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

Famciclovir

Brand Names: Famvir

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-01-14 • RxNorm RxCUI 198382 • 5 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
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

Famciclovir Key Takeaways

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

93%
Patient “Worth It” (10)
$10.46
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Famciclovir Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 198382 • NDC 42291-414

Famciclovir tablets, a prodrug of penciclovir, are a deoxynucleoside analog DNA polymerase inhibitor indicated for: Immunocompetent Adult Patients ( 1.1 ) Herpes labialis (cold sores) Treatment of recurrent episodes Genital herpes Treatment of recurrent episodes Suppressive therapy of recurrent episodes Herpes zoster (shingles) Human Immunodeficiency Virus (HIV) -Infected Adult Patients ( 1.2 ) Treatment of recurrent episodes of orolabial or genital herpes Limitation of Use The efficacy and safety of famciclovir tablets have not been established for: Patients with first episode of genital herpes Patients with.

12.1 Mechanism of Action Famciclovir is an orally administered prodrug of the anti-alpha herpes viral agent penciclovir . Famciclovir operates pharmacologically within the Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor class (RxNorm 198382; NDC 42291-414, 42291-415), engaging target pathways across 500 mg/1 Tablet, Film Coated; 125 mg/1 Tablet, Film Coated dosing.

With Mean elimination half-life of 7 to 12 hours across adult Famciclovir dosing residence kinetics and Oral fraction absorbed ranges from 64% to 76% (Famciclovir 500) bioavailability, Famciclovir undergoes dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of famciclovir and establishes therapeutic activity over oral tmax achieved within 2 to 3 hours following famciclovir ingestion.

Standard adult regimens span 500 mg/1 Tablet, Film Coated, 125 mg/1 Tablet, Film Coated, 250 mg/1 Tablet, Film Coated, 125mg Tablet, 250mg Tablet. Prescribers screen specifically against famciclovir is contraindicated in patients with known hypersensitivity to the product, its components, or denavir ® (penciclovir cream).; known hypersensitivity to the product, its components, or denavir ® (penciclovir cream)., while community micro-logs most frequently note nausea (12.1% of reports), headache (10.7% of reports), dizziness (6.6% of reports).

Key Monitored Interactions:
Digoxin & P-Glycoprotein Efflux Substrates Moderate

Transporter-mediated clearance of P-gp substrates may slow during concurrent Famciclovir administration.

Overlapping Therapeutic Class Formulations Moderate

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

Half-Life
Mean elimination half-life of 7 to 12 hours across adult Famciclovir dosing
Bioavailability
Oral fraction absorbed ranges from 64% to 76% (Famciclovir 500)
Metabolism & Clearance
Dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of Famciclovir
Clinical Onset
Oral Tmax achieved within 2 to 3 hours following Famciclovir ingestion

Standard Adult Titration & Dosages

500 mg/1 Tablet, Film Coated 125 mg/1 Tablet, Film Coated 250 mg/1 Tablet, Film Coated 125mg Tablet 250mg Tablet

Absolute & Relative Contraindications

  • Famciclovir is contraindicated in patients with known hypersensitivity to the product, its components, or Denavir ® (penciclovir cream).
  • Known hypersensitivity to the product, its components, or Denavir ® (penciclovir cream).

Logged Side-Effect Incidence (10 Reports)

Nausea 12.1%
Headache 10.7%
Dizziness 6.6%
Fatigue 5.1%
Dry mouth 4.3%
Diarrhea 4.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Famciclovir Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (10)
Nausea FAERS: 12.1% • Logs: 12.1%
Fatigue FAERS: 5.1% • Logs: 5.1%
Diarrhea FAERS: 4.1% • Logs: 4.1%
Headache FAERS: 10.7% • Logs: 10.7%
Dizziness FAERS: 6.6% • Logs: 6.6%
Dry mouth FAERS: 4.3% • Logs: 4.3%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Famciclovir)

Browse All PubMed Translations →

Human clinical trial evidence for Famciclovir 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)

Famciclovir Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 198382
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.2120/unit (~$6.36/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $10.46 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 10 Anonymous DotMD Community Micro-Logs $12.03 / mo View logs ↓

Famciclovir Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Famciclovir RxNorm Concept ID 198382 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.2120 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $10.46 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 93.00% Worth It (10 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Famciclovir Patient Community, Cohort Filters & Dosage Logs

Cross-verified Famciclovir (herpes simplex virus nucleoside analog dna polymerase inhibitor) monograph synthesizing RxNorm 198382, openFDA FAERS signals, and $10.46–$34.50 cash benchmarks.

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