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Formulas

Famciclovir 125 mg/5 mL Oral Liquid

Famciclovir 125 mg/5 mL Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable method of drug delivery. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. The medication is indicated for the treatment of herpes zoster (shingles), genital herpes, and cold sores (herpes labialis). It works by inhibiting viral replication, thereby reducing the severity and duration of symptoms associated with these viral infections.

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Oral Liquid
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Formula Information

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Famciclovir is an antiviral medication that is converted to penciclovir in the body, which then works to inhibit the replication of herpes viruses, including herpes simplex virus types 1 and 2 (HSV-1 and HSV-2) and varicella-zoster virus (VZV). This Famciclovir 125 mg/5 mL Oral Liquid formulation is specifically designed to provide a convenient and effective treatment option for patients who may have difficulty swallowing tablets or capsules, such as children, the elderly, or those with dysphagia. The liquid form allows for flexible dosing and ensures that patients receive the precise amount of medication needed for their condition.

The Famciclovir Oral Liquid is indicated for the treatment of acute herpes zoster (shingles), for the treatment or suppression of recurrent episodes of genital herpes, and for the treatment of acute, localized herpes simplex infections in immunocompromised patients. It is also used off-label for the treatment of cold sores (herpes labialis). The efficacy of Famciclovir is dependent on early initiation of therapy, ideally at the first sign of an outbreak or when there are prodromal symptoms. By inhibiting viral replication, Famciclovir helps to reduce the severity and duration of symptoms, may prevent the development of new lesions, and can aid in the resolution of rash and pain associated with herpes zoster.

For prescribers, it is important to note that Famciclovir Oral Liquid should be dosed based on the specific condition being treated, the severity of the condition, and the patient's renal function. Famciclovir is well-tolerated, but side effects can occur, including headache, nausea, and diarrhea. It is crucial to counsel patients on the importance of adhering to the prescribed dosing schedule and to complete the full course of therapy, even if symptoms improve before the medication is finished. Additionally, patients should be advised to maintain adequate hydration during treatment.

Bayview Pharmacy's team of compounding pharmacists ensures that each batch of Famciclovir Oral Liquid is prepared to the highest standards of quality and consistency. We are available to answer any questions or concerns regarding this formulation, its administration, or its role in the management of herpes virus infections. If you have any questions or need further information, please do not hesitate to reach out to us.

Drug Interactions

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Famciclovir is an antiviral medication that is converted to penciclovir in the body, which then works to inhibit viral DNA replication. It is primarily used to treat herpes zoster (shingles), genital herpes, and cold sores (herpes labialis). When considering the use of famciclovir in a liquid formulation, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the patient's overall health.

One of the key interactions to be aware of is with probenecid, a drug used to treat gout. Probenecid can increase the half-life of penciclovir, the active metabolite of famciclovir, by affecting its renal excretion. This could potentially lead to higher plasma levels of the drug and an increased risk of side effects. Therefore, dose adjustments of famciclovir may be necessary when co-administered with probenecid.

Another consideration is the concurrent use of other nephrotoxic drugs. Famciclovir is excreted primarily by the kidneys, and using it in combination with other medications that can affect renal function may increase the risk of renal impairment. Medications such as aminoglycosides, nonsteroidal anti-inflammatory drugs (NSAIDs), and high-dose acyclovir should be used with caution in patients receiving famciclovir.

Additionally, the absorption of famciclovir is not significantly affected by food, so it can be taken with or without meals. However, it is important to maintain adequate hydration while taking this medication to help reduce the risk of renal complications.

It is also worth noting that there are no significant interactions with commonly used medications such as antacids, H2 antagonists, or proton pump inhibitors. However, as with any medication, the potential for new drug interactions exists, and it is important to review all concomitant medications, including over-the-counter drugs and herbal supplements, with a healthcare provider.

Patients with pre-existing renal impairment may require dosage adjustments, and the use of famciclovir should be carefully monitored in these individuals. Additionally, the safety and efficacy of famciclovir in pediatric patients have not been established for all indications, so the use in children should be based on a careful risk-benefit assessment.

For any questions or concerns regarding the use of famciclovir 125 mg/5 mL oral liquid, or to report any adverse reactions or unusual drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and effective use of this medication.

How Does it Work

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Famciclovir is an antiviral medication that is converted in the body to penciclovir, which is the active form. This conversion occurs first by deacetylation to penciclovir acyclovir, and then it undergoes phosphorylation to produce the active penciclovir triphosphate. This active form works by inhibiting viral DNA polymerase, an enzyme that is necessary for the replication of viral DNA. By blocking this enzyme, famciclovir prevents the herpes virus from multiplying and spreading, helping to control the infection.

The Famciclovir 125 mg/5 mL Oral Liquid formulation is designed to provide a convenient and effective way to administer the medication, especially for patients who have difficulty swallowing pills or tablets. This can include children, the elderly, or anyone with dysphagia or other conditions affecting their ability to swallow solid forms of medication. The liquid form allows for flexible dosing, as it can be easily measured to provide the exact dose required. It also offers a faster onset of action compared to solid dosage forms, as the liquid does not need to be broken down in the stomach before the active ingredient can be absorbed.

