Famciclovir
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* Includes Free Private Prescription & Consultation.
† Applies to UK only.


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MEDICAL INFORMATION
Famciclovir Key Facts
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About Famciclovir
Famciclovir is an antiviral drug used for the treatment of cold sores (herpes labialis, HSV-1)) and genital herpes (herpes simplex strain 2, HSV-2). Famciclovir is also used to treat varicella zoster virus (VZV, herpes zoster), which causes chickenpox and shingles in immunocompetent patients.
Famciclovir is a prodrug which is broken down in the body to penciclovir, which blocks certain enzymes in the virus, preventing the virus from multiplying. This allows the immune system to control the infection.
NowPatient offers Famciclovir under the brand name Famvir, or as the generic Famciclovir for the treatment of Herpes Simplex virus, genital herpes, and shingles only, following an online consultation with a prescribing clinician.
Key facts of Famciclovir
- Famciclovir is used to treat genital herpes, cold sores, and shingles in adults
- Famciclovir has some common side effects which include nausea and vomiting
- It can be dangerous if you take Famciclovir with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Famciclovir contraindications
Famciclovir may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Famciclovir if you:
- Have had an allergic reaction to Famciclovir or the inactive ingredient lactose
- Have certain conditions such as galactose intolerance, severe lactase deficiency, or glucose-galactose malabsorption
- Have kidney problems
- Have hepatic problems
- Have a weak immune system
How and where to get Famciclovir?
You can buy Famciclovir safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of Herpes Simplex virus, genital herpes, or shingles, you can discuss if Famciclovir is a suitable treatment option for you.
At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by NowPatient.
Dosage and strength for Famciclovir for Herpes Simplex virus, genital herpes, and shingles
Famciclovir is available as a tablet, and when used for Herpes Simplex virus, genital herpes, or shingles, it is available in strengths ranging from 250 to 750 mg tablets.
Information about how to take Famciclovir for Herpes Simplex virus, genital herpes, and shingles
Your dose of Famciclovir will depend on the condition you are being treated for:
- Herpes Simplex virus – 500mg three times a day for 7 days, or 750mg 1-2 times a day for 7 days
- Genital herpes – 250 mg three times a day for five days or longer if new lesions appear or healing incomplete
- Shingles – 500mg tablets three times a day for 7 days, or 750mg 1-2 times a day for 7 days
If you forget to take a dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and take your next dose at your usual time. You should always complete the course of treatment as prescribed by your healthcare provider and read the patient information leaflet provided with your medication.
What happens if you take too much Famciclovir?
If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Famciclovir and you experience any of the following side effects:
What are the side effects of Famciclovir?
Common side effects include:
- Headache
- Nausea
If you experience any serious side effects, you should contact NHS 111.
If you experience a serious allergic reaction such as anaphylaxis with the signs shown below you should contact emergency services on 999.
- Your lips, mouth, throat or tongue suddenly become swollen
- You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
- Your throat feels tight or you’re struggling to swallow
- Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
- You suddenly become very confused, drowsy or dizzy
- Someone faints and cannot be woken up
Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient
Information about taking Famciclovir at the same time as other medications or herbal supplements
There is not enough evidence to suggest there are any drug interactions between herbal supplements and Famciclovir. In any event, you should let your prescribing clinician know if you are taking any herbal supplements. Also, speak to your doctor if you are taking certain prescription drugs, in case of drug interactions:
- Cladribine
- Entecavir
- Probenecid
Can Famciclovir taken for Herpes Simplex virus, genital herpes, shingles be taken long term?
Courses of treatment of Famciclovir range from 5 to 7 days. If your condition has not improved within this time, speak to your doctor for medical advice.
Is there a herbal Famciclovir?
No. Herbal Famciclovir does not exist. If you have been marketed such a formulation, it may be fake.
Can women use Famciclovir?
Women can take Famciclovir for the treatment of Herpes Simplex virus, genital herpes, or shingles. However, Famciclovir is not recommended during pregnancy or if you are breastfeeding as Famciclovir may pass into breast milk. Checking with your doctor before taking Famciclovir.
