TABLE 7-2.
Antiviral Drugs Used for Treatment of Feline Herpesvirus Infections
Drug | Dose | Interval | Route | Comments |
---|---|---|---|---|
Famciclovir | 62.5 mg/cat, 125 mg/cat, or 40-90 mg/kg | q8h | PO | Reduce dose for cats with renal insufficiency. Compound suspensions are bitter and poorly tolerated. Broken tablets are best administered in a gel cap. Safe in kittens. |
Cidofovir | 0.5% solution | q12h | Topical ophthalmic | Monitor for ocular irritation. Solution prepared from commercial 7.5% intravenous solution by dilution in sterile saline. Store diluted solution up to 6 months at 4°C, −20°C, and −80°C. Can also be obtained from compounding pharmacies. |
Idoxuridine | 0.1% solution or 0.5% ointment | 5-6 times daily | Topical ophthalmic | Monitor for ocular irritation and ulceration. Compounding may be required. |
Trifluridine | 1% solution | 5-6 times daily | Topical ophthalmic | May be poorly tolerated. |
Vidarabine | 3% ointment | 5-6 times daily | Topical ophthalmic | Well tolerated. Compounding may be required. |
Lysine | 250 mg (kittens) 500 mg (cats) |
q12h | PO | Questionable efficacy. Bolus administration preferred to dietary supplementation. |
Zidovudine | 5 to 15 | q12h | PO, SC | Monitor CBC weekly during treatment for the first month, then monthly. Use low end of the dose range in renal failure. Use higher dose with caution. |