Acyclovir Tablets is an antiviral drug that slows the development and spread of the herpes virus. It won't cure herpes, but the symptoms of the infection can be diminished.

Acyclovir is used to treat diseases such as

  • Genital herpes
  • Cold sores
  • Shingles
  • Chickenpox is caused by the herpes virus

What are the Uses of Acyclovir Tablet?

Acyclovir is an antiviral medication used to treat infections caused by certain viruses. It helps reduce the symptoms and duration of viral infections by slowing the growth and spread of the virus in the body.

Conditions Acyclovir is Used to Treat

Acyclovir is commonly used to treat:

  • Herpes Simplex Virus (HSV) infections (oral and genital herpes)
  • Varicella (chickenpox)
  • Herpes Zoster (shingles)
  • Herpes encephalitis (a rare brain infection caused by HSV)
  • Cold sores (fever blisters)

Secondary Benefits of Acyclovir

  • Prevention of herpes in the genitals.
  • Secondary herpes prophylaxis in patients with recurrences that are recurrent and/or severe.
  • Preventing viral infections in people with weakened immune systems (e.g., cancer, HIV/AIDS, post-transplant)
  • Reducing the transmission risk of genital herpes between partners (as part of suppressive therapy)
  • Herpetic kerato-uveitis therapy.
  • Treatment of extreme types of zoster: facial or ophthalmic zoster, necrotic or extensive forms.

Acyclovir Cream Uses

It is used to treat the face or lips with cold sores (fever blisters; blisters caused by a virus called herpes simplex).

Acyclovir ointment is used to treat early outbreaks of genital herpes (an infection of the herpes virus that sometimes causes sores to develop around the genitals and rectum) and to treat some forms of herpes simplex virus-induced sores in people with poor immune systems.

Acyclovir belongs to a class of antiviral drugs called synthetic nucleosides.

How to Use Acyclovir Cream?

  • Clean your hands.
  • Clean and dry the region of the skin where the cream is being applied.
  • To protect the skin where the cold sore has formed or appears likely to form, add a coat of cream.
  • When it disappears, massage the cream onto the skin.
  • Leave the skin exposed where you have applied the drug. Unless your doctor advises you that you should, do not apply a bandage or dressing.
  • To remove any cream left on your hands, wash your hands with soap and water.
  • Remember not to wash away the cream from your skin. Right after applying acyclovir cream, do not bathe, shower, or swim.
  • When using acyclovir cream, avoid the discomfort of the cold sore area.

How Does Acyclovir Work?

Acyclovir works by stopping the virus from multiplying in the body.

Mechanism of Action

When a virus infects your body, it makes copies of itself using your cells. Acyclovir enters the infected cells and turns into an active form. This active form blocks a key enzyme that the virus needs to copy its DNA. Without new viral DNA, the virus can t grow or spread.

So, Acyclovir helps control the infection by stopping the virus from making more copies of itself giving your immune system time to fight it off.

Acyclovir Dosage

Acyclovir dosage varies based on the condition being treated, age, and the patient s health. It is usually taken 2 to 5 times a day with or without food, as prescribed by your doctor.

What Should I Do If I Miss a Dose?

Take the missed dose as soon as you remember. Skip it if it's almost time for your next dose Do not take two doses at once.

What Happens if I Overdose?

An Acyclovir overdose can be serious and may require medical attention. Seek emergency help if an overdose is suspected.

Symptoms of Overdose May Include

  • Nausea or vomiting
  • Confusion or agitation
  • Hallucinations
  • Seizures
  • Kidney problems (e.g., decreased urination)

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Acyclovir Dosage Based on Kidney Function

Acyclovir is removed from the body by the kidneys. If someone has reduced kidney function, the dosage may need to be adjusted to avoid side effects and toxicity.

Standard Dosage (Normal Kidney Function)

Dosage may vary based on whether you are using the tablet, cream, or injection form. Acyclovir injection uses typically involve hospital settings for severe viral infections, requiring adjusted doses based on kidney health.

  • 200 mg every 4 hours, five times a day
  • 400 mg every 12 hours for long-term suppression
  • 800 mg every 4 hours, five times a day (usually for shingles or chickenpox)

Dose Adjustments for Kidney Problems

For people with reduced kidney function, the dosage is changed based on how well their kidneys are working (measured as creatinine clearance):

If kidney function is very low (10 mL/min or less):

  • 200 mg every 12 hours
  • 800 mg every 12 hours (for severe infections)

If kidney function is between 10 25 mL/min:

  • 800 mg every 8 hours

If kidney function is about 25 mL/min or better:

  • 800 mg every 4 hours, five times a day

What are the Side Effects of Acyclovir?

