A member asked:

I am taking valtrex daily to prevent cold sores. i got one 8 days ago however, but it only blistered for a couple days and then went away without leaking or scabbing over. i have now had a reddish scar there for 5 days now. is it still contagious?

2 doctors weighed in across 2 answers

A person can transmit HSV even if there are no open lesions. Though the risk is lower for a person taking antiviral medication. For information on this topic: https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus

Answered 11/14/2022

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Dr. Samuel Galima answered

Specializes in Family Medicine

Daily valtrex suppression should be 500mg or 1000mg daily. If suppression is unsuccessful and experience a flare, I tell my patients to take the treatment dose, which is depends if it is genital or orolabial. Asymptomatic intermittent viral shedding can occur even in the absence of genital lesions

Answered 11/15/2022

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