Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
ACYCLOVIR
XEPA-SOUL PATTINSON (MALAYSIA) SDN BHD
ACYCLOVIR
25 Tablets
XEPA-SOUL PATTINSON (MALAYSIA) SDN BHD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ AVORAX TABLET Acyclovir (200mg, 400mg) 1 WHAT IS IN THIS LEAFLET: 1. What Avorax Tablet is used for 2. How Avorax Tablet works 3. Before you use Avorax Tablet 4. How to use Avorax Tablet 5. While you are using Avorax Tablet 6. Side Effects 7. Storage and Disposal of Avorax Tablet 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision _ _ WHAT AVORAX TABLET IS USED FOR It is used to treat: herpes simplex viral infection (cold sores) on the skin, including initial and recurrent viral infection of the eye, lips and genital area. chicken pox shingles, a painful skin rash with blisters. HOW AVORAX TABLET WORKS Avorax Tablet contains an active ingredient, Acyclovir. Acyclovir is the anti-viral which inhibits the growth of virus by preventing the spreading of virus in the body. BEFORE YOU USE AVORAX TABLET _When you must not use it _ Do not use Avorax Tablet if you are allergic to Acyclovir or any other ingredients in this medicine. _ _ _Before you start to use it _ Tell your doctor or pharmacist before using Avorax Tablet if you: are pregnant or plan to pregnant. are breast-feeding or plan to start breast-feeding. have kidney failure. are dehydrated (loss of body’s fluid). _Taking other medicines _ Tell your doctor or pharmacist if you are taking Probenecid and Zidovudine or having recently taken any other medicines. This includes any medicines which you have bought without a prescription. HOW TO USE AVORAX TABLET _How much to use _ _For _ _treatment _ _of _ _herpes _ _simplex _ _viral _ _infection: _ Adults: 200mg 5 times or 4 hourly daily. For 5- 10 days. Can be increased to 400mg for patients with impaired absorption from the gut. Children more than 2 years: as per adult dose. Children less than 2 years: half of the adult dose. Kidney failure patients: 200mg every 12 hours. _For _ _treatment _ _of _ _recurrent _ _herpes _ _simplex _ _viral _ _infection _ _in _ _immune _ _deficiency patients: Baca dokumen lengkap
COMPOSITION AVORAX 200mg: Each tablet contains Acyclovir 200mg. AVORAX 400mg: Each tablet contains Acyclovir 400mg. PHARMACODYNAMICS Acyclovir is a synthetic purine nucleoside analogue with in vitro and in vivo inhibitory activity against human herpes viruses, including herpes simplex virus (HSV) types I and II and varicella zoster virus (VZV). The inhibitory activity of acyclovir for HSV I, HSV II and VZV is highly selective. The enzyme thymidine kinase (TK) of normal, uninfected cells does not use acyclovir effectively as a substrate, hence toxicity of mammalian host cells is low; however, TK encoded by HSV and VZV converts acyclovir to acyclovir monophosphate, a nucleoside analogue which is further converted to the diphosphate and finally to the triphosphate by cellular enzymes. Acyclovir triphosphate interferes with the viral DNA polymerase and inhibits viral DNA replication with resultant chain termination following its incorporation into the viral DNA. Prolonged or repeated courses of acyclovir in severely immune-compromised individuals may result in the selection of virus strains with reduced sensitivity, which may not respond to continued acyclovir treatment. Most of the clinical isolates with reduced sensitivity have been relatively deficient in viral TK, however, strains with altered viral TK or viral DNA polymerase have also been reported. In vitro exposure of HSV isolates to acyclovir can also lead to the emergence of less sensitive strains. The relationship between the in vitro determined sensitivity of HSV isolates and clinical response to acyclovir therapy is not clear. PHARMACOKINETICS Acyclovir is only partially absorbed from the gut. Mean steady state peak plasma concentrations (C ss max) following doses of 200 mg administered four-hourly were 3.1 microMol (0.7 micrograms/ml) and equivalent trough plasma levels (C ss min) were 1.8 microMol (0.4 micrograms/ml). Corresponding C ss max levels following doses of 400 mg and 800 mg administered four-hourly were 5.3 microMol (1.2 micrograms/ml) and 8 m Baca dokumen lengkap