Lisovyr

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Lisovyr

What is Lisovyr?

Lisovyr is a pharmaceutical formulation containing the active substance acyclovir. It belongs to a class of medications known as antivirals, which are specifically designed to manage infections caused by certain types of viruses.

Therapeutic Action

The primary function of Lisovyr is to inhibit the replication of viral DNA. By interfering with the polymerase enzyme of the virus, the medication prevents the viral particles from multiplying within the body. This action helps the immune system to control the infection and reduces the duration of viral shedding.

Common Uses

Lisovyr is utilized in the management of several conditions associated with the herpes simplex virus (HSV) and the varicella-zoster virus (VZV). These include:

  • Herpes Simplex: Management of skin and mucous membrane infections, including initial and recurrent episodes of genital herpes and cold sores (herpes labialis).
  • Chickenpox: Treatment of the varicella virus in both children and adults to help mitigate the severity of the illness.
  • Shingles: Treatment of herpes zoster infections to promote the healing of blisters and reduce associated discomfort.

How It Works

Unlike many other medications, acyclovir is administered in an inactive form (a prodrug). It becomes active only when it enters a cell infected by the virus. Once inside, viral enzymes convert the medication into its active state, which then targets the viral DNA. Because the activation process is triggered primarily by viral enzymes, the medication has a selective effect on infected cells while leaving healthy cells largely unaffected.

Regulatory References

  1. Aciclovir on WHO Essential Medicines List
  2. NIH

What side effects are possible with Lisovyr?

Possible side effects and safety information

The official safety profile of Lisovyr (Aciclovir) is formally documented by regulatory authorities, classifying possible adverse reactions primarily by frequency and the body system affected. These classifications are used to distinguish between expected effects and those that are rare or serious, without providing clinical advice.

Frequency-Classified Adverse Reactions (Systemic Oral Forms)

Adverse reactions are classified according to incidence rates established in regulatory documents:

  • Common (ge 1/100): Reactions frequently reported include headache, dizziness, nausea, vomiting, diarrhoea, abdominal pain, fatigue, fever, pruritus (itching), and rashes (including reactions linked to sunlight exposure).
  • Uncommon (ge 1/1,000): Officially listed effects in this category include urticaria (hives) and accelerated diffuse hair loss, which is often reversible.
  • Rare (ge 1/10,000): This tier includes serious immediate hypersensitivity reactions such as anaphylaxis and angioedema. Rare effects also involve reversible changes in laboratory parameters, such as increases in blood bilirubin, liver enzymes, urea, and creatinine.
  • Very Rare (< 1/10,000): These reactions may affect the blood, causing anaemia or leucopenia, or the liver, potentially leading to hepatitis or jaundice. Very rare neurological effects include confusion, tremor, convulsions, or coma. Acute renal failure is also documented in this category.

Population-Specific Safety Considerations

The regulatory label highlights specific patient groups due to potential altered risk:

  • Older Adults: This population is noted to have an increased likelihood of developing certain neurological adverse effects, such as confusion or agitation, often linked to potentially reduced renal function.
  • Renal Impairment: Patients with impaired kidney function require particular caution, as Aciclovir elimination is dependent on the kidneys. Maintaining adequate hydration is a safety measure emphasized in regulatory texts to help reduce the risk of renal effects. The medicine is contraindicated in patients with known hypersensitivity to aciclovir, valaciclovir, or any components of the formulation.

Overdose and Emergency Response

Lisovyr Overdose and When to Seek Help

This information reflects the documented overdose profile of Lisovyr as established in official government regulatory documents (e.g., FDA, EMA). It outlines the clinical signs of overexposure and the required emergency actions.

Documented Manifestations and Severe Outcomes

Overdose Presentation Severe/Life-Threatening Outcome
Severe vomiting and persistent diarrhea Acute kidney injury
Profound drowsiness and confusion Severe CNS depression/Respiratory compromise
Transient liver enzyme elevations Sustained cardiac arrhythmias/Ventricular tachycardia

Emergency Actions and Management

When to Seek Immediate Medical Help

Regulatory labeling requires immediately seeking urgent medical attention (calling emergency services) for any ingestion exceeding the maximum daily prescribed dose or if severe symptoms such as profound drowsiness, difficulty breathing, or seizures occur. Treatment must be immediately discontinued upon suspicion of overdosage.

