Drug Uses

Famvir is an oral antiviral prescription medication that is prescribed for: treatment of recurrent genital herpes in otherwise healthy patients; suppression of recurrent genital herpes in otherwise healthy patients; treatment of recurrent herpes simplex virus infections (genital herpes and cold sores) in HIV-infected patients and herpes zoster (shingles).

How Taken

Famvir can be prescribed in one of three ways:
-Episodic treatment: your doctor treats an outbreak of genital herpes as it occurs. The usual dose of Famvir is one 125-mg pill, twice a day, for 5 days.
-Suppressive treatment: if you have frequent or severe outbreaks, you take one 250-mg pill, twice a day, for up to 1 year to suppress the genital herpes virus and help to prevent outbreaks.
-Patients with HIV: Famvir is the only prescription oral antiviral therapy indicated for treating genital. In patients with herpes simplex and HIV, the dose of Famvir is 500 mg, twice a day, for 7 days.
Famvir can be taken with or without food.

Warnings/Precautions

Do not take Famvir if you are allergic to penciclovir (Denavir) without first talking to your doctor. Before taking this medication, tell your doctor if you have kidney disease. You may need a dosage adjustment or special monitoring during treatment with Famvir. Famvir (Pregnancy Category B) should be used during pregnancy only if the benefit to the patient clearly exceeds the risk to the fetus.

Missed Dose

IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.

Possible Side Effects

Stop taking Famvir and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives). Other, less serious side effects may be more likely to occur. Continue to take Famvir and talk to your doctor if you experience nausea or vomiting, a headache, diarrhea, dizziness, tingling in your hands or feet, or itching.

Storage

Store between 15C and 30C (59F and 86F) and out of reach of children.

Overdose

Seek emergency medical attention. A Famvir overdose has no known symptoms, but an overdose of acyclovir (Zovirax), which is a similar drug, may cause seizures, hallucinations, and kidney damage (decreased urine production).

More Information

Treatment with Famvir should be started as soon as possible after the first appearance of symptoms (e.g. tingling, burning, blisters). Take all of the Famvir that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. Herpes infections are contagious and you can infect other people, even during treatment. Avoid letting infected areas come into contact with other people. Wash your hands frequently to prevent transmission. For more information, talk to your doctor, pharmacist or health care provider.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Gonorrhea Also called: The clap Gonorrhea is a curable sexually transmitted disease. It is most common in young adults. The bacteria that cause gonorrhea can infect the genital tract, mouth or anus. Gonorrhea does not always cause symptoms, especially in women. In men, gonorrhea can cause pain when urinating and discharge from the penis. If untreated, it can cause epididymitis, which affects the testicles and can lead to infertility. In women, gonorrhea can cause bleeding between periods, pain when urinating and increased discharge from the vagina. If untreated, it can lead to pelvic inflammatory disease, which causes problems with pregnancy and infertility. Gonorrhea can pass from mother to baby during pregnancy. You can cure gonorrhea with antibiotics prescribed by your health care provider. Correct usage of latex condoms greatly reduces, but does not eliminate, the risk of catching or spreading gonorrhea. OVERVIEW Gonorrhea is a curable sexually transmitted infection (STI). It is the second most commonly reported bacterial STI in the United States following chlamydia. In 2004, 330,132 cases of gonorrhea were reported to the Centers for Disease Control and Prevention (CDC). When examining race and ethnicity, age, and gender, the highest rates of gonorrhea were found in African Americans, 15 to 24 years of age, and women, respectively. Gonorrhea can spread into the uterus and fallopian tubes, resulting in pelvic inflammatory disease (PID). PID affects more than 1 million women in this country every year and can cause tubal (ectopic) pregnancy and infertility in as many as 10 percent of infected women. In addition to gonorrhea playing a major role in PID, some health researchers think it adds to the risk of getting HIV (human immunodeficiency virus) infection. CAUSE Gonorrhea is caused by bacteria called Neisseria gonorrhoeae. These bacteria can infect the genital tract, mouth, and rectum of both men and women. In women, however, the opening to the uterus (cervix) is the first place of infection. SYMPTOMS The bacteria are carried in semen and vaginal fluids and cause a discharge in men and women. A small number of people may be infected for several months without showing symptoms. For women, the early symptoms of gonorrhea often are mild. Symptoms usually appear within 2 to 10 days after sexual contact with an infected partner. When women have symptoms, the first ones may include * Bleeding associated with vaginal intercourse * Painful or burning sensations when urinating * Yellow or bloody vaginal discharge More advanced symptoms, which may indicate development of PID, include cramps and pain, bleeding between menstrual periods, vomiting, or fever. Men have symptoms more often than women, including * White, yellow, or green pus from the penis with pain * Burning sensations during urination that may be severe * Swollen or painful testicles If left untreated, men could experience prostate complications and epididymitis (inflammation of the testicles). Symptoms of rectal infection include discharge, anal itching, and occasional painful bowel movements with fresh blood in the feces. Symptoms typically appear 2 to 5 days after infection but could appear as long as 30 days. DIAGNOSIS Health care providers usually use three laboratory techniques to diagnose gonorrhea. * Staining samples directly for the bacterium * Detecting bacterial genes or DNA in urine * Growing the bacteria in laboratory cultures Many providers prefer to use more than one test to increase the chance of an accurate diagnosis. You usually can get the staining test results while in the office or clinic. This test is quite accurate for men but not so in women. Only one in two women with gonorrhea has a positive stain. More often, health care providers use urine or cervical swabs for a new test that detects the genes of the bacteria. These tests are more accurate than culturing the bacteria. The laboratory culture test involves placing a sample of the discharge onto a culture plate. The health care provider also can take a culture to detect gonorrhea in the throat. Culture also allows testing for drug-resistant bacteria. TREATMENT Health care providers usually prescribe a single dose of one of the following antibiotics to treat gonorrhea. * Cefixime * Ceftriaxone * Ciprofloxacin * Ofloxacin * Levofloxacin If you are pregnant, or are younger than 18 years old, you should not be treated with certain types of antibiotics. Your health care provider can prescribe the best and safest antibiotic for you. Gonorrhea and chlamydia often infect people at the same time. Therefore, health care providers usually prescribe a combination of antibiotics, such as ceftriaxone and doxycycline or azithromycin, which will treat both diseases. If you have gonorrhea, all of your sexual partners should get tested and then treated if infected, whether or not they have symptoms. Health experts also recommend that you not have sex until your infected partners have been treated. For updated information on treatment for gonorrhea, read the CDC STD Treatment Guidelines. PREVENTION The surest way to avoid transmission of STIs is to abstain from sexual contact or be in a long-term mutually monogamous relationship with a partner who has been tested and is not infected. By using latex condoms correctly and consistently during vaginal or rectal sexual activity, you can reduce your risk of getting gonorrhea and developing complications.

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