Spectrum: Local Antimicrobial Stewardship, for Eastern Health

Suppressive Therapy (≥ 10 outbreaks/year)

First Line

Valacyclovir 1 g PO daily x 6-12 months

Pregnancy

Suppressive (initiated at 36 weeks and termination at parturition):

Valacyclovir 500 mg PO BID

OR

Acyclovir 400 mg PO TID

Follow-up

No standard follow-up required