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penciclovir (Denavir)

 

Classes: Antivirals, Topical

Dosing and uses of Denavir (penciclovir)

 

Adult dosage forms and strengths

cream

  • 0.1%

 

Treatment of Recurrent Herpes Labialis (Cold Sores)

At first onset of symptoms apply q2hr while awake x4 days

 

Pediatric dosage forms and strengths

cream

  • 0.1%

 

Treatment of Recurrent Herpes Labialis (Cold Sores)

>12 years old: At first onset of symptoms apply q2hr while awake x4 days

 

Denavir (penciclovir) adverse (side) effects

1-10%

Application site reaction (1.3%)

Headache (5.3%)

 

<1%

Hypesthesia/local anesthesia

Rash

Taste perversion

 

Warnings

Contraindications

Hypersensitivity

 

Cautions

Use gloves to apply because may inoculate other areas

External use only

Lips/face only

NOT in or near eyes

 

Pregnancy and lactation

Pregnancy category: B

Lactation: not known if excreted in human milk

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Denavir (penciclovir)

Absorption: none

 

Mechanism of action

Penciclovir is converted to the pharmacologically active triphosphate metabolite, which has in vitro and in vivo inhibitory activity against various Herpesviridae, including herpes simplex virus types 1 and 2 (HSV-1 and HSV-2), varicella-zoster virus (VZV), and Epstein-Barr virus (EBV)