Valacyclovir: Difference between revisions

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==General==
==General==
*Type: DNA polymerase Inhibitor
*Type: inhibits DNA polymerase
*Dosage Forms: 500 mg, 1000 mg
*Dosage Forms: 500, 1000
*Common Trade Names: Valtrex
*Common Trade Names: Valtrex


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===[[HSV-1]]===
===[[HSV-1]]===
* Acute episode: 2000 mg PO BID x 1 day
* Acute episode: 2000 mg PO BID x 1 day
* Suppression: 500 mg PO daily
* Suppression: 500 mg PO Qday
===Genital HSV===
===Genital HSV===
*1st episode: 1000 mg PO BID x 7-10 days, start within 48-72 hour of symptoms
*1st episode: 1000 mg PO BID x 7-10 days, start within 48-72 hour of symptoms
*Recurrence: 500 mg PO BID x 3 days, alternative: 1000 mg PO daily x 5 days
* recurrence: 500 mg PO BID x 3 days, alternative: 1000 mg PO qday x 5 days
===[[Herpes zoster]]===
===Shingles===
*1000 mg PO TID x 7 days
*1000 mg PO TID x 7 days


==Pediatric Dosing==
==Pediatric Dosing==
===Genital HSV===
===Genital HSV===
*Same as adult dosing for adolescents
*≥12 yrs same as adult dosing for adolescents


==Special Populations==
==Special Populations==
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]: B
*[[Drug Ratings in Pregnancy|Pregnancy Rating]]:
*Lactation: Safe
*Lactation:
*Renal Dosing
*Renal Dosing
**Adult:
**Adult
**Pediatric
**Pediatric
*Hepatic Dosing
*Hepatic Dosing
**Adult: Not defined
**Adult
**Pediatric: Not defined
**Pediatric


==Contraindications==
==Contraindications==
*Allergy to class/drug
*Allergy to class/drug
*Caution with any renal impairment
*Caution with geriatric patients and reduced GFR


==Adverse Reactions==
==Adverse Reactions==
===Serious===
===Serious===
*Acute renal failure
 
*Thrombocytopenia
*Aplastic anemia
*Delirium
*Psychosis
*Seizures
===Common===
===Common===
*Nausea/vomiting
*Headache
*Abdominal pain
*Depression
*Elevated LFT's
*Fatigue


==Pharmacology==
==Pharmacology==
*Half-life: < 30 minutes
*Half-life:  
*Metabolism: GI tract, liver
*Metabolism:  
*Excretion: feces, urine
*Excretion:  
*Mechanism of Action: DNA polymerase Inhibitor
*Mechanism of Action:


==See Also==
==See Also==

Revision as of 15:32, 4 April 2015

General

  • Type: inhibits DNA polymerase
  • Dosage Forms: 500, 1000
  • Common Trade Names: Valtrex

Adult Dosing

HSV-1

  • Acute episode: 2000 mg PO BID x 1 day
  • Suppression: 500 mg PO Qday

Genital HSV

  • 1st episode: 1000 mg PO BID x 7-10 days, start within 48-72 hour of symptoms
  • recurrence: 500 mg PO BID x 3 days, alternative: 1000 mg PO qday x 5 days

Shingles

  • 1000 mg PO TID x 7 days

Pediatric Dosing

Genital HSV

  • ≥12 yrs same as adult dosing for adolescents

Special Populations

  • Pregnancy Rating:
  • Lactation:
  • Renal Dosing
    • Adult
    • Pediatric
  • Hepatic Dosing
    • Adult
    • Pediatric

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

Common

Pharmacology

  • Half-life:
  • Metabolism:
  • Excretion:
  • Mechanism of Action:

See Also

Sources