Does Valacyclovir Make You Tired?

Valacyclovir is an antiviral medication prescribed to manage infections caused by herpes viruses. This includes conditions such as cold sores (herpes labialis), genital herpes, and shingles (herpes zoster). It functions as a prodrug, meaning it is converted in the body to acyclovir, its active form. Acyclovir then works by inhibiting the virus’s ability to replicate, thereby helping the body fight the infection and aiding in symptom relief. While valacyclovir effectively treats these viral outbreaks, it does not cure the underlying viral infection, as the virus can remain dormant in the body.

Valacyclovir and Fatigue

Fatigue or tiredness is a reported side effect of valacyclovir for some individuals. Clinical trials involving HIV-1 infected subjects showed fatigue occurred in 8% of those taking valacyclovir, compared to 5% in the placebo group. While it can be a noticeable experience, fatigue is generally not among the most frequently reported or severe side effects.

For some, it might be a mild and temporary feeling of unusual weakness that improves as their body adjusts to the medication. However, it is also possible that the underlying viral infection itself contributes to feelings of tiredness, making it challenging to attribute fatigue solely to the medication. The body’s immune response to fighting an active infection can naturally lead to a sense of exhaustion.

Other Potential Side Effects

Beyond fatigue, valacyclovir can cause other common side effects that are typically mild and temporary. Headache is one of the most frequently reported adverse reactions, occurring in a significant percentage of patients across various clinical trials.

Nausea and abdominal pain are also commonly experienced by individuals taking the medication. Other potential mild side effects include dizziness, vomiting, and diarrhea. Some individuals might also report cold or flu-like symptoms, such as a runny nose or scratchy throat.

When to Consult a Healthcare Professional

Always communicate any concerning symptoms or side effects to a healthcare professional. Discuss all current medications and existing health conditions with your healthcare provider to ensure safe and appropriate treatment.

If fatigue becomes persistent or severe, or if it significantly interferes with daily activities, medical advice should be sought. Similarly, if other common side effects like headache, nausea, or dizziness become bothersome or do not improve, it is advisable to contact a doctor or pharmacist.

Certain rare but serious side effects, such as changes in mental state (e.g., confusion, agitation, hallucinations) or signs of kidney problems, warrant immediate medical attention. It is crucial not to discontinue valacyclovir without consulting a healthcare provider, as stopping the medication prematurely can hinder its effectiveness against the viral infection.