Article: Extending acyclovir's dosing interval in bone marrow transplant maintains efficacy, reduces costs

University Medical Center, Tucson-Extending the dosing interval of prophylactic IV acyclovir from 8 to 12 hours for bone marrow transplant recipients results in a significant cost reduction with no negative impact on efficacy.

Study purpose. Traditionally, prophylactic IV acyclovir has been given as 250 mg/m^sup 2^ every 8 hours beginning on day 1 after bone marrow transplantation until initiation of oral prophylactic acyclovir following hematologic recovery and resolution of mucositis, or requirement for antiviral treatment. Reports in the literature suggest that IV dosing every 12 hours is as effective as dosing every 8 hours in reducing the incidence of herpes simplex virus (HSV) and ...

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