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. 2013 Sep 14;41(Suppl 2):91–115. doi: 10.1007/s15010-013-0504-1

Table 5.

Therapy and prophylaxis of genital Herpes simplex virus infectionsa

Therapy/prophylaxis Drug Therapeutic regimen
Acute therapy (duration: 7–10 days), daily doses
 First choice Acyclovir (3–) 5 × 400 mg p.o.
 Severe cases

3 × 5–10 mg/kg i.v.

5 × 800 mg p.o.

 Alternatives Valacyclovir

2–3 × 1,000 mg

or 3 × 500–1,000 mg (expert opinion)

Therapy for recurrent Herpes simplex infection virus episodes Acyclovir 3 × 400 mg p.o. for 5–10 days
Valacyclovir 2 × 1,000 mg for 5–10 days
Famciclovir 2 × 500 mg for 5–10 days
Long-term prophylaxis (duration: at least 90 days) Acyclovir 2–3 × 400–800 mg
Valacyclovir 2 × 500 mg
Famciclovir 2 × 500 mg

aDaily doses