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Clinical context remains essential
Independent clinical review is pending. Confirm indication, exact formulation/route, population, renal measure and units, kidney-function stability, dialysis prescription, interacting drugs, monitoring and source revision. An RX mirror and its original label are not independent corroboration. Missing disagreement notes do not certify agreement.
The original page contains two different IV renal band sets (25/50 versus 30/50) and an indexed CrCl table. They are preserved separately, not reconciled into one recommendation. Confirm the applicable current product label before clinical use.
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UCSF - acyclovir intravenous: HSV, VZV and dialysis
Product / population
Adults; IV acyclovir only. Separate from oral and topical formulations.
Renal method
CrCl in mL/min where specified; no equation inferred.
Source revision
Revision date not stated in the reviewed page.
Retrieved
2026-09-05
Local review status
Locally included source-specific summary. Regimen differences are not automatically resolved.
Professional
UCSF - acyclovir intravenous: HSV, VZV and dialysis
UCSF Infectious Diseases Management Program · Adults; IV acyclovir only. Separate from oral and topical formulations.
Renal method: CrCl in mL/min where specified; no equation inferred. Source date: Revision date not stated in the reviewed page. Retrieved: 2026-09-05
Locally included source-specific summary. Regimen differences are not automatically resolved.
Dosing / renal protocol and limits
Limits that apply to these rows
The printed bands overlap at exactly 25. Do not choose a boundary by assumption.
UCSF uses actual weight unless above 120% of ideal, then adjusted weight; this differs from ideal-weight labeling in obesity. These are IV regimens. Reassess dialysis prescription and residual function.
Non-CNS HSV - IV
CrCl, mL/min
Source-specific dose / instruction
>50
5 mg/kg every 8 hours
25-50
5 mg/kg every 12 hours
10-25
5 mg/kg every 24 hours
<10
2.5 mg/kg every 24 hours
Encephalitis or disseminated VZV - IV
CrCl, mL/min
Source-specific dose / instruction
>50
10 mg/kg every 8 hours
25-50
10 mg/kg every 12 hours
10-25
10 mg/kg every 24 hours
<10
5 mg/kg every 24 hours
Dialysis guidance - separate source-specific schedules
IV acyclovir - dialysis
Dialysis setting / indication
Source-specific schedule
Intermittent HD - non-CNS HSV
2.5 mg/kg initially and each evening
Intermittent HD - encephalitis/disseminated VZV
5 mg/kg initially and each evening
Continuous HD - non-CNS HSV
5 mg/kg every 24 hours
Continuous HD - encephalitis/disseminated VZV
10 mg/kg every 12 hours
Read the retained text before reformatting
CrCl >50 / 25-50 / 10-25 / <10 mL/min: non-CNS HSV uses 5 mg/kg IV every 8 / 12 / 24 hours, then 2.5 mg/kg daily in the lowest band. Encephalitis or disseminated VZV uses 10 mg/kg every 8 / 12 / 24 hours, then 5 mg/kg daily. The source overlaps at exactly 25.
Intermittent HD: non-CNS HSV 2.5 mg/kg initially and each evening; encephalitis/disseminated VZV 5 mg/kg initially and each evening. Continuous HD: non-CNS HSV 5 mg/kg daily; encephalitis/disseminated VZV 10 mg/kg every 12 hours.
UCSF uses actual weight unless above 120% of ideal, then adjusted weight; its discussion acknowledges disagreement with ideal-weight labeling for obesity. These are institutional IV regimens, not oral dosing. Dialysis prescription and residual function can materially change requirements.
RDM30-033-acyclovir-1 · Source locator: UCSF - acyclovir intravenous: HSV, VZV and dialysis; renal/dosing sections and stated qualifiers
This reference does not select a regimen. Complete the indication, measured/estimated renal function and trend, dialysis setting, source rationale, monitoring and reassessment plan in your institution's approved documentation system. Confirm the complete current source before adopting its regimen.
GlobalRPh v6.6 | RDM66-DIRECT-PHP-20260911 | Local library date 2026-09-11. Selected-card identity does not imply clinical verification.