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What Causes Muscle Twitching After A Herpes Outbreak?

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Posted on Mon, 3 Oct 2016
Question: HI I am having muscle twitching after a herpes outbreak. It's from my face to my legs. I do have some skin stinging but no lesions. How common is this? I was already on 6 weeks of valacyclovor. The genitals area appears to be clear. What can this be?
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Answered by Dr. Dariush Saghafi (3 hours later)
Brief Answer:
Side effects of medication

Detailed Answer:
Good evening and thank you for your question on this network.

Muscle twitching as you describe is typically not a direct consequence of the herpes infection but when it occurs we believe it is either a direct toxic effect of the antiviral drug itself or an effect on the kidneys which can result in muscle twitching.

If I were your doctor I would measure renal function tests for creatinine, BUN, and even a 24 hr. total creatinine as this could be elevated while the other indices are still normal. You can help yourself immensely by HYDRATING A LOT......flush those kidneys and keep the tubules open and clear and this could possibly reduce twitching.

If your herpes rash has resolved then, I would have a dialogue with the primary doctor to see if stopping the drug may be appropriate. I understand there is the desire to be on prophylactic therapy but you MAY need a drug holiday as well. The twitching may be your body's way of telling someone that fact.

If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my answers/suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 27 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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What Causes Muscle Twitching After A Herpes Outbreak?

Brief Answer: Side effects of medication Detailed Answer: Good evening and thank you for your question on this network. Muscle twitching as you describe is typically not a direct consequence of the herpes infection but when it occurs we believe it is either a direct toxic effect of the antiviral drug itself or an effect on the kidneys which can result in muscle twitching. If I were your doctor I would measure renal function tests for creatinine, BUN, and even a 24 hr. total creatinine as this could be elevated while the other indices are still normal. You can help yourself immensely by HYDRATING A LOT......flush those kidneys and keep the tubules open and clear and this could possibly reduce twitching. If your herpes rash has resolved then, I would have a dialogue with the primary doctor to see if stopping the drug may be appropriate. I understand there is the desire to be on prophylactic therapy but you MAY need a drug holiday as well. The twitching may be your body's way of telling someone that fact. If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my answers/suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out. Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 27 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.