What is the dose of Valacyclovir for herpes labialis?

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Last updated: February 19, 2025View editorial policy

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From the Guidelines

The recommended dose of Valacyclovir for herpes labialis is 2 grams twice daily for 1 day [ 1 ].

Key Considerations

  • This dose can be taken 12 hours apart for optimal effectiveness [ 1 ].
  • Alternatively, a dose of 1.5 grams as a single dose or 500 mg twice daily for 3 to 5 days may also be considered [ 1 ].
  • It is crucial to initiate treatment at the first sign of a cold sore, such as tingling, itching, or burning, to achieve the best results [ 1 ].
  • The safety profile of valacyclovir for herpes labialis is well-established, with minimal adverse events reported, including headache, nausea, and diarrhea [ 1 ].

From the FDA Drug Label

The recommended dosage of VALTREX for treatment of cold sores is 2 grams twice daily for 1 day taken 12 hours apart. The recommended dosage of VALTREX for the treatment of cold sores in pediatric patients aged greater than or equal to 12 years is 2 grams twice daily for 1 day taken 12 hours apart.

The dose of Valacyclovir for herpes labialis is 2 grams twice daily for 1 day, taken 12 hours apart 2 2.

  • This dose applies to both adults and pediatric patients aged 12 years and older.
  • Therapy should be initiated at the earliest symptom of a cold sore.

From the Research

Dosage of Valacyclovir for Herpes Labialis

  • The recommended dose of valacyclovir for herpes labialis is 2 g twice daily for 1 day 3, 4.
  • This dose has been shown to be effective in reducing the duration of the episode, preventing lesion development, and reducing the time to lesion healing and cessation of pain and/or discomfort 3.
  • A 1-day valacyclovir treatment regimen is considered safe and effective, and offers a convenient dosing alternative compared to available topical therapies 3.
  • The efficacy of valacyclovir in treating herpes labialis has been demonstrated in two randomized, double-blind, placebo-controlled studies, which showed statistically significant reductions in the duration of the episode and the time to lesion healing compared to placebo 3, 4.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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