Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
ACYCLOVIR
APEX PHARMACY MARKETING SDN. BHD.
ACYCLOVIR
36Tablet Tablets
DELORBIS PHARMACEUTICALS LTD.
HERPEVEX TABLET Acyclovir (400mg, 800mg) 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What HERPEVEX is used for 2. How HERPEVEX works 3. Before you take HERPEVEX 4. How to take HERPEVEX 5. While you are taking HERPEVEX 6. Side Effects 7. Storage and Disposal of HERPEVEX 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision 11. Serial Number WHAT HERPEVEX IS USED FOR HERPEVEX belongs to a group of medicines called antivirals and it is used to treat herpes simplex infections. HERPEVEX is indicated for: The treatment of herpes simplex virus infections of the skin and mucous membranes including initial and recurrent genital herpes. The suppression (prevention of recurrences) of recurrent herpes simplex infections in immunocompetent patients. The prophylaxis of herpes simplex infections in immunocompromised patients. The treatment of varicella (chickenpox) and herpes zoster (shingles) infections. Early treatment of shingles with HERPEVEX has a beneficial effect on pain and can reduce the incidence of post-herpetic neuralgia (zoster-associated pain). Ask your doctor why you have to take this medicine. HOW HERPEVEX WORKS HERPEVEX works by killing or stopping the growth of viruses. BEFORE YOU TAKE HERPEVEX - _When you must not take it _ In case of hypersensitivity to Acyclovir or valAcyclovir or to any of the other ingredients If you are pregnant or breast feeding mother - _Before you start to take it _ BE CAUTIOUS WITH HERPEVEX The dose of HERPEVEX must be adjusted in patients with kidney problems and elderly as acyclovir is eliminated by kidney. Both elderly patients and patients with kidney problems are at increased risk and should be closely monitored. In the reported cases, these reactions were generally reversible on discontinuation of treatment. Patients receiving higher oral doses of acyclovir should drink more water. PREGNANCY Ask your doctor’s or pharmacist’s advice before you take any medicine. LACTATION Ask you Baca dokumen lengkap
HERPEVEX TABLET COMPOSITION Herpevex 400mg Tablet: Aciclovir 400.00 mg Herpevex 800mg Tablet: Aciclovir 800.00 mg DESCRIPTION Herpevex 400mg Tablet: White to off-white, flat, circular tablets, 12mm diameter, scored on one side. Herpevex 800mg Tablet: White to off-white, oblong tablets, scored on one side. PHARMACODYNAMICS Aciclovir 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 aciclovir for HSV I, HSV II and VZV is highly selective. The enzyme thymidine kinase (TK) of normal uninfected cells does not use aciclovir effectively as a substrate, hence toxicity of mammalian host cells is low. However, TK encoded by HSV and VZV converts aciclovir to aciclovir monophosphate, a nucleoside, analogue which is further converted to the diphosphate and finally to the triphosphate by cellular enzymes. Aciclovir triphosphate interferes with the viral DNA polymerase and inhibits viral DNS replication with resultant chain termination following its incorporation into the viral DNA. Prolonged or repeated courses of aciclovir is severely immune- compromised individuals may result in the selective of virus strains with reduced sensitivity, which may not respond to continued aciclovir treatment. Most of the clinical isolates with reduced sensitivity have been relatively deficient in viral TK. However, strains with altered viral TK or DNA polymerase have also been reported. In vitro exposure of HSV isolates to aciclovir can also lead to the emergence of less sensitive strains. The relationship between the in vitro determined sensitivity of HSV isolate and clinical response to aciclovir therapy is not clear. PHARMACOKINETICS The absorption of Aciclovir from the gut is only partial. Following doses of 200 mg, 400 mg and 800 mg, administered four-hourly, the mean steady state peak plasma concentrations (C ss Max) were 3.1 micromol (0.7 micrograms/ml), 5.3 m Baca dokumen lengkap