was standard, but one of the clerks gathering my information in front told me that the clinic didn't test for herpes and recommended a hospital for me to go to get the test done. I had blood drawn, and also my finger pricked for the rapid HIV testing. And I think a culture or lesion swab.  Not sure about the last bit, I've been scouring this website a lot since finding out and it seems to me that women have painful OB's, and that they tend to be even more excruciating during your period. Which I'm dreading. I don't want to take any antibiotics yet, maybe if it becomes bad but I want to try to heal/prevent any OB's naturally with vitamins/oils/healthy mostly raw diet etc.. As far as it being common in the AA community, I have no doubt that it is. But AA's face so many stigmas within our community already, that we haven't tackled and refuse to, culture comes into play, lack of proper education and a host of other things. I don't think the fact that it's common within my community means that it's that little of an issue. We just haven't gotten around to speaking about it (as a collective community) yet.  
    • Sarahbby28
      How long would it take to build up antibodies for hsv1 to protect you in another location of same strain?
    • Livenhappy
      Is it possible to find a different dr?  The dr. should have taken a swab and tested for the type of herpes you have.  Your boyfriend needs to specifically ask to be tested for the virus.  Regular blood tests don't detect it, the test has to be specifically asked for.  Also, having sex may or may not cause an outbreak. No one can predict when they will occur. I have them infrequently usually brought on by very high stress levels, not by having sex.  Enjoy your sex life.  After 28 years, I now consider this a skin condition.  Sounds like you have a supportive boyfriend which helps. In most cases, outbreaks lessen over time. Read information from a reputable website. I like  cdc.gov. The info there is not conjecture, nor made up bs that others may be telling you. Good luck. 
    • Mode
      He never had any sores, as in never. The ob gyne looked upon my genitals and told me that it is herpes. That is the only information that I know.. and also, the ob told me that if I am going to have sex again with the same person, the outbreak will come back. My boyfriend got tested too, blood test.. and he was told that he does not have any infection. I told my doctor about the test that my boyfriend undergone but she told me that herpes virus cannot be diagnosed in blood testing. I am confused. 
    • Lisajd
      If your husband is prepared to take the risk then I think that you should stop focusing on the thought of being contagious.  Remembering that the risk from women to men is quite low and you can take precautions..  but if you are having anxiety and itching that can be viral shedding so it would be worth you trying to look at how you can get that under control because then that will reduce your risk.  
    • Lisajd
      Well you need to establish whether it's type 1 or type 2 because just because it's on your genitals does not necessarily mean it is hsv2.  This is important in terms of transmission risks.  How did u test initially by swab or blood test  Your boyfriend should also get tested then that way you both know what you are dealing with in terms of risks and precautions.  If he has had cold sores and did oral sex on you then it is most likely to be hsv1 genital
  • Featured