Pharm

Valacyclovir

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Valacyclovir, Valtrex

  • Indications
  1. Herpes Zoster (Shingles)
  2. Genital Herpes (initial, recurrent or prophylaxis)
  3. Herpes Labialis (Oral Herpes)
  • Dosing
  1. Herpes Labialis (Cold Sores)
    1. Adult: 2 grams PO q12 hours for 1 day
  2. Herpes Zoster (Shingles)
    1. Adult: 1 gram tid for 7 days
  3. Genital Herpes
    1. Initial: 1 gram PO bid for 10 days
    2. Recurrent: 500 mg PO bid for 3 days
    3. Prophylaxis (for up to 1 year)
      1. Immunocompetent (<9 episodes/year): 500 mg PO qd
      2. Immunocompetent (9 or more per year): 1000 mg PO qd
      3. HIV with CD4>100: 500 mg PO bid
  • Adverse Effects
  1. Nausea or Vomiting
  2. Headache
  3. Dizziness