APOHEALTH FAMCICLOVIR ONCE
For cold sores
Consumer Medicine Information
For a copy of a large print leaflet, Ph: 1800 195 055
What is in this leaflet
This leaflet answers some common questions about famciclovir. It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you using this medicine against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine. You may want to read it again.
What this medicine is used for
Famciclovir is used to treat recurrent outbreaks of cold sores in adults who have a normal immune system (the body system which fights against infection).
It belongs to a group of medicines called antivirals.
How it works
Cold sores are an infection caused by a virus called herpes simplex type 1 (HSV-1), commonly acquired as a child from contact with parents or relatives. Cold sores usually begin on or around the lips, mouth, and nose as small red bumps that turn into painful fluid-filled blisters.
Famciclovir works by stopping the production of the virus causing the cold sore. It does not cure the viral infection, but it helps to relieve the symptoms and shorten the duration of an outbreak.
Many people who get cold sores know when one is coming by a tingling, burning, itchy or painful sensation or redness in the area. This can happen very rapidly.
After redness and swelling develop, blisters form. The blisters may weep or burst, and this can be painful. As the cold sore dries, a shallow ulcer and yellow crust forms which will eventually fall off to expose new pink-coloured skin. Generally, the sores heal without scarring. After the initial infection has healed, the virus becomes dormant in nerve cells.
Cold sores can be unpredictable. The virus can become active again in the body, even after many years, resulting in recurrent outbreaks of cold sores.
Some common triggers to a cold sore may include:
- sun exposure
- menstrual periods
- fever or illness, such as a cold
- dry chapped lips or skin trauma
Ask your pharmacist or doctor if you have any questions about why this medicine has been prescribed for you.
This medicine is available only from your pharmacist and does not require a prescription.
This medicine is not addictive.
There is not enough information to recommend the use of this medicine for children under the age of 18 years.
Before you take this medicine
When you must not take it
Do not take this medicine if you have an allergy to:
- any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
- shortness of breath
- wheezing or difficulty breathing
- swelling of the face, lips, tongue, throat or other parts of the body
- rash, itching or hives on the skin.
Do not take this medicine if you have a weakened immune system. Your pharmacist will refer you to your doctor for a review.
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor or pharmacist.
Before you start to take it
Tell your pharmacist or doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your pharmacist or doctor if you have kidney problems or have an increased risk of kidney problems. Risk factors may include:
- aged over 50 years
- high blood pressure
- heart problems
- liver problems
- infections other than cold sores.
Tell your pharmacist or doctor if you are pregnant, plan to become pregnant or are breastfeeding. Famciclovir should not be used during pregnancy or breastfeeding unless necessary. Your pharmacist or doctor will discuss with you the potential risks involved.
If you have not told your pharmacist or doctor about any of the above, tell them before you start taking this medicine.
Taking other medicines
Tell your pharmacist or doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and famciclovir may interfere with each other. These include:
- probenecid, a medicine used to treat gout and to increase blood levels of some antibiotics
- raloxifene, a medicine used to treat osteoporosis
- medicines that can affect your kidneys
- medicines that can affect your immune system.
These medicines may be affected by famciclovir or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking famciclovir.
Other interactions not listed above may also occur.
How to take this medicine
Follow all directions given to you by your doctor or pharmacist carefully. They may differ to the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
How much to take
The usual dose is three 500 mg tablets taken together as a single dose.
Your doctor may recommend a different dose if you have kidney problems.
How to take it
Swallow the tablets whole with a full glass of water. The tablets may be taken with or without food.
When to take it
Take this medicine as soon as possible after the first symptoms of a cold sore appear, such as tingling, itching or burning, redness or swelling.
Do not take the tablets if a hard crust has already formed on the cold sore. Keep the tablets for the next episode.
How long to take it
A single dose of famciclovir is all that is necessary for treating each episode of cold sores.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much famciclovir. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Taking too much famciclovir may affect the kidneys. In people who already have kidney problems, it may, rarely, lead to kidney failure if their dose is not correctly lowered.