Should I avoid any particular food or drink when taking Famciclovir?
You can eat and drink normally when taking Famciclovir for the treatment of Herpes Simplex virus, genital herpes, or shingles.
What lifestyle changes can I make to help me with Herpes Simplex virus, genital herpes, or shingles.?
Condoms can reduce the risk of getting genital herpes if used correctly, but be aware, a condom will only protect the area of the body it covers. You should also avoid sex while you have outbreaks of sores or blisters.
Shingles develops when the varicella-zoster virus, which originally caused chickenpox, is reactivated in your body, after you have already had chickenpox. There are vaccines such as Shingrix that are now available. Speak to your doctor for advice if you are considering the Shingrix vaccine.
Alternatives to Famciclovir
Alternatives for the treatment of Herpes Simplex virus, genital herpes, or shingles include other antiviral drugs such as Valtrex (valaciclovir), Famvir and acyclovir.
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Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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FAQs
Answers to Popular Questions About Famciclovir
What is Famciclovir?
Famciclovir is an antiviral medication used to treat infections caused by herpes simplex virus (HSV) and varicella-zoster virus (VZV). It is the generic form of the brand-name drug Famvir. Famciclovir is an oral prodrug that is converted in the body to penciclovir, its active antiviral form. It is available as 125 mg, 250 mg, and 500 mg tablets and is a prescription-only medicine in the UK. Famciclovir is used for genital herpes, cold sores, and shingles.
What is the difference between Famciclovir and Aciclovir?
Both Famciclovir and Aciclovir are effective antivirals for herpes infections, but they differ in their active metabolites and dosing convenience. Aciclovir requires five-times-daily dosing for HSV treatment, while famciclovir is taken two to three times daily due to its better bioavailability and longer intracellular half-life. Valaciclovir (the prodrug of aciclovir) offers similar dosing convenience to famciclovir. All three drugs are clinically effective; choice is often based on tolerance, cost, and convenience.
What is Famciclovir used for?
Famciclovir is used for the treatment of initial and recurrent genital herpes, suppression of recurrent genital herpes, treatment of herpes zoster (shingles) in immunocompetent adults, and treatment of recurrent herpes labialis (cold sores). It may also be used in immunocompromised patients for treatment of mucocutaneous herpes simplex infections. It is an alternative to valaciclovir and aciclovir.
What is the usual dose of Famciclovir?
For initial genital herpes: 250 mg three times daily for 5 days. For recurrent genital herpes: 125 mg twice daily for 5 days, or a single-day treatment of 1 g twice daily. For suppression: 250 mg twice daily. For shingles: 500 mg three times daily for 7 days. For cold sores: 1.5 g as a single dose. Famciclovir can be taken with or without food. Doses should be reduced in patients with renal impairment.
What should I do if I miss a dose of Famciclovir?
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose. For episodic treatment of outbreaks, prompt and consistent dosing gives the best results. If you are taking famciclovir for suppression, try to take it at the same times each day.
What are the side effects of Famciclovir?
Common side effects include headache, nausea, and diarrhoea. Less common side effects include dizziness, fatigue, abdominal pain, and rash. Famciclovir is generally very well-tolerated for both short-term episodic use and long-term suppressive therapy. Rarely, confusion or hallucinations may occur in elderly patients or those with severe renal impairment. Maintain adequate fluid intake during treatment.
Can I drink alcohol with Famciclovir?
There is no specific interaction between famciclovir and alcohol. Moderate alcohol consumption is unlikely to affect the medication’s efficacy. However, when recovering from a herpes outbreak or shingles, it is sensible to support your immune system by moderating alcohol intake. If famciclovir causes nausea, alcohol may worsen this.
How can I get Famciclovir?
Famciclovir is available on NHS prescription from your GP, a GUM clinic, or through online services such as NowPatient. Generic famciclovir is typically less expensive than the branded Famvir version. NowPatient offers discreet online consultations with qualified UK prescribers and home delivery.
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