Additionally, antiviral treatment with oral valacyclovir
(2 g every 8 hours for 7 days) was initiated per the patient's request (but is not currently recommended by AAO-HNS).
The treatment regimen for OAS secondary to herpes zoster includes 4000 mg/day acyclovir (800 mg, 5 times daily) or 3000 mg/day valacyclovir
(1000 mg, 3 times daily) and systemic steroids.
Nursing home records showed that the patient had a recent onset of shingles and was started on valacyclovir
by his primary care physician three days prior to presentation.
Acyclovir is the least expensive drug, but valacyclovir
is the most convenient therapy given its less frequent dosing.
Previous lesions were treated with 2-week course of oral valacyclovir
(0.3 g, tid).
There is no added benefit of acyclovir compared to prednisolone alone and the value of valacyclovir
either alone or in combination with glucocorticoids is not known.
The patient was diagnosed as having herpes zoster by a dermatological examination and treated with valacyclovir
for seven days (3 g/day oral).
clinical research centers received pritelivir or valacyclovir
for 28 days, followed by a washout period, then a 28-day course of the other drug, said Anna Wald, MD, of the University of Washington and the Fred Hutchinson Cancer Research Center, Seattle, and her associates.
He was admitted for intravenous foscarnet therapy of a recurrent genital herpes infection that was unresponsive to oral valacyclovir
. His first episode of genital herpes had occurred three years prior to admission; he was treated at that time with valacyclovir
(1000 mg twice daily for 14 days) with complete resolution.
The patient was started on oral valacyclovir
(Valtrex) 1 g/three times daily for fellow eye prophylactic treatment.
After diagnosis of HSV infection, he was treated with valacyclovir
1 gram (g) orally twice daily for 10 days.
Recommended treatment of choice of HSE is intravenous acyclovir ; however, the outcomes of treatment with oral valacyclovir
have also been evaluated and it may be an acceptable treatment option in resource limited settings .