Medicine guide

Acyclovir

50 mg/g · Ointment

  • Prescription only
  • Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor
Active substance
Acyclovir
Made by
ACTAVIS PHARMA, INC.

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2020-10-31

What it is

Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor

Used for
  • Acyclovir Ointment 5% is indicated in the management of initial genital herpes and in limited non-lifethreatening mucocutaneous HSV infections in immunocompromised patients.
Do not take it if

Acyclovir Ointment 5% is contraindicated in patients who develop hypersensitivity to the components of the formulation.

All warnings ↓
Good to know
  • Prescription only
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
129other products contain Acyclovir — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

  • Acyclovir Ointment 5% is indicated in the management of initial genital herpes and in limited non-lifethreatening mucocutaneous HSV infections in immunocompromised patients.

From the official label · 2020-10-31 · DailyMed

How it works

From this product’s own US prescribing label.

Two clinical pharmacology studies were performed with acyclovir ointment 5% in immunocompromised adults at risk of developing mucocutaneous HSV infections or with localized varicella zoster infections.

These studies were designed to evaluate the dermal tolerance, systemic toxicity, and percutaneous absorption of acyclovir.

How it leaves the body

Acyclovir excreted in the urine ranged from <0.02% to 9.4% of the daily dose.

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2020-10-31

Do not take it if

Acyclovir Ointment 5% is contraindicated in patients who develop hypersensitivity to the components of the formulation.

Quoted from the official label, section “Contraindications”.

How to take it

These directions are for this exact strength and form. Another one is different.

  • Apply sufficient quantity to adequately cover all lesions every 3 hours, 6 times per day for 7 days.
  • The dose size per application will vary depending upon the total lesion area but should approximate a one-half inch ribbon of ointment per 4 square inches of surface area.
  • A finger cot or rubber glove should be used when applying acyclovir to prevent autoinoculation of other body sites and transmission of infection to other persons.
  • Therapy should be initiated as early as possible following onset of signs and symptoms.

Quoted from the official label, section “Dosage & Administration”.

Other warnings

  • Acyclovir Ointment 5% is intended for cutaneous use only and should not be used in the eye.
  • General:
  • The recommended dosage, frequency of applications, and length of treatment should not be exceeded (see DOSAGE AND ADMINISTRATION ).
  • There are no data to support the use of Acyclovir Ointment 5% to prevent transmission of infection to other persons or prevent recurrent infections when applied in the absence of signs and symptoms.
  • Acyclovir Ointment 5% should not be used for the prevention of recurrent HSV infections.
  • Although clinically significant viral resistance associated with the use of Acyclovir Ointment 5% has not been observed, this possibility exists.
  • Drug Interactions:
  • Carcinogenesis, Mutagenesis, Impairment of Fertility:
  • Systemic exposure following topical administration of acyclovir is minimal.
  • Dermal carcinogenicity studies were not conducted.
  • Results from the studies of carcinogenesis, mutagenesis, and fertility are not included in the full prescribing information for Acyclovir Ointment 5% due to the minimal exposures of acyclovir that result from dermal application.
  • Information on these studies is available in the full prescribing information for ZOVIRAX ® Capsules, Tablets, and Suspension and ZOVIRAX ® for Injection.
  • Pregnancy:
  • Nursing Mothers:
  • Geriatric Use:
  • Pediatric Use: Safety and effectiveness in pediatric patients have not been established.
  • General:
  • The recommended dosage, frequency of applications, and length of treatment should not be exceeded (see DOSAGE AND ADMINISTRATION ).
  • There are no data to support the use of Acyclovir Ointment 5% to prevent transmission of infection to other persons or prevent recurrent infections when applied in the absence of signs and symptoms.
  • Acyclovir Ointment 5% should not be used for the prevention of recurrent HSV infections.
  • Although clinically significant viral resistance associated with the use of Acyclovir Ointment 5% has not been observed, this possibility exists.

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

  • Teratogenic Effects:
  • Acyclovir was not teratogenic in the mouse, rabbit, or rat at exposures greatly in excess of human exposure.
  • There are no adequate and well-controlled studies of systemic acyclovir in pregnant women.
  • A prospective epidemiologic registry of acyclovir use during pregnancy was established in 1984 and completed in April 1999.
  • There were 749 pregnancies followed in women exposed to systemic acyclovir during the first trimester of pregnancy resulting in 756 outcomes.
  • The occurrence rate of birth defects approximates that found in the general population.
  • However, the small size of the registry is insufficient to evaluate the risk for less common defects or to permit reliable or definitive conclusions regarding the safety of acyclovir in pregnant women and their developing fetuses.
  • Systemic acyclovir should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
  • It is not known whether topically applied acyclovir is excreted in breast milk.
  • Systemic exposure following topical administration is minimal.
  • After oral administration of Acyclovir, acyclovir concentrations have been documented in breast milk in two women and ranged from 0.6 to 4.1 times the corresponding plasma levels.
  • These concentrations would potentially expose the nursing infant to a dose of acyclovir up to 0.3 mg/kg/day.
  • Nursing mothers who have active herpetic lesions near or on the breast should
  • avoid nursing.

