Valaciclovir is indicated for the treatment of herpes zoster (shingles). Valaciclovir accelerates pain resolution: reduces the duration and proportion of pain patients associated with zoster, which includes acute and post-herpetic neuralgia. Valaciclovir is also indicated to treat skin and mucous membrane infections due to herpes simplex, including recurrent and initial genital herpes. Valaciclovir is also indicated to treat cold sores. Valaciclovir is also indicated to prevent (suppress) recurrent herpes infections on the skin and mucous membranes, including genital herpes. Valaciclovir can reduce the transmission of genital herpes when taken as therapy. Suppressive and combined with safer sexual practices.

What is Valaciclovir?

Valaciclovir belongs to a group of medicines called antivirals. Functioning as a sexual health treatment medication, it works by stopping or stopping the growth of viruses called herpes simplex (HSV), chickenpox zoster (VZV), and cytomegalovirus (CMV).

Valaciclovir can be used to:

  • Treat herpes zoster (in adults).
  • Treat HSV infections of the skin and genital herpes (in adults and adolescents over 12 years old). It is also used to prevent these infections from coming back.
  • Treat fever (in adults and adolescents over 12 years old).
  • Prevent CMV infection after organ transplants (in adults and adolescents over 12 years old).

How does it work?

Valaciclovir is rapidly converted to acyclovir, which inhibits the synthesis of viral DNA. To exert its effect, acyclovir must be phosphorylated intracellularly, which is achieved by a viral thymidine kinase that transforms it into monophosphate. Subsequently, this monophosphate is converted to diphosphate by means of a cellular guanylate kinase and finally to the triphosphate by means of various cellular enzymes. Once acyclovir triphosphate is synthesized, it selectively inhibits viral DNA polymerase by competing with deoxyguanosine triphosphate. Inhibition of viral DNA synthesis only occurs in infected cells, whereas DNA synthesis in normal cells is not affected. Inhibition of viral DNA synthesis prevents virus replication. Acyclovir is active against various types of herpes simplex virus and against the varicella-zoster virus. Antiviral activity depends on several factors, in particular the time between infection and treatment. The resistance of herpes and herpes zoster viruses to acyclovir can be caused by mutation of the genes that encode thymidine kinase or DNA polymerase. In the first case, a mutation of the virus thymidine kinase can reduce or prevent the formation of thymidine triphosphate and, consequently, acyclovir triphosphate. In the second case, DNA polymerase becomes capable of differentiating between acyclovir triphosphate or deoxyguanosine triphosphate whereby DNA synthesis can be carried out.

What are the benefits of taking it?

Valaciclovir is a varicella-zoster, cytomegalic, and herpes simplex antiviral drug. Valaciclovir is used to treat or prevent episodes of the herpes virus, including genital herpes or shingles (herpes zoster) in adults. Valaciclovir is used to reduce the chance that an adult with genital herpes will transmit this virus to an uninfected sexual partner. Valaciclovir is also used for the treatment of cold sores in adults and children at least 12 years of age, or of chickenpox in children from 2 to 18 years of age. There is no cure for herpes, and Valaciclovir will not prevent you from developing symptoms in the future. If you have genital herpes, your sexual partner may be infected even though you have no symptoms. A medical test is the only way to accurately diagnose genital herpes.

How do I use it and its dosage?

Always use this medicine exactly as your doctor has told you. In case of doubt, check with your doctor or pharmacist again.

The dose you should take will depend on what your doctor has prescribed Valaciclovir for. Your doctor will prescribe the appropriate dosage.

Herpes zoster treatment

The usual dose is 1,000 mg (one 1,000 mg tablet or two 500 mg tablets) three times a day.

You must take Valaciclovir for seven days.

Treatment of fever

The usual dose is 2,000 mg (two 1,000 mg tablets or four 500 mg tablets) twice a day.

The second dose should be taken 12 hours after the first dose (not earlier than 6 hours).

You should take Valaciclovir Almus only for one day (two doses).

Treatment of HSV infections of the skin and genital herpes

The usual dose is 500 mg (one 500 mg tablet or two 250 mg tablets) twice a day.

For the first infection, you should take Valaciclovir for 5 days or up to 10 days if your doctor tells you to. For recurrent infections, the duration of treatment is usually 3-5 days.

Prevention of recurrent HSV infections once you’ve had them

The usual dose is one 500 mg tablet once a day.

Some people with frequent recurrences may benefit from taking one 250 mg tablet twice daily.

You should take Valaciclovir until your doctor tells you to stop treatment.

To avoid infection with CMV (cytomegalovirus)

The usual dose is 2,000 mg (two 1,000 tablets or four 500 mg tablets) four times a day.

You should space the dose every 6 hours.

You will usually start taking Valaciclovir as soon as possible after surgery.

You should take Valaciclovir for about 90 days after surgery until your doctor tells you to stop treatment.

Your doctor may adjust the dose of Valaciclovir if:

  • you are over 65 years old
  • have a weakened immune system
  • have kidney problems

Method of use and/or route of administration

Take this medication by mouth.

Swallow the tablets whole with a glass of water.

Take Valaciclovir at the same time each day.

Take Valaciclovir as directed by your doctor or pharmacist.

Side effects & precautions

Like all medicines, this Genital Herpes treatment medication can cause side effects, although not everybody gets them.

Serious adverse reactions (anaphylaxis). These are rare in people taking Valaciclovir.

The rapid development of symptoms, including:

  • Rash with flushing, itching
  • Swelling of the lips, face, neck, and throat, causing difficulty breathing (angioedema)
  • Drop-in blood pressure leading to collapse
  • If you have an allergic reaction, stop taking Valaciclovir and see a doctor immediately.

The following section details the known Valaciclovir side effects and their frequency:

Very common (may affect more than 1 in 10 people):

  • Headache

Common (may affect 1 to 10 users in 100)

  • Sickness
  • Dizziness
  • Vomiting
  • Diarrhea
  • Skin reactions after sun exposure (photosensitivity)
  • Eruption

Uncommon (may affect 1 to 10 users in 1,000):

  • Difficulty breathing (dyspnea)
  • Stomach ache
  • Rash, sometimes itchy, hives (hives)
  • Low back pain (kidney pain)

Uncommon side effects may show up in your blood tests:

  • Reduction in the number of white blood cells (leukopenia)
  • Reduction in the number of platelets that are cells that help the blood to clot (thrombocytopenia)
  • Increase in substances produced by the liver

Rare (may affect 1 to 10 users in 10,000):

  • Kidney problems that make you urinate little or not urinate.

Very rare (affects less than 1 in 10,000 people):

Nervous system disorders

  • Agitation
  • Confusion
  • Tremor
  • Difficulty of movement
  • Difficulty speaking
  • Confusion or imagination of things (hallucinations)
  • Seizures
  • Drowsiness
  • Encephalopathy (alteration in the brain)

500mg 10 (1 treatment), 500mg 20 tablets, 500mg 30 Tablets, 500mg 42 Tablets, 500mg 84 Tablets


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