GENITOURINARY - STI, Genital Herpes, First Episode (Herpes simplex virus) Not a cure but may reduce duration of outbreak.
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Acyclovir (Zovirax®) Pregnancy: C; Lactation: Safe
Caps: 200 mg Tabs: 400 mg, 800 mg Oral Susp: 200 mg/5 mL |
Children: 80 mg/kg/day (up to equivalent adult doses) in divided doses 3-5 times daily for 7-10 days.
200 mg/ 5 mL @ 80 mg/kg/day 10 kg (22 lb) = 6.7 mL Q8H 15 kg (33 lb) = 10 mL Q8H ³15 kg = Use adult dose.
Adults: 400 mg three times daily for 7-10 days or 200 mg five times daily for 7-10 days.
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Food: May be taken without regard to food.
Encourage fluids. Important side effects: Headache, dizziness, nausea, seizures, bone- marrow suppression, nephrotoxicity.
Reduce dose in renal disease (CrCl <10 mL/min).
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Famciclovir (Famvir®) Pregnancy: B; Lactation: Unsafe
Tabs: 125 mg, 250 mg, 500 mg
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Adult: 250 mg PO three times daily for 7-10 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness.
Reduce dose in renal disease (CrCl <40 mL/min).
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Valacyclovir (Valtrex®) Pregnancy: B; Lactation: Unk |
Adult: 1,000 mg PO twice daily for 7-10 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness
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Tabs: 500 mg, 1,000 mg - |
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Reduce dose in renal disease (CrCl <30 mL/min).
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GENITOURINARY - STI, Genital Herpes, Recurrent (Herpes simplex virus)
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Acyclovir (Zovirax®) Pregnancy: C; Lactation: Safe
Caps: 200 mg Tabs: 400 mg, 800 mg Oral Susp: 200 mg/5 mL |
Children: 80 mg/kg/day (up to equivalent adult doses) in divided doses 2-5 times daily for 5 days.
200 mg/ 5 mL @ 80 mg/kg/day 10 kg (22 lb) = 6.7 mL Q8H 15 kg (33 lb) = 10 mL Q8H ³15 kg = Use adult dose.
Adults: 400 mg three times daily for 5 days or 200 mg five times daily for 5 days or 800 mg twice daily for 5 days. |
Food: May be taken without regard to food. Encourage fluids.
Important side effects: Headache, dizziness, nausea, seizures, bone- marrow suppression, nephrotoxicity.
Reduce dose in renal disease (CrCl <10 mL/min).
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Famciclovir (Famvir®) Pregnancy: B; Lactation: Unsafe
Tabs: 125 mg, 250 mg, 500 mg |
Adult: 125 mg PO twice daily for 5 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness.
Reduce dose in renal disease (CrCl <40 mL/min).
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Valacyclovir (Valtrex®) Pregnancy: B; Lactation: Unk Tabs: 500 mg, 1,000 mg |
Adult: 500 mg PO twice daily for 5 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness.
Reduce dose in renal disease (CrCl <30 mL/min).
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GENITOURINARY - STI, Genital Herpes, Suppressive Tx (Herpes simplex virus)
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Acyclovir (Zovirax®) Pregnancy: C; Lactation: Safe
Caps: 200 mg Tabs: 400 mg, 800 mg Oral Susp: 200 mg/5 mL |
Children: 80 mg/kg/day (max 800-1,000 mg) in divided doses 2-5 times daily.
200 mg/ 5 mL @ 80 mg/kg/day 5 kg (22 lb) = 5 mL Q12H ³10 kg = 10 mL Q12H
Adults: 400 mg PO twice daily. |
Food: May be taken without regard to food. Encourage fluids.
Important side effects: Headache, dizziness, nausea, seizures, bone- marrow suppression, nephrotoxicity.
Reduce dose in renal disease (CrCl <10 mL/min).
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Famciclovir (Famvir®) Pregnancy: B; Lactation: Unsafe Tabs: 125 mg, 250 mg, 500 mg |
Adult: 250 mg PO twice daily. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness. Reduce dose in renal disease (CrCl <40 mL/min).
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Valacyclovir (Valtrex®) Pregnancy: B; Lactation: Unk
Tabs: 500 mg, 1,000 mg |
Adult: 500-1,000 mg PO once daily. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness . Reduce dose in renal disease (CrCl <30 mL/min).
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GENITOURINARY - STI, Genital Herpes, Pregnancy (Herpes simplex virus) General statement: Use of acyclovir and valacyclovir in pregnancy are under investigation, but preliminary evidence has not found them to be detrimental to the fetus.
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Acyclovir (Zovirax®) Pregnancy: C; Lactation: Safe
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Adults: 400 mg three times daily for 7-10 days or 200 mg five times daily for 7-10 days. |
Food: May be taken without regard to food. Encourage fluids. |
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Caps: 200 mg - Tabs: 400 mg, 800 mg - |
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Important side effects: Headache, dizziness, nausea, seizures, bone- marrow suppression, nephrotoxicity. Reduce dose in renal disease (CrCl <10 mL/min).
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Valacyclovir (Valtrex®) Pregnancy: B; Lactation: Unk
Tabs: 500 mg, 1,000 mg |
Adult: 1,000 mg twice daily for 7-10 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness.
Reduce dose in renal disease (CrCl <30 mL/min).
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