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Doctors' Answers to "Frequently Asked Questions" - Herpes Infections


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An indi vidual patient is always advised to consult their own physician.

[posted 04/5/2000]
Question: mY DAUGHTER IS DIAGNOSED WITH AN EXTREME CASE OF HERPES GESTATIONOUS AND IS CURRENTLY ON 40MGS. A DAY OF PREDNISONE.sHE IS CONCERNED ABOUT NURSING THE BABY AND TAKING THE MED. wILL IT HURT THE BABY? sHE IS DUE IN APROX 4 WEEKS.

Answer: Probably not, but there is no absolute certainty. The herpes can clearly hurt the child and needs to be suppressed.

[posted 01/13/2000]
Question: I was recently prescribed 20mg Paxil for anxiety attacks. I didn't think I had any problem with anxiety or depression before (i'm 40), but upon reflection of my history i decided to give it a try to see. I took the medication for 6 weeks and decided to terminate mainly because of the increase in herpes outbreaks (but i had alot of gastro side affects, loss of appetite, weight loss). I had some pretty strong withdrawal symptoms on day 2 and 3 following discontinuation (irritability, hyperactivity, etc)... those have subsided but since right before i terminated i have been plagued by this neuralgia that normally preceeds an outbreak but eventually goes away within 5-7 days. It has been three weeks now and i'm still experiencing this neuralgia in my vaginal/perianal area, with sharp pains occasionally around my cervix... i have no vessicles present and i'm wondering two things: 1)is this a result of the paxil and if so when can i expect this to pass, 2) do you think i'm experiencing an outbreak and am i infectious?
Ibuprofin doesn't seem to help relieve the pain/irritation... what do you recommend?

Answer: I haven't seen this with Paxil, but it would seem to me that treatment with an antiviral might be in order.

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