While you are taking this medicine
Things you must do
Tell your doctor or pharmacist if your cold sores symptoms do not improve within a few days, or if they become worse.
Tell any other doctors, dentists, and pharmacists who treat you that you sometimes take famciclovir to treat recurring episodes of cold sores.
If you become pregnant while taking famciclovir, tell your doctor immediately.
Things you must not do
Do not take less than the recommended dose of three tablets unless advised by your doctor.
Do not give this medicine to anyone else, even if they have the same condition as you.
Do not use it to treat any other complaints unless your doctor tells you to.
Things to be careful of
Be careful driving, operating machinery or doing jobs that require you to be alert until you know how famciclovir affects you. This medicine can cause dizziness, sleepiness or confusion in some people.
Things that may help your condition
Cold sores are contagious and the virus that causes them can be passed to other people through close physical contact or saliva, even when blisters are not present. The risk is much higher when the cold sore can be seen, as the virus can shed and infect other people.
Take the following precautions to avoid spreading the virus:
- Keep the areas affected by the virus as clean and dry as possible
- Avoid touching or scratching the sore area as you may spread the virus on your fingers
- Do not share any objects that have been in contact with a cold sore (e.g. drinking glasses, eating utensils, towels)
- Avoid direct skin-to-skin contact of the area with other people (e.g. kissing) until the cold sore has healed.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking famciclovir.
This medicine helps treat most people with cold sores, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Do not be alarmed by these lists of possible side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
- nausea (feeling sick) or vomiting
- itching or an itchy rash
The above list includes the more common side effects of your medicine.
Tell your doctor as soon as possible if you notice any of the following:
- a rash on other parts of your body not associated with the cold sore
- extreme sleepiness or confusion, usually in older people
- hallucinations (seeing or hearing things that are not there)
- painful or swollen joints
- aching muscles or muscle tenderness or weakness that is not caused by exercise.
The above list includes serious side effects that may require medical attention.
If any of the following side effects happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
- swelling below the surface of the skin (e.g. swelling around the face, eye, eyelid or throat)
- bruising or bleeding more easily than usual (signs of a reduced amount of blood cells responsible for blood clotting)
- severe blistering of the skin or mucous membranes of the lips, eyes, mouth, nasal passages or genitals (signs of a serious skin reaction)
- persistent pain in the upper right abdomen, yellowing of the skin and/or eyes, dark urine or pale bowel motions (signs of a possible liver problem)
- shortness of breath, wheezing or difficulty breathing, swelling of the face, lips, tongue, throat or other parts of the body rash, itching or hives on the skin (signs of severe allergic reaction)
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.
Tell your doctor if you notice anything else that is making you feel unwell. Other side effects not listed above may also occur in some people.
Storage and Disposal
Keep the tablets in the pack until it is time to take them. If you take the tablets out of the pack they may not keep well.
Keep your medicine in a cool dry place where the temperature stays below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car. Heat and dampness can destroy some medicines.
Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your pharmacist or doctor recommended that you take less than the full dose in this pack, ask your pharmacist what to do with any tablets that you may have left over.
What it looks like
White, oval, biconvex, film-coated and engraved "FAM500" on one side and "APO" on the other side.
Available in blister packs of 3 tablets. AUST R 201911
Each tablet contains 500 mg of famciclovir as the active ingredient.
It also contains the following:
- stearic acid
- titanium dioxide
- macrogol 8000
This medicine does not contain gluten, lactose, sucrose, tartrazine and other azo dyes.
Apotex Pty Ltd
16 Giffnock Avenue
Macquarie Park, NSW 2113
Apotex Pty Ltd is the licensee of the registered trademarks APOHEALTH and APOTEX from the registered proprietor, Apotex Inc.
This leaflet was prepared in August 2018.
Published by MIMS March 2019