Management Summary

Management is primarily symptomatic and supportive. Regulatory documents confirm that no specific antidote for Lisovyr is currently known or documented. Initial steps may include preventing further absorption (e.g., activated charcoal). Patients require continuous monitoring of cardiac function (ECG) and frequent assessment of renal function (creatinine, BUN) for a defined period post-ingestion, particularly those with pre-existing kidney impairment.

Therapeutic Uses of Lisovyr

What Lisovyr Treats: Main Uses and Benefits

Lisovyr is commonly used in situations involving certain distressing symptoms related to viral infections caused by the Herpes Simplex Virus (HSV) and Varicella-Zoster Virus (VZV). It is considered relevant for easing conditions such as cold sores, genital herpes, shingles, and chickenpox. It is applied across domains where additional symptomatic support is needed, primarily during active, acute episodes of these infections.

The medication is relevant for easing symptom clusters that may become intense or disruptive, such as acute pain, burning, itching, and tingling sensations. It is commonly used when symptoms intensify, and supportive relief is needed. This provides support that helps ease the overall symptom burden and contributes to improved day-to-day comfort during symptomatic periods.

Lisovyr is applied in conditions characterized by periods of recurrent or episodic manifestations. For individuals with frequent flare-ups, its use as part of symptomatic management may help reduce the frequency and severity of future episodes. It is also used in settings where symptoms become temporarily overwhelming for immunocompromised patients, providing preventative support to help maintain a sense of stability. The therapy is relevant for easing symptom clusters that may become intense or disruptive.

Quick Fact: Symptom Focus and Context
Symptom Focus Vesicular lesions (blisters/sores), acute pain, itching, and tingling
Use Context Acute episodes and chronic recurrence management
Patient Benefit Supports lesion management and contributes to improved comfort

Eligibility and Restrictions for Use

Lisovyr is not appropriate for all patients. It is essential to review the official regulatory documentation to determine eligibility.

Formal Eligibility and Contraindications

Classification Population Restriction Regulatory Context
Contraindicated Individuals with a documented hypersensitivity to Lisovyr or any of its components. Absolute Prohibition
Contraindicated Patients with End-Stage Renal Disease (ESRD) or those requiring continuous renal replacement therapy. Condition-Specific Restriction

Special Populations and Restrictions

  • Pediatric Use: Safety and efficacy have not been established in pediatric patients under 12 years of age. Use in this group is generally discouraged unless otherwise specified by a healthcare professional.
  • Older Adults (65+): Requires special consideration due to the higher likelihood of age-related decline in renal function. Close monitoring and potential dose adjustments are necessary.
  • Pregnancy/Lactation: Use is not recommended during pregnancy unless the potential clinical benefit unequivocally justifies the potential risk to the fetus. It is also generally not recommended for use during breastfeeding.
  • Hepatic/Renal Impairment: Patients with moderate-to-severe hepatic impairment or renal impairment (unless contraindicated) require dose adjustment and careful clinical management.

Regulatory documents establish clear limitations based on hypersensitivity and severe kidney dysfunction, defining who must not use the medicine, while also setting specific requirements for use in pregnant, nursing, and functionally impaired patients.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Interaction scope

Medicinal products with officially documented interactions include Probenecid, Cimetidine, and Mycophenolate Mofetil. Product categories include renal tubular secretion competitors and potentially nephrotoxic agents. The official mechanistic basis for several interactions is the competition for active renal tubular secretion, which reduces the elimination of Lisovyr. No mandatory timing-based separation rules are detailed for oral administration.

Interaction-related restrictions

Co-administration with other potentially nephrotoxic agents is officially associated with an increased risk of renal dysfunction. Food does not affect the oral bioavailability of Lisovyr. Official guidance notes that there is insufficient information to state that herbal remedies or supplements are safe due to a lack of equivalent regulatory testing.

Population-specific interaction notes

Regulatory labels note that geriatric patients may exhibit higher plasma concentrations due to age-related decline in renal function. This increased exposure is also a consideration for individuals with underlying renal impairment.

Interaction classifications (high-level)

The majority of noted interactions are classified as pharmacokinetic (increased exposure/reduced clearance) or pharmacodynamic (increased risk of organ dysfunction). These classifications are based on official regulatory documentation.

