genital herpes

Content version: U-242.2
Updated: 10/20/2025 - 12:47

Recommendations

≥ 18 years
	Дозування	Ремарки
	valaciclovir p.o. 500 mg twice daily for 5 days or aciclovir p.o. 400 mg three times daily for 5 days or famciclovir p.o. 250 mg three times daily for 5 days	SWAB remarks Primary infection
	valaciclovir p.o. 1000 mg twice daily for 10 days or aciclovir p.o. 800 mg three times daily for 10 days or famciclovir p.o. 500 mg three times daily for 10 days	SWAB remarks Primary infection in immunocompromised adults; treat until lesion re-epithelialisation
	valaciclovir p.o. 500 mg twice daily for 5 days or aciclovir p.o. 400 mg three times daily for 5 days or famciclovir p.o. 125 mg twice daily for 5 days	SWAB remarks Recurrent infection in immunocompetent and immunocompromised adults
	valaciclovir p.o. 500 mg twice daily for 3 days or aciclovir p.o. 800 mg three times daily for 2 days or famciclovir p.o. 1000 mg twice daily for 1 day	SWAB remarks Frequent recurrences in immunocompetent adults
	valaciclovir p.o. 500 mg once daily or valaciclovir p.o. 1000 mg once daily or aciclovir p.o. 400 mg twice daily or famciclovir p.o. 250 mg twice daily	SWAB remarks Prophylaxis for recurrent episodes (>6 recurrences per year); maximum 1 year

Comments

Primary anogenital HSV infection in pregnancy

- aciclovir p.o. 400 mg, three times daily for 5 days;
- valaciclovir p.o. 500 mg, twice daily for 5 days

Refer all primary and recurrent infections during pregnancy to a gynaecologist!