Famvir Disease Interactions
There are 2 disease interactions with Famvir (famciclovir).
Famciclovir (applies to Famvir) renal dysfunction
Major Potential Hazard, High plausibility.
Penciclovir, the active antiviral metabolite of famciclovir, is primarily eliminated by the kidney. Acute renal failure has been reported in patients with underlying renal disease who did not receive an appropriate dosage reduction. Dosage adjustments are recommended for patients with moderate to severe renal impairment (CrCl < 60 mL/min).
References
- Boike SC, Pue MA, Freed MI, Audet PR, Fairless A, Ilson BE, Zariffa N, Jorkasky DK (1994) "Pharmacokinetics of famciclovir in subjects with varying degrees of renal impairment." Clin Pharmacol Ther, 55, p. 418-26
- (2001) "Product Information. Famvir (famciclovir)." SmithKline Beecham
- Gill KS, Wood MJ (1996) "The clinical pharmacokinetics of famciclovir." Clin Pharmacokinet, 31, p. 1-8
Famciclovir (applies to Famvir) liver disease
Moderate Potential Hazard, Moderate plausibility.
Famciclovir is converted by the liver to the active antiviral metabolite, penciclovir. The bioavailability of penciclovir following a dose of famciclovir was not affected in patients with well-compensated chronic liver disease. However, there are no data on the pharmacokinetic disposition of famciclovir in patients with severe uncompensated liver disease. Therapy with famciclovir should be administered cautiously in these patients, since the clinical significance of possible famciclovir accumulation is unknown. Theoretically, famciclovir may also not be effective in these patients.
References
- (2001) "Product Information. Famvir (famciclovir)." SmithKline Beecham
- Boike SC, Pue M, Audet PR, Freed MI, Fairless A, Ilson BE, Zariffa N, Jorkasky DK (1994) "Pharmacokinetics of famciclovir in subjects with chronic hepatic disease." J Clin Pharmacol, 34, p. 1199-207
- Perry CM, Wagstaff AJ (1995) "Famciclovir - a review of its pharmacological properties and therapeutic efficacy in herpesvirus infections." Drugs, 50, p. 396-415
- Gill KS, Wood MJ (1996) "The clinical pharmacokinetics of famciclovir." Clin Pharmacokinet, 31, p. 1-8
Famvir drug interactions
There are 8 drug interactions with Famvir (famciclovir).
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- During pregnancy
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- Drug class: purine nucleosides
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Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
No interaction information available. |
Further information
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