Flashcards in Assessment consultation Deck (14)
What is the medication?
Aciclovir 200mg tablets
What is acyclovir?
Anti viral medication - stops the herpes simplex virus from spreading (cold sore)
what is herpes simplex?
Very contagious virus (a cold sore) - affects many people & activated by many things e.g stress, fatigue, menstrual cycle, kissing
200mg (1 tablet), 5 times a day for 5 days
Missed dose advice
If miss a dose - don't double up to make up for the missed dose. If forget - take the tablet as soon as remember and then take the next dose at the right time.
Dizziness, headache, nausea, stomach pain, photosensitivity, drowsiness - may not affect but to be aware of (ensure drowsiness not affected before driving/operating machinery). Also potential for allergic reaction i.e swelling of the lips, tongue, face, rash - stop taking and see Dr asap (to provide different medication) but worse case.
Theophylline - severe asthma
Methotrexate - Rheu arthritis
(all increase risk of nephrotoxicity)
Check for medical conditions
Renal impairment (kidneys) - caution taken, drink plenty of water and maintain adequate hydration. How severe? if severe then dose changed.
Immunocompromised (increase dose)
Food & medicinal
Avoid dehydration!!!! - always drink plenty of water whilst on this medication
Do they know what makes it flare up? Remove triggers, wash hands, don't touch eyes or cold sore, reduce kissing, avoid picking scabs, avoid sharing medication/cutlery. If a woman=change cosmetic as it has probably spread. If it is sun - use an SPF lip balm.
For the pain they can also use paracetamol/ibuprofen.
Also - do not use anti itch products on the skin e.g crotamiton - all will do is spread the infection.
Other medication interactions - warnings
Cimetidine- peptic ulcers, probenecid - gout - these 2 increase the concentration of acyclovir in the blood leading to overdose.
Mycophenolate mofetil - if high doses of aciclovir they can increase the levels of these in blood.
Ciclosporin- immunosuppressant drug - dr needs to monitor kidney function
Theophylline- severe asthma
- Zidovudine- HIV
take with or without food with water. 5 times a day at approx 4 hourly intervals for 5 days.
If they have difficulty swallowing tablets - can disperse them in a glass of water at least 50ml which should be stored before drinking.