Valacyclovir: Difference between revisions

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


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

Revision as of 21:31, 2 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

  • same as adult dosing for adolescents

Special Populations

  • Pregnancy Rating: B
  • Lactation: safe
  • Renal Dosing
    • Adult:
    • Pediatric
  • Hepatic Dosing
    • Adult: not defined
    • Pediatric: not defined

Contraindications

  • Allergy to class/drug
  • caution if renal impairment

Adverse Reactions

Serious

  • acute renal failure
  • thrombocytopenia
  • aplastic anemia
  • delirium
  • psychosis
  • seizures

Common

  • nausea/vomiting
  • headache
  • abdominal pain
  • depression
  • elevated LFT's
  • fatigue

Pharmacology

  • Half-life: < 30 minutes
  • Metabolism: GI tract, liver
  • Excretion: feces, urine
  • Mechanism of Action:inhibits DNA polymerase

See Also

Sources