Side effects can be caused by topical Acyclovir. If any of these symptoms are there or do not go away, tell your doctor:

  • Cracked or dry lips
  • Skin that is flaky, peeling, or dry
  • Skin that is burning or stinging
  • Redness, swelling, or pain at the place where the drug was applied

Serious Acyclovir Side Effects

Common Acyclovir Side Effects (may affect up to 1 in 10 people)

  • Headache
  • Feeling dizzy
  • Feeling or being diseased
  • Diarrhea
  • Pain in the stomach
  • Skin reaction after light exposure (photosensitivity)
  • Feeling tired easily
  • Unexplained fever and feeling faint (high temperature), some unusual side effects (which may affect up to 1 in 100 people)

Rare Acyclovir Side Effects (may affect up to 1 in 10, 000 individuals)

  • Decrease red blood cell numbers (anemia)
  • Reduced white blood cell numbers (leukopenia)
  • Reduced blood platelet numbers (cells that clot blood-thrombocytopenia)
  • Feeling dizzy and weak
  • Feeling restless or confused
  • Tremors or trembling
  • Hallucinations (seeing things that are not there or hearing them)
  • Feeling unusually drowsy or sleepy
  • Unsteadiness while walking and absence of coordination
  • Difficulties with speaking
  • Coma
  • Paralysis of the whole or a portion of your body
  • Stiff neck and light sensitivity
  • Hepatitis
  • Renal Pain

Important Precautions and Warnings

Before taking Aciclovir, talk to your doctor or pharmacist.

Who should avoid this Medicine?

Acyclovir should be avoided or used with caution in the following cases:

  • People allergic to Acyclovir or similar antiviral drugs (like valacyclovir)
  • Individuals with kidney problems may need adjusted doses to prevent side effects
  • Dehydrated individuals: Acyclovir can affect kidney function, especially without enough fluids
  • Pregnant or breastfeeding women: Use only if prescribed by a doctor
  • Elderly patients have a Higher risk of kidney issues and confusion; they should be monitored carefully

Conditions where caution is needed

  • If you have kidney disorders
  • If you are 65 years or older
  • If you have abnormalities in the nervous system, please inform them.

Are There Any Age Restrictions for Using Acyclovir?

Acyclovir can be used in both children and adults, but the dosage and form (tablet, suspension, or injection) are adjusted based on age, weight, and the condition being treated.

  • Infants and young children: Often prescribed Acyclovir suspension with careful dosing.
  • Elderly patients: May need lower doses, especially if they have kidney issues.

Possible Interactions with Other Medications

Acyclovir may interact with certain medications, increasing the risk of side effects or affecting the effectiveness of each drug. Important interactions include:

  • Probenecid can slow down how Acyclovir is removed from the body, increasing its levels
  • Other antiviral or nephrotoxic drugs may raise the risk of kidney damage
  • Ciclosporin and Tacrolimus (immunosuppressants) can increase kidney strain
  • Methotrexate may increase the risk of toxicity when combined
  • Zidovudine (used in HIV) can increase drowsiness or tiredness

Always tell your doctor about all medications, vitamins, or supplements you re taking before starting Acyclovir.

How Should Acyclovir Be Stored?

Store Acyclovir at room temperature, typically between 20°C to 25°C (68°F to 77°F). Keep the medication in a cool, dry place, away from direct sunlight and moisture.

What Happens If Acyclovir Is Not Stored Properly?

If not stored correctly, Acyclovir may lose its effectiveness or go bad, making it less effective at treating infections. Exposure to heat, moisture, or light can degrade the medicine.

Safety Tips

  • Keep Acyclovir out of reach of children
  • Do not store in bathrooms or near the kitchen sink
  • Keep it tightly closed in its original packaging

References

Cocrystallization and amorphization induced by drug excipient interaction improves the physical properties of acyclovir

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Frequently Asked Questions

The usual maximum dose is one application per day, typically at night. Using more than recommended won't speed up results and may cause skin irritation or dryness.

Adapalene should be stored at room temperature. Do not refrigerate, as extreme cold may affect the consistency and effectiveness of the gel or cream.

Adapalene usually shows results within 8 to 12 weeks. You may need to use it long-term to keep acne under control, as advised by your dermatologist.

Alternatives to Acyclovir include Valacyclovir, Famciclovir, and Penciclovir. These are antiviral medications that also treat herpes-related infections. Always consult a doctor before switching medications.

Acyclovir can help treat viral rashes caused by herpes viruses, such as shingles or cold sores. It does not work for rashes caused by allergies, bacteria, or fungi.


Disclaimer: The information provided is accurate and up-to-date to the best of our knowledge. However, it should not be considered a substitute for medical advice or consultation. We do not guarantee its completeness or accuracy. The absence of specific warnings does not mean a medicine is safe for all users. We are not responsible for any outcomes based on this information and strongly recommend consulting a doctor for any medical concerns or questions.

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