Question: AGE: 62 yrs 9 mth MALE

SYMPTOMS:
blisters on right hand only, not painful
pain in right hand (not in blisters)
blisters nowhere else in the body, not mouth, not genitals
blisters appeared on 1st or 2nd Nov 2014
felt like a minor cut on the foreskin and some tingling sensation in penis (13 Nov, seems normal)

SEXUAL HABITS:
For more than 12 (twelve) years I have had no relationship, no partner, no sex of any kind with anyone, no kissing, absolutely nothing

MEDICATIONS AND SUPPLEMENTS TAKEN REGULARLY:
1 x tab cilacar-10
1 x tab clopivas-75
1 x tab cobadex czs
1 x tab ezorb forte
2 x tab gepride-2
1 x tab hipres-50
1 x tab serta-100
cholesterol has remained within normal range, without medication, for years

ADDITIONAL MEDICATION ADVISED:
1 x inj aurodital for 5 weeks, every year, for 3 years (2013 taken) (2014 due)
1 x inj needex once a year, for 3 years (not taken so far)

ALLERGIES:
Aspirin
NSAIDs

MEDICATION PRESCRIBED FOR SYMPTOMS DESCRIBED ABOVE:
Tab Valcivir 500 mg, thrice a day, for 20 days.
Cream Acivir, twice a day.

VALCIVIR 500 MG MANUFACTURER RECOMMENDED DOSAGE:
cold sores (herpes labialis) 2 gm, twice daily, for 1 day
genital herpes (initial episode) 1 gm, twice daily, for 10 days
genital herpes (recurrent episode) 500 mg, twice daily, for 3 days
zoster herpes 1 gm, thrice daily, for 7 days

COMPARE PRESCRIPTION DOSAGE TO MANUFACTURER RECOMMENDED DOSAGE FOR VALCIVIR 500 MG
prescription dosage looks to be very high

QUESTION IS IT?

Ma'am,

I've already purchased the prescribed quantity.

Could you elaborate on what could be likely implications of taking the prescribed dose thrice a day for 20 days? The prescription was by an MD whom we visited for years. I am forwarding the prescription for your reference.

I had read some other patients questions and doctor's answers about a week ago. In each case, I had noticed that an answer by the doctor was peer reviewed by another MD. I am wondering why the exception in my case?

The answer to this question was quite obvious even to me based on the research I had carried out and submitted along with the question to see if my own observation was on correct tract. And, therefore I didn't gain much from this consultation.

I had mentioned of the two injections which were advised to me every year for three years. Instead of injection, can there be a drug which can be taken orally? That is the issue on which if I were to receive some "useful input" then that would add value to the service I received.

Regards

Thank you, Doctor, for your detailed answer! I appreciate.

It seems that dosage consumed so far should suffice 500 mg x 3 per day x 8 days equivalent = 1 gm for 12 days. May be I should talk to my chemist to take back remaining packets. You have mentioned 'a full standard course has been prescribed to you' but is this 500mg x 3 x 20 full standard course? For manufacturer's documentation doesn't seem to say so. Naturally, I am bit confused. Comments please!

I am a bit perplexed as to how I could have contracted STD given my total abstinence from any form of sexual contact with anybody for more than last 10 years, and earlier one single partner for 20 years. The housing society is fairly neat and clean, my house is also kept hygienically clean while mopping floors, and have annual contract with Pest Control of XXXXXXX To the best of my knowledge, no one in my family, father, mother, and brother had any history of STD. Under these circumstances how would I have contracted this virus is truly perplexing to me. Comments please!

For a little over 1 month I started taking BioGreen's Karela juice for sugar, for past 10 days started taking Neem juice for skin, and going to start Amla juice for strengthening immune system. Besides, I take one liter milk everyday and planning to add turmeric powder to the milk. Comments please!

Doctor's handwriting only doctors can follow, and mostly chemists also, but in this classic case, not even chemist can decipher the handwriting. This typing media is far better.

Could you kindly tell me the exact spellings of injections prescribed and their generic names please?

Thanks, again.

With regards,
XXXXXXX