Buy Valtrex

Mon, 01 Oct 2007 16:23:13 +0200

Buy Valacyclovir (Valtrex) 30 pills for $59
1g generic Valtrex (Valacyclovir) from licensed online pharmacy. No prescription needed.
Worldwide shipping is $12. 10% Discount for returning customers.
www.4rx.com

Order Valacyclovir (Valtrex) 36 pills for $81
Cheap Valacyclovir 500mg, 1g Valacyclovir from online pharmacy. No prescription needed.
Guaranteed delivery.Lowest prices. 10% discount rebate on reorders.
www.xlpharmacy.com

Cheap Valtrex 20 pills for $50
Buy Valtrex online 500mg from online pharmacy. No prescription required.
Free shipping on orders over $149. Worldwide shipping fast.
www.medstore.biz

Generic Valtrex (Valacyclovir) 60 pills for $173
Cheap Valtrex online 500mg from online pharmacy. No prescription required.
Guaranteed worldwide delivery is $16. Lowest prices. 20% discount FREE pills reorders.
www.aclepsa.com

Valacyclovir (generic Valtrex) 120 pills for $346
Buy Valtrex online 500mg from online pharmacy. No need for a prescription
Fast Worldwide delivery is $16. Discounts. Log in to see. 20% FREE pills for returning customers.
www.qualitygenerics.com
Buy Cheap Valtrex online, Order valacyclovir, Generic Valtrex available now, Buy Valtrex, Buy valacyclovir

Brand name: valtrex
Generic name: valacyclovir

valacyclovir hydrochloride

(val ah sye' kloe ver)

Valtrex Valacyclovir

Pregnancy Category B

Drug class

Antiviral

Therapeutic actions

Antiviral activity; inhibits viral DNA replication and deactivates viral DNA polymerase.

Indications Valtrex Valacyclovir

· Treatment of herpes zoster (shingles)

· Episodic treatment of first-episode or recurrent genital herpes in immunocompetent patients

· Suppression of recurrent episodes of genital herpes in HIV patients

· Reduction of risk of heterosexual transmission of genital herpes to healthy partners when combined with safe sex practices

· Treatment of cold sores (herpes labialis) in healthy adults and adolescents

Contraindications and cautions Valtrex Valacyclovir

· Contraindicated with allergy to valacyclovir or acyclovir.

· Use cautiously with pregnancy, renal impairment, thrombotic thrombocytopenic purpura, lactation.

Available forms Valtrex Valacyclovir

Tablets—500 mg, 1 g

Dosages Valtrex Valacyclovir

ADULTS

· Herpes zoster: 1 g tid PO for 7 days; most effective if started within 48 hr of onset of symptoms (rash).

· Genital herpes: 1 g PO bid for 7–10 days.

· Episodic treatment of recurrent genital herpes: 500 mg PO bid for 3 days.

· Suppression of recurrent episodes of genital herpes: 1 g PO daily; patients with history of less than nine episodes in 1 yr may respond to 500 mg PO daily.

· Reduction of risk of transmission: 500 mg/day PO daily for the source partner.

· Cold sores: 2 g PO bid for 1 day.

PEDIATRIC PATIENTS Valtrex Valacyclovir

Safety and efficacy not established.

PATIENTS WITH RENAL IMPAIRMENT

Indication CrCl
30–49 CrCl
10–29 CrCl
< 10 Herpes zoster 1 g q 12 hr 1 g q 24 hr 500 mg q 24 hr Genital herpes

–initial treatment

–recurrent episodes

–suppressive therapy

–suppressive therapy for 9 or fewer episodes
1 g q 12 hr

500 mg q 12 hr

1 g q 24 hr

500 mg q 24 hr

1 g q 24 hr

500 mg q 24 hr

500 mg q 24 hr

500 mg q 48 hr
500 mg q 24 hr

500 mg q 24 hr

500 mg q 24 hr

500 mg q 48 hr

Pharmacokinetics

Route Onset Peak Oral Rapid 3 hr

Metabolism: Not metabolized; T_1/2: 2.5–3.3 hr

Distribution: Crosses placenta: enters breast milk

Excretion: Feces, urine

Adverse effects Valtrex Valacyclovir

· CNS: Headache, dizziness

· GI: Nausea, vomiting, diarrhea, anorexia

· GU: Acute renal failure

Interactions Valtrex Valacyclovir

Drug-drug

· Decreased rate of effectiveness with probenecid, cimetidine

Nursing considerations Valtrex Valacyclovir

CLINICAL ALERT!

Name confusion has been reported with Valtrex (valacyclovir) and Valcyte (valganciclovir); use caution.

Assessment Valtrex Valacyclovir

· History: Allergy to valacyclovir, acyclovir; renal disease; lactation; thrombotic thrombocytopenic purpura, pregnancy

· Physical: Orientation; urinary output; abdominal examination, normal output; BUN, creatinine clearance

Interventions Valtrex Valacyclovir

· Begin treatment within 72 hr of onset of symptoms of shingles.

· Administer without regard to meals; administer with meals to decrease GI upset if needed.

· Provide appropriate analgesics for headache, discomfort of shingles.

· Advise continued use of safe sex practices.

Valtrex Valacyclovir

· Take this drug without regard to meals; if GI upset is a problem, take with meals.

· Take the full course of therapy as prescribed.

· Avoid contact with lesions and avoid intercourse when lesions or symptoms are present to avoid infecting others.

· Start therapy at first sign of an episode when treating recurrent herpes.

· You may experience these side effects: Nausea, vomiting, loss of appetite, diarrhea; headache, dizziness.

· Report severe diarrhea, nausea; headache; worsening of the shingles.

Comments