| Double-blind, randomized, acyclovir-controlled, parallel-group trial comparing the safety and efficacy of famciclovir and acyclovir in patients with uncomplicated herpes zoster. | |
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MedLine Citation:
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PMID: 15181487 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This randomized, double-blind, parallel-group study compared the efficacy and safety of famciclovir administered at 250 mg thrice daily with acyclovir 800 mg 5 times daily for the treatment of acute uncomplicated herpes zoster in immunocompetent adults. A total of 55 patients participated in this trial. Twenty seven patients (49.1%) were randomized into the famciclovir plus placebo treatment group and 28 (50.9%) into the acyclovir plus placebo group. Six of the 55 patients did not complete the study. Two of these patients were in the famciclovir plus placebo group and dropped out due to deviation from the study protocol. Four patients in the acyclovir plus placebo group did not complete the study protocol due to adverse events (n = 2), deviation from the protocol (n = 1), or loss to follow-up (n = 1). Treatment was initiated within 72 h of onset of the zoster rash and was continued for 7 days. When treatment was initiated within 72 h, famciclovir was as effective as acyclovir for healing the cutaneous lesion, as indicated by the time to full crusting, loss of acute phase pain, loss of vesicles, and loss of crusts. Famciclovir was well tolerated and had a more favorable adverse event profile compared to acyclovir. Constipation, hematuria, and glycosuria were the most commonly reported adverse events, but only constipation was considered to have a possible relationship to the treatment. In conclusion, famciclovir, administered less frequently and at lower unit doses than acyclovir, is an effective treatment for uncomplicated herpes zoster. |
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Authors:
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Meng-Chuan Shen; Hsi-Hsun Lin; Susan Shin-Jung Lee; Yao-Shen Chen; Ping-Chen Chiang; Yung-Ching Liu |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi Volume: 37 ISSN: 1684-1182 ISO Abbreviation: J Microbiol Immunol Infect Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-06-07 Completed Date: 2004-12-03 Revised Date: 2007-06-21 |
Medline Journal Info:
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Nlm Unique ID: 100956211 Medline TA: J Microbiol Immunol Infect Country: China (Republic: 1949- ) |
Other Details:
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Languages: eng Pagination: 75-81 Citation Subset: IM |
Affiliation:
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Section of Infectious Diseases, Department of Medicine, Kaohsiung Veterans General Hospital, 386 Ta-chung 1st Road, Kaohsiung, Taiwan 813, ROC. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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2-Aminopurine
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administration & dosage,
adverse effects*,
analogs & derivatives*,
therapeutic use* Acyclovir / administration & dosage, adverse effects*, therapeutic use* Adult Aged Antiviral Agents / administration & dosage, adverse effects, therapeutic use* Constipation / chemically induced Double-Blind Method Female Glycosuria / chemically induced Hematuria / chemically induced Herpes Zoster / drug therapy* Humans Male Middle Aged Placebos |
| Chemical | |
Reg. No./Substance:
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0/Antiviral Agents; 0/Placebos; 104227-87-4/famciclovir; 452-06-2/2-Aminopurine; 59277-89-3/Acyclovir |
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