Indications of Revira 500 mg
Revira 500 mg is indicated for the treatment of Herpes zoster (shingles). It is indicated for the treatment or suppression of genital herpes in immuno-competent individuals and for the suppression of recurrent genital herpes in HIV infected individuals. It is also indicated for the treatment of cold sores (Herpes labialis).
Theropeutic Class
Herpes simplex & Varicella-zoster virus infections
Pharmacology
Revira 500 mg is the hydrochloride salt of L-valyl ester of the antiviral drug acyclovir. Revira 500 mg is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Revira 500 mg lessens the symptoms of infections and shortens the length of time of sickness. Revira 500 mg is used in the treatment and suppression of genital herpes, shingles and cold sores.
Dosage & Administration of Revira 500 mg
Adult Dosage:
Cold Sores: 2 grams every 12 hours for 1 day
Genital Herpes:
Initial episode: 1 gram twice daily for 10 days
Recurrent episodes: 500 mg twice daily for 3 days Suppressive therapy
Immunocompetent patients: 1 gram once daily
Alternate dose in patients with < 9 recurrences/year: 500 mg once daily
HIV-infected patients: 500 mg twice daily
Reduction of transmission: 500 mg once daily
Herpes Zoster: 1 gram 3 times daily for 7 days
Pediatric Dosage:
Cold Sores (> 12 years of age): 2 grams every 12 hours for 1 day
Chickenpox (2 to < 18 years of age): 20 mg/kg 3 times daily for 5 days; not to exceed 1 gram 3 times daily
Dosage of Revira 500 mg
Adult Dosage:
Cold Sores: 2 grams every 12 hours for 1 day
Genital Herpes:
Initial episode: 1 gram twice daily for 10 days
Recurrent episodes: 500 mg twice daily for 3 days Suppressive therapy
Immunocompetent patients: 1 gram once daily
Alternate dose in patients with < 9 recurrences/year: 500 mg once daily
HIV-infected patients: 500 mg twice daily
Reduction of transmission: 500 mg once daily
Herpes Zoster: 1 gram 3 times daily for 7 days
Pediatric Dosage:
Cold Sores (> 12 years of age): 2 grams every 12 hours for 1 day
Chickenpox (2 to < 18 years of age): 20 mg/kg 3 times daily for 5 days; not to exceed 1 gram 3 times daily
Interaction of Revira 500 mg
No dosage adjustment is recommended when Revira 500 mg is coadministered with digoxin, antacids, thiazide diuretics, cimetidine or probenecid in subjects with normal renal function.
Contraindications
Revira 500 mg is contraindicated in patients with a known hypersensitivity or intolerance to Revira 500 mg, acyclovir, or any component of the formulation.
Side Effects of Revira 500 mg
The most frequently reported adverse reactions were nausea (15%), headache (14%), vomiting (6%), dizziness (3%) and abdominal pain (3%).
Pregnancy & Lactation
Pregnancy category B. Revira 500 mg was not teratogenic in rats or rabbits at 10 and 7 times human plasma levels, respectively, during the period of major organogenesis. There is no adequate and well-controlled studies of Revira 500 mg in pregnant women. Nursing Mothers: Unchanged Revira 500 mg was not detected in maternal serum, breast milk, or infant urine. Revira 500 mg should be administered to a nursing mother with caution and only when indicated.
Precautions & Warnings
Dosage reduction is recommended when administering Revira 500 mg to patients with renal impairment. Similar caution should be exercised when administering Revira 500 mg to geriatric patients and patients receiving potentially nephrotoxic agents. The safety and efficacy of Revira 500 mg have not been established in immuno compromised patients other than for the suppression of genital herpes in HIVinfected patients
Storage Conditions
Store in cool & dry place, away from children.
Use In Special Populations
Pediatric Use: Safety and effectiveness of Revira 500 mg in pre-pubertal pediatric patients have not been established. Elderly Use (Over 65 yr.): Elderly patients may require a dose reduction of Revira 500 mg due to a low body weight or disorders (renal, CNS etc.) associated with aging.
Drug Classes
Herpes simplex & Varicella-zoster virus infections
Mode Of Action
Revira 500 mg is the hydrochloride salt of L-valyl ester of the antiviral drug acyclovir. Revira 500 mg is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Revira 500 mg lessens the symptoms of infections and shortens the length of time of sickness. Revira 500 mg is used in the treatment and suppression of genital herpes, shingles and cold sores.
Pregnancy
Pregnancy category B. Revira 500 mg was not teratogenic in rats or rabbits at 10 and 7 times human plasma levels, respectively, during the period of major organogenesis. There is no adequate and well-controlled studies of Revira 500 mg in pregnant women. Nursing Mothers: Unchanged Revira 500 mg was not detected in maternal serum, breast milk, or infant urine. Revira 500 mg should be administered to a nursing mother with caution and only when indicated.
Pediatric Uses
Pediatric Use: Safety and effectiveness of Revira 500 mg in pre-pubertal pediatric patients have not been established. Elderly Use (Over 65 yr.): Elderly patients may require a dose reduction of Revira 500 mg due to a low body weight or disorders (renal, CNS etc.) associated with aging.