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Side Effects > Famciclovir

Famciclovir Side Effects

Brand Names: Famvir

Please note - some side effects for Famciclovir may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).


For the consumer

For the professional

Side Effects of Famciclovir - for the consumer


Famciclovir

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Famciclovir:

Diarrhea; gas; headache; tiredness; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur when using Famciclovir:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in the amount of urine produced; confusion; delirium; disorientation; hallucinations; red, swollen, blistered, or peeling skin.

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For the professional


Famciclovir

Immunocompetent Patients

The safety of Famciclovir has been evaluated in clinical studies involving 816 Famciclovir-treated patients with herpes zoster (Famciclovir, 250 mg t.i.d. to 750 mg t.i.d.) and 1,197 patients with recurrent genital herpes treated with Famciclovir as suppressive therapy (125 mg q.d. to 250 mg t.i.d.) of which 570 patients received Famciclovir (open-labeled and/or double-blind) for at least 10 months. Table 5 lists selected adverse events.

Table 5: Selected Adverse Events (all grades and without regard to causality) Reported by ≥ 2% of Patients in Placebo-controlled Famciclovir Trials*

* Patients may have entered into more than one clinical trial.

7 days of treatment

§ daily treatment

  Incidence
  Herpes Zoster Genital Herpes-Suppression§
Event Famciclovir (n = 273) % Placebo (n = 146) % Famciclovir (n = 458) % Placebo (n = 63) %
Nervous System        
Headache 22.7 17.8 39.3 42.9
Paresthesia 2.6 0.0 0.9 0.0
Migraine 0.7 0.7 3.1 0.0
Gastrointestinal        
Nausea 12.5 11.6 7.2 9.5
Diarrhea 7.7 4.8 9.0 9.5
Vomiting 4.8 3.4 3.1 1.6
Flatulence 1.5 0.7 4.8 1.6
Abdominal Pain 1.1 3.4 7.9 7.9
Body as a Whole        
Fatigue 4.4 3.4 4.8 3.2
Skin and Appendages        
Pruritus 3.7 2.7 2.2 0.0
Rash 0.4 0.7 3.3 1.6
Reproductive Female        
Dysmenorrhea 0.0 0.7 7.6 6.3

The following adverse events have been reported during post-approval use of Famciclovir: urticaria, hallucinations and confusion (including delirium, disorientation, confusional state, occurring predominantly in the elderly). Because these adverse events are reported voluntarily from a population of unknown size, estimates of frequency cannot be made. Table 6 lists selected laboratory abnormalities in genital herpes suppression trials.

Table 6: Selected Laboratory Abnormalities in Genital Herpes Suppression Studies*

* Percentage of patients with laboratory abnormalities that were increased or decreased from baseline and were outside of specified ranges.

n values represent the minimum number of patients assessed for each laboratory parameter.

NRH = Normal Range High.

NRL = Normal Range Low.

Parameter Famciclovir (n = 660)% Placebo (n = 210)%
Anemia (< 0.8 x NRL) 0.1 0.0
Leukopenia (< 0.75 x NRL) 1.3 0.9
Neutropenia (< 0.8 x NRL) 3.2 1.5
AST (SGOT) (> 2 x NRH) 2.3 1.2
ALT (SGPT) (> 2 x NRH) 3.2 1.5
Total Bilirubin (> 1.5 x NRH) 1.9 1.2
Serum Creatinine (> 1.5 x NRH) 0.2 0.3
Amylase (> 1.5 x NRH) 1.5 1.9
Lipase (> 1.5 x NRH) 4.9 4.7

HIV-Infected Patients

In HIV-infected patients, the most frequently reported adverse events for Famciclovir (500 mg twice daily; n = 150) and acyclovir (400 mg, 5x/day; n = 143), respectively, were headache (16.7% vs. 15.4%), nausea (10.7% vs. 12.6%), diarrhea (6.7% vs. 10.5%), vomiting (4.7% vs. 3.5%), fatigue (4.0% vs. 2.1%), and abdominal pain (3.3% vs. 5.6%).

Postmarketing Experience

The following adverse events have been reported during post-approval use of Famciclovir: urticaria, serious skin reactions (e.g., erythema multiforme), jaundice, thrombocytopenia, hallucinations, dizziness, somnolence and confusion (including delirium, disorientation, confusional state, occurring predominantly in the elderly). Because these adverse events are reported voluntarily from a population of unknown size, estimates of frequency cannot be made.

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More resources:

Drugs.com Famvir

PDR Famciclovir

MedFacts Famciclovir

Micromedex Famciclovir - Includes detailed dosage instructions.

FDA Famvir

Facts & Comparisons Famciclovir

FDA Famciclovir

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