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valganciclovir (Valcyte)
Indications:
- cytomegalovirus (CMV) retinitis
- CMV prophylaxis [5]
Dosage:
1) 900 mg PO BID for 21 days (active CMV retinitis)
2) 900 mg QD maintenance
3) see ref [4] for calculation of pediatric dosage
4) maxmimum dose 900 mg BID [3,4]
Adverse effects:
- potential carcinogen & teratogen
- do NOT handle broken tablets
Laboratory:
- valganciclovir in plasma
Mechanism of action: metabolized to ganciclovir
Notes: Manufacturer: Roche
Interactions
drug interactions
Related
ganciclovir; DHPG (Cytovene, Vitrasert, Zirgan)
General
antiviral agent
Database Correlations
PUBCHEM correlations
References
- Prescriber's Letter 8(5):28 2001
- Department of Veterans Affairs, VA National Formulary
- restricted to CMV retinitis
- FDA MedWatch
Valcyte (valganciclovir hydrochloride) Label Change:
Possible overdose in pediatric patients
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm225888.htm
- FDA Drug Safety Announceement
FDA Drug Safety Communication: New dosing recommendations to
prevent potential Valcyte (valganciclovir) overdose in
pediatric transplant patients
http://www.fda.gov/Drugs/DrugSafety/ucm225727.htm
- Deprecated Reference