Zovirax
Brand
name:Zovirax
Pronounced: zoh-VIGH-racks
Generic name: Acyclovir
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Why
is Zovirax prescribed?
Zovirax
liquid, capsules, and tablets, are used in the treatment of
certain infections with herpes viruses. These include genital
herpes, shingles, and chickenpox. Acyclovir may not be appropriate
for everyone, and its use should be thoroughly discussed with
your doctor. Acyclovir ointment is used to treat initial episodes
of genital herpes and certain herpes simplex infections of the
skin and mucous membranes.
Some
doctors use Acyclovir, along with other drugs, in the treatment
of AIDS, and for unusual herpes infections such as those following
kidney and bone marrow transplants.
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Most
important fact about Zovirax
Zovirax
does not cure herpes. However, it does reduce pain and may help
the sores caused by herpes to heal faster. Genital herpes is
a sexually transmitted disease. To reduce the chance of infecting
your partner, forgo intercourse and other sexual contact while
you have sores or any other symptom.
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How
should you take Zovirax?
Acyclovir
should not be shared with others, and the prescribed dose should
not be exceeded. Acyclovir ointment should not be used in or
near the eyes.
To reduce
the risk of spreading the infection, use a rubber glove to apply
the ointment.
You
can take Acyclovir with or without food.
—If
you miss a dose…
Take it
as soon as you remember. If it is almost time for your next
dose, skip the one you missed and go back to your regular schedule.
Never take 2 doses at the same time.
If you are
using the ointment, apply it as soon as you remember and continue
your regular schedule.
—Storage
instructions…
Store Zovirax
at room temperature in a dry place
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What
side effects may occur?
Side effects
cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can
determine if it is safe for you to continue taking Zovirax.
More common
side effects may include :
Diarrhea, general feeling of bodily discomfort, nausea, vomiting
Other reported
side effects include :
Aggressive behavior, agitation, allergic reactions, blood in
the urine, coma, confusion, decreased consciousness, delirium,
dizziness, fever, hair loss, hallucinations, headache, hives,
itching, kidney failure, lack of coordination, pain, psychosis,
rash, seizures, skin peeling, sleepiness, swelling, swollen
face and throat, swollen lymph nodes, tingling, upset stomach,
vision problems, yellowish skin and eyes
Common
side effects of Acyclovir ointment may include :
Burning, itching, mild pain, skin rash, stinging, vaginal inflammation
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Why
should Zovirax not be prescribed?
If
you are sensitive to or have ever had an allergic reaction to
Acyclovir or similar drugs, you should not take Acyclovir. Make
sure that your doctor is aware of any drug reactions that you
have experienced.
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Special
warnings about Zovirax
If
you are being treated for a kidney disorder, consult your doctor
before taking Zovirax. Acyclovir has been known to cause kidney
failure.
If you develop
unusual bruising or bleeding under the skin, be sure to alert
your doctor. It could signal a dangerous blood disorder.
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Possible
food and drug interactions
If Zovirax is taken with certain other drugs, the effects of
either could be increased, decreased, or altered. It is especially
important to check with your doctor before combining Zovirax
with the following:
- Cyclosporine
(Sandimmune, Neoral)
- Interferon (Roferon-A)
- Probenecid (Benemid)
- Zidovudine (Retrovir)
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Special
information
Zovirax seems relatively safe during pregnancy. Nevertheless,
it should be used only if its benefits outweigh the potential
risk to the baby. If you are pregnant or plan to become pregnant,
inform your doctor immediately. Acyclovir appears in breast milk
and could affect a nursing infant. If this medication is essential
to your health, your doctor may advise you to discontinue breastfeeding
your baby until your treatment with Zovirax is finished.
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Recommended
dosage
ADULTS
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For Genital Herpes
The usual
dose is one 200-milligram capsule or 1 teaspoonful of liquid
every 4 hours, 5 times daily for 10 days. If the herpes is recurrent,
the usual adult dose is 400 milligrams (two 200-milligram capsules,
one 400-milligram tablet or 2 teaspoonfuls) 2 times daily for
up to 12 months.
If genital
herpes is intermittent, the usual adult dose is one 200-milligram
capsule or 1 teaspoon of liquid every 4 hours, 5 times a day
for 5 days. Therapy should be started at the earliest sign or
symptom.
Ointment:
Apply ointment to affected area every 3 hours, 6 times per day,
for 7 days. Use enough ointment (approximately one-half inch
ribbon of ointment per 4 square inches of surface area) to cover
the affected area.
For Herpes
Zoster (Shingles)
The usual
adult dose is 800 milligrams (one 800-milligram tablet or 4
teaspoonfuls of liquid) every 4 hours, 5 times daily for 7 to
10 days.
For Chickenpox:
The usual
adult dose is 800 milligrams 4 times a day for 5 days.
If you have
a kidney disorder, the dose will need to be adjusted by your
doctor.
CHILDREN
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The usual dose for chickenpox in children 2 years of age and
older is 20 milligrams per 2.2 pounds of body weight taken orally
4 times daily, for a total of 80 milligrams per 2.2 pounds,
for 5 days. A child weighing more than 88 pounds should take
the adult dose.
The
safety and effectiveness of oral Zovirax have not been established
in children under 2 years of age. However, your doctor may decide
that the benefits of Acyclovir outweigh the potential risks.
The safety and effectiveness of Acyclovir ointment in children
have not been established.
OLDER ADULTS
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Your doctor will start you at the low end of the dosage range,
since older adults are more apt to have kidney problems or other
disease, or to be taking other medications.
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Overdosage
Zovirax
is generally safe. However, any medication taken in excess can
have serious consequences. If you suspect an overdose, seek
medical attention immediately.
Symptoms
of Zovirax overdose may include:
Agitation, kidney failure, lethargy, coma, seizures
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