This oral liquid formulation is used to treat various disease states caused by herpes viruses, including herpes zoster (shingles), genital herpes, and cold sores (herpes labialis). In the case of shingles, famciclovir helps to reduce pain and accelerate the healing of sores. For genital herpes, it can help to decrease the severity and length of outbreaks, and when used as suppressive therapy, it can reduce the likelihood of transmitting the virus to others. For cold sores, famciclovir can shorten the duration of pain and promote faster healing of the sores.

It is important for patients and prescribers to understand that while famciclovir can manage the symptoms and reduce the duration of outbreaks, it is not a cure for herpes virus infections. The virus remains in the body between outbreaks, and famciclovir is most effective when started at the first sign of an outbreak. As with any medication, it is essential to follow the prescribed dosage and administration instructions to ensure the best possible outcomes.

If you have any questions about the Famciclovir 125 mg/5 mL Oral Liquid formulation or its use in treating herpes virus infections, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your health or the health of your patients.

Other Uses

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Famciclovir, an antiviral agent, is primarily indicated for the treatment of herpes zoster (shingles), genital herpes, and cold sores (herpes labialis). However, this specially compounded famciclovir 125 mg/5 mL oral liquid formulation can also be used in other clinical scenarios, on an off-label basis, where antiviral therapy is deemed appropriate by a healthcare provider. For instance, it may be considered for patients who are unable to take the medication in its conventional tablet form due to dysphagia (difficulty swallowing) or for those with certain neurological disorders that affect swallowing. It could also serve as a more manageable option for patients with enteral feeding tubes.

In addition to the ease of administration, the liquid form can be dosed more precisely, which is especially important when dosing for pediatric populations where individualized dosing based on weight and surface area are required. For geriatric patients, the oral liquid formulation might help increase adherence to antiviral therapy as it bypasses the need for intact swallowing mechanisms. Furthermore, the oral liquid formulation could potentially be used to treat other viral infections in immunocompromised patients or those with unusual manifestations of herpesvirus infections, as long as the prescriber deems it clinically appropriate.

Bayview Pharmacy takes pride in our ability to provide compounding solutions that cater to individual patient needs. We emphasize that any use of famciclovir oral liquid outside of its approved indications should be guided by a healthcare provider's expertise and clinical judgment. It is important for prescribers to evaluate the risks and benefits on a case-by-case basis. For complete understanding of the potential other uses and to discuss individual patient needs, or if there are questions regarding the compounding process or the formulation itself, we encourage patients and prescribers to reach out to us for professional consultation.

Frequently Asked Questions

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What is Famciclovir 125 mg/5 mL Oral Liquid used for?

Famciclovir 125 mg/5 mL Oral Liquid is an antiviral medication used to treat herpes virus infections, such as cold sores, shingles, and genital herpes. It can also be used for other conditions as determined by your healthcare provider.

How should this medication be stored?

The compounded Famciclovir Oral Liquid should be stored at room temperature, away from light and moisture. Keep the bottle tightly closed when not in use and make sure to keep it out of reach of children and pets. Consult your pharmacist for specific storage guidelines.

How is Famciclovir Oral Liquid taken?

The medication is taken orally, typically with or without food as directed by your healthcare provider. The exact dosage and frequency will depend on the condition being treated and the patient's response to therapy.

Can children take this medication?

Yes, Famciclovir Oral Liquid is suitable for pediatric use, offering a convenient form for children who may have difficulty swallowing tablets. However, the dose will be based on the child's weight, and a healthcare professional should determine the appropriate dosage.

Is Famciclovir Oral Liquid suitable for geriatric patients?

Yes, this formulation is also beneficial for elderly patients who may have difficulty swallowing solid dose forms. A healthcare provider should evaluate the patient's kidney function before determining the appropriate dosage.

What should I do if I miss a dose?

If you miss a dose of Famciclovir Oral Liquid, take it as soon as you remember. However, if it is close to the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any potential side effects of Famciclovir Oral Liquid?

As with any medication, side effects are possible. Common side effects may include headache, nausea, vomiting, diarrhea, and stomach upset. If any of these effects persist or worsen, notify your healthcare provider promptly.

Can Famciclovir Oral Liquid be mixed with other liquids?

Generally, Famciclovir Oral Liquid should be taken as directed by your healthcare provider. If mixing with other liquids is necessary for administration, consult with your pharmacist or healthcare provider for instructions to ensure the medication's effectiveness is not compromised.

What should I avoid while taking Famciclovir Oral Liquid?

While taking this medication, it is important to avoid doing activities that require alertness if you experience dizziness or drowsiness as side effects. Also, avoid drinking alcohol because it can increase some of the side effects. Consult with your healthcare provider for more specific advice.

How does this liquid form of Famciclovir differ from the tablet form?

The liquid form of Famciclovir provides an alternative for those who have difficulty swallowing tablets or who require a more customizable dose that can be easily adjusted. The active ingredient and its efficacy remain the same; only the mode of delivery changes to fit patient needs.

Do I need a prescription to obtain Famciclovir Oral Liquid?

Yes, Famciclovir Oral Liquid is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.