Acyclovir Inj
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Acyclovir Inj to:
Generic Name for Acyclovir Inj
Acyclovir (as sodium) 500mg/vial; lyophilized pwd for IV infusion after reconstitution and dilution; contains sodium 49mg/vial.
Legal Classification:
Rx
Pharmacological Class for Acyclovir Inj
Nucleoside analogue.
Manufacturer of Acyclovir Inj
Various generic manufacturers
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Indications for Acyclovir Inj
Genital herpes (severe initial episodes in immunocompetent patients). Herpes simplex (in neonates, and as initial and recurrent treatment in immunocompromised patients). Herpes simplex encephalitis. Varicella zoster (immunocompromised patients).
Adult dose for Acyclovir Inj
Give by IV infusion over 1 hour. Mucocutaneous herpes simplex (immunocompromised): 5mg/kg every 8 hours for 7 days. Genital herpes: 5mg/kg every 8 hours for 5 days. Encephalitis: 10mg/kg every 8 hours for 10 days. Varicella zoster (immunocompromised): 10mg/kg every 8 hours for 7 days. All: max 20mg/kg every 8 hours. Obese: dose based on ideal body weight. Renal impairment: CrCl 25–50mL/min: give dose every 12 hours; CrCl 10–25mL/min: give dose every 24 hours; CrCl<10mL/min: reduce dose by 50% and give every 24 hours. Coincide a dose for after hemodialysis.
Children's dosing for Acyclovir Inj
Give by IV infusion over 1 hour. Neonatal (birth–3mos) herpes simplex: 10mg/kg every 8 hours for 10 days (doses of 15–20mg/kg every 8 hours have been used; see literature). Mucocutaneous herpes simplex (immunocompromised): 10mg/kg every 8 hours for 7 days. Encephalitis: 3mos–12yrs: 20mg/kg every 8 hours for 10 days. Varicella zoster: <12yrs (immunocompromised): 20mg/kg every 8 hours for 7 days. All: max 20mg/kg every 8 hours. Obese: dose based on ideal body weight. Renal impairment: CrCl 25–50mL/min: give dose every 12 hours; CrCl 10–25mL/min: give dose every 24 hours; CrCl <10mL/min: reduce dose by 50% and give dose every 24 hours. Coincide a dose for after hemodialysis.
Contraindications for Acyclovir Inj
Valacyclovir hypersensitivity.
Warnings/Precautions for Acyclovir Inj
Renal impairment: see literature. Maintain adequate hydration. Neurological or serious renal, hepatic, or electrolyte abnormalities, or significant hypoxia. Elderly. Pregnancy (Cat.B). Nursing mothers.
Interactions for Acyclovir Inj
Avoid nephrotoxic drugs. Potentiated by probenecid.
Adverse Reactions for Acyclovir Inj
Inj site reactions, transient elevated BUN and serum creatinine, GI upset, pruritus, rash, CNS effects (esp. in elderly), elevated transaminases, hematologic abnormalities, renal failure, thrombotic thrombocytopenic purpura/hemolytic uremic syndrome in immunocompromised patients.
How is Acyclovir Inj supplied?
Contact supplier.
Related Disease:
Herpes, genital~systemic antivirals
Herpes, simplex
Varicella