If there is severe stress and overcrowding, URI can be severe and difficult to resolve, regardless of what treatment is used. The other catch is that, in experimental studies, investigators treat a known infection involving one pathogen. According to Koret Shelter Medicine, Famvir should be considered in severe or refractory FHV, or for severe ocular signs corneal ulcers, severe conjunctivitis. It might also be of some use in chronic rhinosinusitis Malik 2009 , though this was a small and preliminary study. There have even been some recent indications that it might also be helpful for severe calicivirus infections in cats Cervone 2016. Systemic calicivirus infection successfully treated with famciclovir in two cats. Usual Adult Dose for Herpes Simplex Labialis Recurrent herpes labialis: 1500 mg orally as a single dose Famciclovir is most effective if started at the earliest sign or symptom of a cold sore such as tingling, burning, itching, pain, or lesion.

Severe hepatic impairment: Data not available Precautions Efficacy and safety have not been determined for initial genital herpes episodes, ophthalmic zoster, Black and African American patients with recurrent genital herpes, or immunocompromised patients other than for the treatment of recurrent orolabial or genital herpes in HIV-infected patients. The dosage should be reduced in patients with renal dysfunction. Acute renal failure has developed in patients with renal disease who received larger than recommended doses of famciclovir. Caution should be exercised in the administration and monitoring of famciclovir in the elderly reflecting the greater frequency of decreased renal function and concomitant use of other drugs. Since the tablets contain lactose, individuals who have hereditary galactose intolerance, severe lactase deficiency, or glucose-galactose malabsorption should check with their healthcare provider before taking famciclovir.

Safety and efficacy have not been established in pediatric patients less than 18 years of age. Dialysis Recurrent genital herpes, immunocompetent patient: 250 mg orally as a single dose following dialysis Suppression of recurrent genital herpes, immunocompetent patient: 125 mg orally following each dialysis Recurrent orolabial and genital herpes, HIV-infected patient: 250 mg orally following each dialysis Herpes zoster: 250 mg orally following each dialysis Recurrent herpes labialis: 250 mg orally as a single dose following dialysis Other Comments Famciclovir may be given without regard to meals.

Famvir dose for cats with herpes: New study findings

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