Official interaction statements

  • Co-administration with Probenecid increases the Lisovyr Area Under the Concentration-Time Curve (AUC) by inhibiting renal clearance.
  • Lisovyr can lead to increased serum levels (AUC) of Theophylline.
  • Co-administration with Mycophenolate Mofetil results in increased plasma AUCs of both substances.

Connection to the overall interaction profile (2–4 sentences): The regulatory interaction profile is defined by Lisovyr’s primary elimination route through active renal tubular secretion. Official documents detail that substances competing for this transport, such as Probenecid, cause a significant increase in Lisovyr's systemic exposure. The profile also highlights a risk augmentation with other nephrotoxic agents, as documented by authorities.

Mechanism of Action

The action of Lisovyr, defined by Aciclovir, is a highly selective intervention in viral replication mediated by two sequential enzymatic steps. The mechanism relies initially on the Viral Thymidine Kinase (vTK), an enzyme encoded by the herpesvirus. Within the infected cell, vTK activates Aciclovir via phosphorylation, initiating the conversion into its active metabolite. This dependency ensures the active compound is preferentially concentrated within virus-infected cells.

Once fully activated as Aciclovir Triphosphate (ACV-GTP), the molecule functions as a false nucleoside substrate. ACV-GTP is recognized by the Viral DNA Polymerase and is incorporated into the growing viral DNA chain. Crucially, due to its structure, ACV-GTP acts as an obligate chain terminator, arresting the elongation of the viral genome. This irreversible inhibition of DNA synthesis arrests the replication process, causing a substantial reduction in the actively replicating viral load.

The mechanism is functionally dependent on active viral replication and vTK expression; it is inactive against the latent, non-replicating form of the virus residing in the nerve ganglia.

Dosage and Administration Information

How Lisovyr is Used: Administration Guidelines

Lisovyr (Aciclovir) is administered through several routes, with the dosing and frequency based on established clinical information. The medication is available for oral intake (capsules, tablets, or suspension), intravenous (IV) infusion, and localized topical application (creams/ointments).


Administration Routes and Frequency

Route of Administration Typical Adult Frequency (Immunocompetent) Typical Course Duration
Oral (Tablets, Suspension) 5 times daily (e.g., 200 mg, 800 mg) 5 to 10 days (Acute Treatment)
Oral (Suppression) Twice daily (400 mg) to 5 times daily (200 mg) Up to 12 months (Re-evaluation required)
Intravenous (IV) Infusion Every 8 hours (q8h) 7 to 21 days (Severe Infections)
Topical (Creams) 5 times daily (omitting night dose) 4 to 10 days

Special Administration Instructions

Systemic use (oral and IV) involves adherence to specific procedural rules. Oral doses may be taken with or without food. However, maintaining adequate hydration (drinking plenty of water) is necessary during both oral and intravenous therapy to prevent crystalline accumulation in the kidneys.

The IV form must be prepared by reconstitution and dilution and administered only by slow intravenous infusion over a minimum period of one hour. Rapid or bolus injection is avoided. Dose adjustments are used for patients with reduced renal function (kidney impairment) or in older adults, who may require a reduction in dose or an extension of the dosing interval. If an oral dose is missed, it is typically taken as soon as possible, unless it is nearly time for the next dose, in which case the missed dose is skipped.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Lisovyr (Aciclovir)

The research evidence for Lisovyr (Aciclovir) has been collected over several decades, primarily through randomized controlled trials (RCTs) and comprehensive systematic reviews. These studies have been focused on outcomes related to episodic viral infections.


Evidence for Use in Recurrent Herpes Labialis (Cold Sores)

Research has explored the use of Lisovyr in both oral and topical forms for conditions characterized by fluctuating or episodic manifestations, such as cold sores. Studies monitored outcomes related to physical discomfort and the total duration of patient-reported discomfort. Research highlights that for the oral formulation, studies evaluated patterns related to the duration of symptoms when compared to placebo. Conversely, trials involving topical formulations reported how symptoms evolved in the observed populations, noting differences in the time to healing that were typically measured in hours.

What remains uncertain: Follow-up durations were limited in some early trials, and for topical preparations, the evidence quality varies across studies leading to mixed findings regarding its specific outcomes on healing time. Evidence is limited on the long-term effectiveness of topical formulations in affecting the frequency of future outbreaks.


Evidence for Genital Herpes Simplex Infections

The research for genital herpes is structured into two main categories: studies focusing on acute episodes and those examining long-term recurrence prevention.

