SKIN - Herpes Zoster, Varicella (Shingles) (Varicella zoster) Note: If patient >50 years may benefit from prednisone for pain control.
|
||
Acyclovir (Zovirax®) Pregnancy: C; Lactation: Safe
Caps: 200 mg Tabs: 400 mg, 800 mg Oral Susp: 200 mg/5 mL |
Children 2-16 years: 80 mg/kg/day (max 4 g/day) PO in divided doses four or five times daily for 7-10 days.
Adults: 800 mg PO five times daily for 7-10 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 <25 mL/min).
|
Famciclovir (Famvir®) Pregnancy: B; Lactation: Unsafe
Tabs: 125 mg, 250 mg, 500 mg |
Children: N/A
Adult: 500 mg PO every 8 hours for 7 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness.
Reduce dose in renal disease (CrCl <60 mL/min).
|
Valacyclovir (Valtrex®) Pregnancy: B; Lactation: Unk |
Children: N/A
Adult: 1,000 mg PO three times daily for 7 days. |
Food: May take without regard to food.
Important side effects: Nausea, headache, dizziness.
|
Tabs: 500 mg, 1,000 mg |
|
Reduce dose in renal disease (CrCl <50 mL/min).
|