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

Other medicines

Clinical experience has identified no interactions resulting from topical or systemic administration of other drugs concomitantly with Acyclovir Ointment 5%.

Quoted from the official label, section “Drug Interactions”.

If you take too much

In an emergency, call your local emergency number or a poison control centre.

Overdosage by topical application of Acyclovir Ointment 5% is unlikely because of limited transcutaneous absorption (see CLINICAL PHARMACOLOGY ).

Quoted from the official label, section “Overdosage”.

Use in children

Safety and effectiveness in pediatric patients have not been established.

Quoted from the official label, section “Pediatric Use”.

Use in older people

  • Clinical studies of Acyclovir Ointment did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.
  • Other reported clinical experience has not identified differences in responses between the elderly and younger patients.
  • Systemic absorption of acyclovir after topical administration is minimal (see CLINICAL PHARMACOLOGY ).

Quoted from the official label, section “Geriatric Use”.

Side effects

  • In the controlled clinical trials, mild pain (including transient burning and stinging) was reported by about 30% of patients in both the active and placebo arms; treatment was discontinued in two of these patients.
  • Local pruritus occurred in 4% of these patients.
  • In all studies, there was no significant difference between the drug and placebo group in the rate or type of reported adverse reactions nor were there any differences in abnormal clinical laboratory findings.
  • Observed During Clinical Practice:
  • Based on clinical practice experience in patients treated with Acyclovir Ointment in the U.S., spontaneously reported adverse events are uncommon.
  • Data are insufficient to support an estimate of their incidence or to establish causation.
  • These events may also occur as part of the underlying disease process.
  • Voluntary reports of adverse events that have been received since market introduction include:
  • General:
  • Edema and/or pain at the application site.
  • Skin: Pruritus, rash.
  • To report SUSPECTED ADVERSE REACTIONS, contact Actavis at 1-888-838-2872 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Quoted from the official label, section “Adverse Reactions”.

What it looks like and how it is packed

  • Each gram of Acyclovir Ointment 5% contains 50 mg acyclovir in a polyethylene glycol base. It is supplied as follows:
  • 30 g tubes NDC 0591-1159-30
  • Store at 15° to 25°C (59° to 77°F) in a dry place.

Quoted from the official label, section “How Supplied”.

How to store it

Store at 15° to 25°C (59° to 77°F) in a dry place.

Quoted from the official label, section “Storage and Handling”.

What is in it

  • Acyclovir is a synthetic nucleoside analogue active against herpes viruses.
  • Acyclovir Ointment 5% is a formulation for topical administration.
  • Each gram of Acyclovir Ointment 5% contains 50 mg of acyclovir in a polyethylene glycol (PEG) base.
  • Acyclovir is a white to off-white crystalline powder with the molecular formula C 8 H 11 N 5 O 3 and a molecular weight of 225.20.
  • The maximum solubility in water at 37°C is 2.5 mg/mL.
  • The pka’s of acyclovir are 2.27 and 9.25.
  • The chemical name of acyclovir is 2-amino-1,9-dihydro-9-[(2-hydroxyethoxy)methyl]-6 H -purin-6-one; it has the following structural formula:
  • Chemical Structure

Quoted from the official label, section “Description”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

The stored label for this product has no list of inactive ingredients. The list on the pack is the one to check.

Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.

Every version of this medicine (29)

The same active substance, strength and kind of form, from every company that sells it — with what each label lists.

Showing 29 of 29

Same active substance, strength and form in other countries

Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.

Medicine passport: one printable page to show a pharmacist abroad

CanadaNo exact match for this strength and form

Details

Made byACTAVIS PHARMA, INC.
Active substanceAcyclovir
Used inAntibiotics, antivirals and antifungals taken into the body
Strength50 mg/g
FormOintment
RouteTopical
Packs1 TUBE in 1 CARTON / 30 g in 1 TUBE
NDC0591-1159

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

Other strengths and forms

125 products are sold under this name. Grouped by form; a number on a strength means several companies make it.

Show all forms · 7 forms

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.