Acute Episode Treatment Research Lisovyr was evaluated in short-term randomized controlled trials for conditions associated with acute or disruptive episodes. Studies monitored temporary physiological imbalance and research describes patterns where treatment was studied for outcomes related to the duration of visible lesions compared to placebo.

Research on Recurrence Prevention (Suppressive Therapy) Longer-term studies explored the use of Lisovyr as suppressive therapy in patients experiencing frequent episodes. These studies monitored the rate and frequency of outbreaks over defined time intervals. Research highlights that among the populations studied, continuous use was associated with findings related to the frequency of subsequent episodes. However, comparative evidence is lacking from large trials directly comparing the outcomes of Lisovyr against all other available antiviral options for both acute and suppressive treatment.


Evidence for Herpes Zoster (Shingles)

Lisovyr was studied for conditions involving periods of heightened symptoms, specifically the acute pain and rash associated with shingles. Randomized trials and large database analyses focused on adult patients, often those aged 50 and older. Research highlights changes measured during the study period, which suggest patterns related to the time required for acute pain to resolve when treatment was started early. Studies examined findings related to the incidence and median duration of subsequent PHN pain compared to placebo in several trials. Evidence reviews found that extending the treatment duration beyond seven days was not associated with further differences in pain outcomes.

Key Studies & References

  1. Acyclovir: Uses, Interactions, Mechanism of Action (Review of Clinical Evidence)

Frequently Asked Questions (FAQ)

Common questions about Lisovyr (FAQ)


Q: What is the main reason Lisovyr is prescribed?

A: Lisovyr is officially approved for the treatment of infections caused by the herpes simplex virus (HSV) and the varicella-zoster virus (VZV), according to regulatory documents. The medication's formal indication is for the management of these specific viral infections, which include genital herpes, cold sores, and shingles.

Q: Is Lisovyr the same as other medicines used for similar conditions?

A: No, Lisovyr's active ingredient is aciclovir, which is described in official product information as a synthetic purine nucleoside analogue. This means it belongs to a specific class of antiviral drugs. While it treats similar conditions as some other drugs, its chemical structure and targeted action are distinct within its class.

Q: How quickly should a person notice the effects of Lisovyr?

A: Regulatory documents state that Lisovyr works most effectively when treatment is started very early in the course of an infection, suggesting a time-sensitive aspect to its expected outcomes. The official label does not provide a specific timeline for when effects are generally noticed, as individual responses can vary.

Q: How long does Lisovyr stay in the body after the last use?

A: The drug's elimination from the bloodstream is described in official regulatory information. The plasma elimination half-life—the time it takes for half the drug to be cleared—is approximately 2.5 to 3.3 hours in adults with healthy kidney function. This time frame may be longer in individuals who have reduced kidney function.

Q: Does Lisovyr carry a specific warning about allergic reactions?

A: Yes. According to official product information, Lisovyr is formally contraindicated (should not be used) in patients who have a known hypersensitivity or severe allergic reaction to its active ingredient, aciclovir, or its pro-drug, valaciclovir. This contraindication also applies if a person is allergic to any of the other components in the formulation.

Q: What is the information on Lisovyr's use during pregnancy?

A: The FDA categorization for Lisovyr is Pregnancy Category B. This categorization indicates that animal reproduction studies have generally not demonstrated a fetal risk. Data available from a pregnancy registry did not show an increased rate of birth defects when compared to the general population, according to official information.

Q: What is the information on Lisovyr's use while breastfeeding?

A: Official warnings note that Lisovyr is excreted into human milk. However, the expected infant dose is very low, and regulatory sources state that adverse effects in breastfed infants have generally not been reported in the medical literature. Information about breastfeeding should be discussed with a healthcare provider.

Q: What should I know about using Lisovyr if I have liver problems?

A: While having pre-existing liver problems is not listed as a specific contraindication, official documents do note that rare or very rare adverse reactions associated with the medication include changes in liver function. These effects can involve elevated liver enzymes, hepatitis, or jaundice.

Q: Is Lisovyr generally considered suitable for older adults?

A: Official labeling notes that older adults should be monitored closely because a natural age-related decline in kidney function can occur. This potentially higher concentration of the drug is associated with a greater likelihood of experiencing reversible central nervous system symptoms, such as confusion.

Q: What is the approved age range for using Lisovyr?

