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. 2013 Sep;5(5):423–437. doi: 10.1177/1941738113481179

Table 2.

Select oral medications for herpes gladiatorum8,13,19,31

Indication Medication Dosing Regimen
Primary infection
 Adult Acyclovir 400 mg, PO, 3×/d, or 200 mg, PO, 5×/d for 7-10 d
Famciclovir 250 mg, PO, 3×/d for 7-10 d
Valacyclovir 1000 mg, PO, 2×/d for 7-10 d
 ≤ 12 years old Acyclovir 40-80 mg/kg daily in 3 divided doses for 5-10 d (max, 1 g/d)
Valacyclovir 20 mg/kg, PO, 3×/d for 5-10 d
Recurrent infection
 Adulta Acyclovir 800 mg, PO, 2×/d for 5 d, or 400 mg, PO, 3×/d for 5 d
Famciclovir 125 mg, PO, 2×/d for 5 d, or 1 g, PO, 2× for 1 d
Valacyclovir 1 g, PO, daily for 5 d, or 500 mg, PO, 2×/d for 3-7 d
Prophylaxis
 > 12 years oldb Acyclovir 400 mg, PO, 2×/d
Famciclovir 250 mg, PO, 2×/d
Valacyclovir 500 mg, PO, once daily, or 1 g, PO, once daily

PO, orally.

a

Same as for primary infection, ≤ 12 years old.

b

Insufficient evidence to recommend use of prophylaxis in children < 12 years old.