[NP-Clinical] now a derm question

[stephanie2u at optonline.net]

I could be wrong but I don't think oral acyclovir has an indication for herpes labialis. It seems logical to use it, but I am conservative and only use drugs for their FDA indications. There is acyclovir cream but the advice I always read is not to use it because it induces resistance fairly quickly.

Stephanie

----- Original Message -----
From: tedscott59 at cox.net
Date: Friday, May 11, 2007 10:50 am
Subject: Re: [NP-Clinical] now a derm question
To: NP Clinical 

> No data for the under 12 crowd with Valtrex, but there is plenty 
> of safety data for acyclovir for infants as young as 2 mo. Go 
> with acyclovir as it has a proven safety track record.
> 
> Ted Scott, NP-C
> ---- Sue Wiers wrote: 
> > Does anyone have any documented evidence of the safety and 
> efficacy of the 
> > use of Valtrex for herpes labialis in 12 year olds? My 
> collaborating doc 
> > has a 12-year-old boy who experiences significant herpes 
> labialis almost 
> > monthly. According to the PDR, studies have included 
> adolescents 12 years 
> > and older, but also indicates that efficacy in pre-pubescent 
> children has 
> > not be established.
> > 
> > Sue Wiers FNP
> > 
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