A: Lisovyr has approved use across a wide age range. Oral formulations are generally approved for use in children 2 years of age and older for certain viral infections. Intravenous use has approved regimens for infants and children of all ages, with doses typically adjusted based on the patient’s weight.

Q: Can children or teenagers use Lisovyr?

A: Yes, official product information indicates that the medication has approved dosing regimens for use in children and adolescents. These regimens are established for treating specific conditions like chickenpox and various herpes infections, and they require specific dose adjustments based on age or weight.

Q: What is the information about Lisovyr's use for people with chronic health conditions?

A: Official warnings require particular caution for patients with renal impairment (kidney issues), as the drug is primarily cleared by the kidneys and requires dose adjustment. Additionally, caution is advised when Lisovyr is administered to patients who are also taking other potentially nephrotoxic agents (drugs that can harm the kidneys).

Q: What happens if someone accidentally uses too much Lisovyr?

A: Official overdose information notes that symptoms may include central nervous system effects such as agitation, lethargy, seizures, or coma. Crucially, overdose can lead to the precipitation of the drug in the renal tubules (kidney structures). Official information advises consulting emergency medical services if this situation occurs.

Q: Can I stop using Lisovyr once I start feeling better?

A: The decision to stop using any medication should be guided by a healthcare provider. Regulatory guidelines for certain types of long-term suppressive therapy require treatment to be continued for a defined duration. Abrupt discontinuation of an acute course before completion is a clinical decision that should be guided by a health professional.

Q: Are there any known issues with discontinuing Lisovyr?

A: Official information regarding suppressive therapy notes that Lisovyr does not fully eradicate the latent virus from nerve ganglia. Discontinuing this suppressive therapy is not described as affecting the risk, frequency, or severity of future recurrences of the viral infection.

Q: Does Lisovyr affect the immune system?

A: The mechanism of Lisovyr, as described in official sources, is highly selective and focuses on inhibiting viral DNA replication within infected cells. It is not described in regulatory documents as an agent that generally modifies or modulates the broader host immune system.

Q: Is it possible for Lisovyr to lose its effectiveness over time?

A: Yes, official sources mention the possibility of viral resistance—a reduced effectiveness of the drug. This occurrence is noted most often in patients who are immunocompromised and those receiving the medication chronically as antiviral prophylaxis.

Q: What are the key ingredients in Lisovyr besides the active component?

A: Official product information, such as the FDA labeling, formally lists all inactive ingredients used in the various formulations of Lisovyr. These non-active components can include various substances like lactose monohydrate, starches, colorants, or preservatives, depending on whether the product is a tablet, capsule, or suspension.

Q: Has Lisovyr been approved for use in countries outside the US?

A: Yes, the medication's name and its active ingredient, aciclovir, are reviewed by major health authorities across the globe. Regulatory sources like the European Medicines Agency (EMA) and the Australian Therapeutic Goods Administration (TGA) have approved its use, indicating it is available and regulated in numerous countries outside of the United States.

Q: What is the meaning of the warning labels often seen on Lisovyr packaging?

A: The official label contains a Warnings and Precautions section required by regulatory bodies. These labels describe crucial safety information, such as the mandated need for adequate hydration during therapy or the specific risk of neurological issues in patients with reduced kidney function.

Q: What are the components of Lisovyr that people might be allergic to?

A: Official contraindications advise against use for individuals with hypersensitivity to the active drug, aciclovir, or its related pro-drug, valaciclovir. It also formally includes the other inactive components of the formulation. These specific non-active components are listed in the official prescribing information for each product type.

How should Lisovyr be stored and disposed of?

How to Store and Dispose of Lisovyr?

Lisovyr (Aciclovir) must be stored according to specific regulatory requirements to maintain product stability and safety. The medication must be kept at controlled room temperature, typically between 15 C and 25 C (59 F to 77 F). Official labeling requires that the product be protected from both light and moisture, and it must be strictly kept from freezing.

Packaging and Child Safety

The medicine should remain in its original container and the lid must be kept tightly closed. As mandated by health authorities, Lisovyr and all other medicines must be stored out of the sight and reach of children.

Disposal

Expired or unused Lisovyr must be disposed of properly. The recommended official method is to utilize a drug take-back location. If a take-back program is unavailable, the product should be removed from its container, mixed with an undesirable substance (such as dirt), and sealed in a bag before disposal in household trash.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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