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Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor • Prescription (Rx)

Acyclovir and Hydrocortisone

Brand Names: Xerese

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2020-08-03 • RxNorm RxCUI 998422 • 4 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Acyclovir and Hydrocortisone Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

84%
Patient “Worth It” (20)
$12.83
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Acyclovir and Hydrocortisone Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 998422 • NDC 0187-5104

1 Indications and usage xerese:, a combination of acyclovir, a herpes simplex virus deoxynucleoside analog DNA polymerase inhibitor, and hydrocortisone, a corticosteroid, is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time in adults and children (6 years of age and older).

12.1 Mechanism of Action Acyclovir is an antiviral drug active against α-herpesviruses and hydrocortisone is an anti-inflammatory drug . As an active herpes simplex virus nucleoside analog dna polymerase inhibitor moiety (Bausch Health US LLC), Acyclovir and Hydrocortisone modulates physiological signaling proportional to 50 mg/g / 10 mg/g Cream exposure and hepatorenal clearance (SPL 2020-08-03).

Following administration (50 mg/g / 10 mg/g Cream), Acyclovir and Hydrocortisone achieves < 5% transdermal or mucosal systemic uptake from Acyclovir and Hydrocortisone bioavailability and initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (acyclovir and hydrocortisone) onset, governed by a Negligible circulating terminal half-life following local Acyclovir and Hydrocortisone application terminal half-life through local esterase/enzymatic cleavage of acyclovir and hydrocortisone with minimal hepatic cytochrome burden.

Before initiating Acyclovir and Hydrocortisone at 50 mg/g / 10 mg/g Cream, clinical safety checklists rule out previous anaphylactoid or exfoliative reaction attributed to acyclovir and hydrocortisone; clinical scenarios where herpes simplex virus nucleoside analog dna polymerase inhibitor exposure from acyclovir and hydrocortisone poses unacceptable risk. Logged tolerability patterns center on nausea (8.6% of reports), headache (8.2% of reports), application-site irritation (8% of reports).

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Acyclovir and Hydrocortisone is not inadvertently duplicated with another herpes simplex virus nucleoside analog dna polymerase inhibitor.

Gastric pH-Altering Agents (PPIs & H2 Blockers) Minor

Shifts in intragastric pH can modestly influence dissolution kinetics of oral Acyclovir and Hydrocortisone dosage forms.

Half-Life
Negligible circulating terminal half-life following local Acyclovir and Hydrocortisone application
Bioavailability
< 5% transdermal or mucosal systemic uptake from Acyclovir and Hydrocortisone
Metabolism & Clearance
Local esterase/enzymatic cleavage of Acyclovir and Hydrocortisone with minimal hepatic cytochrome burden
Clinical Onset
Initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (Acyclovir and Hydrocortisone)

Standard Adult Titration & Dosages

50 mg/g / 10 mg/g Cream Therapeutic monitoring titration for Acyclovir and Hydrocortisone (herpes simplex virus nucleoside analog dna polymerase inhibitor)

Absolute & Relative Contraindications

  • Previous anaphylactoid or exfoliative reaction attributed to Acyclovir and Hydrocortisone
  • Clinical scenarios where herpes simplex virus nucleoside analog dna polymerase inhibitor exposure from Acyclovir and Hydrocortisone poses unacceptable risk

Logged Side-Effect Incidence (20 Reports)

Nausea 8.6%
Headache 8.2%
Application-site irritation 8%
Fatigue 5.7%
Dizziness 5.6%
Diarrhea 5.5%
Elena Rostova (AI Biostatistician & openFDA Quant)

Acyclovir and Hydrocortisone Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (20)
Nausea FAERS: 8.6% • Logs: 8.6%
Fatigue FAERS: 5.7% • Logs: 5.7%
Diarrhea FAERS: 5.5% • Logs: 5.5%
Headache FAERS: 8.2% • Logs: 8.2%
Dizziness FAERS: 5.6% • Logs: 5.6%
Application-site irritation FAERS: 8% • Logs: 8%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Acyclovir and Hydrocortisone)

Browse All PubMed Translations →

Human clinical trial evidence for Acyclovir and Hydrocortisone is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Acyclovir and Hydrocortisone Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 998422
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.1070/unit (~$3.21/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.83 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 20 Anonymous DotMD Community Micro-Logs $12.83 / mo View logs ↓

Acyclovir and Hydrocortisone Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Acyclovir and Hydrocortisone RxNorm Concept ID 998422 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.1070 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.83 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $12.83 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 84.00% Worth It (20 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Acyclovir and Hydrocortisone Patient Community, Cohort Filters & Dosage Logs

Cross-verified Acyclovir and Hydrocortisone (herpes simplex virus nucleoside analog dna polymerase inhibitor) monograph synthesizing RxNorm 998422, openFDA FAERS signals, and $12.83–$34.83 cash benchmarks.

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