Generic Name for Valtrex
The generic name for Valtrex is valacyclovir (or valacyclovir hydrochloride). 1
Chemical and Pharmaceutical Details
Valtrex is the brand name for valacyclovir hydrochloride, which is the hydrochloride salt of the L-valyl ester of acyclovir. 1 Valacyclovir functions as a prodrug that is rapidly converted to acyclovir after oral administration through first-pass intestinal and/or hepatic metabolism. 2, 1
Key Pharmacological Characteristics
- Valacyclovir is a valine ester of acyclovir with enhanced absorption after oral administration 2
- The absolute bioavailability of acyclovir after valacyclovir administration is 54.5% ± 9.1%, which is significantly higher than oral acyclovir alone 1
- After absorption, valacyclovir is nearly completely converted to acyclovir and L-valine 1
Clinical Context
Multiple guidelines consistently refer to both the brand name (Valtrex) and generic name (valacyclovir) interchangeably when discussing treatment regimens for:
- Genital herpes (first episode, recurrent episodes, and suppressive therapy) 2
- Herpes labialis (cold sores) 3
- Herpes zoster (shingles) 4, 5
- HSV prophylaxis in immunocompromised patients 5
The chemical formula is C₁₃H₂₀N₆O₄•HCl with a molecular weight of 360.80. 1 Valacyclovir hydrochloride appears as a white to off-white powder with maximum water solubility of 174 mg/mL at 25°C. 1