Docosanol Topical

In the U.S.

• Abreva

Available Dosage Forms:

• Cream

Therapeutic Class: Antiviral

Docosanol belongs to the family of medicines called antivirals. Antivirals are used to treat infections caused by viruses. Usually they work for only one kind or group of virus infections.

Topical docosanol is used to treat the symptoms of herpes simplex virus infections around the mouth. Although topical docosanol will not cure herpes simplex, it may help relieve the pain and discomfort and may help the sores (if any) heal faster.

Docosanol is available over the counter.

Do not use docosanol in or around the eyes or on the genitalia .

Docosanol is best used as soon as possible after the signs and symptoms of herpes infection (for example, pain, burning, or blisters) begin to appear.

Apply the medication to the sores (blisters); rub in gently and completely.

To help clear up your herpes infection, continue using docosanol for the full time of treatment. Do not miss any doses. However, do not use docosanol more often or for a longer time than your health care professional or the OTC label indicates.

Dosing

The dose of docosanol will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of docosanol. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For topical dosage form (cream):
  • Adults and adolescents:
    • Apply to the affected area(s), five times a day until sore is healed.
    • Rub in gently and completely
  • Children under 12 years of age
    • Use and dosage must be determined by your doctor.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Cold sores are contagious before, during and after an outbreak or when blisters are present. Cold sore sufferers should avoid close physical or intimate contact, such as kissing, when having an outbreak.

Do not share docosanol topical with anyone. Sharing may spread the infection.

Avoid getting this medication in the eyes or mouth.

Before using docosanol topical, tell your doctor if you have any other medical conditions or if you use any other medications.

The FDA has not evaluated the effects of docosanol topical used during pregnancy. Do notuse docosanol topical without first talking to your doctor if you are pregnant.

It is not known whether docosanol topical passes into breast milk. Do not use docosanol topical without first talking to your doctor if you are breast feeding a baby.

Docosanol topical is not approved for use by children younger than 12 years old.

Use docosanol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after applying docosanol topical.

Docosanol topical should be applied at the very first sign of a cold sore, such as the tingle, redness, bump, or itch.

Docosanol topical is a smooth, white cream that dries clear. It won't sting or burn and it has no medicinal smell or taste.

Remove any cosmetics before applying docosanol topical. Apply enough docosanol topical to completely cover the cold sore or fever blister and rub in gently and completely.

Docosanol topical is usually applied five times a day until healed. Stop using docosanol topical and see your doctor if the cold sore gets worse or the cold sore is not healed with in 10 days.

If at any time the medication is accidentally removed, re-apply it as soon as possible.

Cosmetics, such as lipstick, may be applied over docosanol topical. However, use a separate applicator, such as cotton swab, to apply cosmetics over an unhealed cold sore to avoid spreading the infection.

Do not share docosanol topical with anyone. Sharing may spread the infection.

Avoid getting this medication in the eyes or mouth.

Store docosanol topical at room temperature away from moisture and heat. Do not freeze.

No serious side effects are expected with docosanol topical treatment. If you suspect an allergic reaction (difficulty breathing; rash; hives; itching; swelling of your lips, tongue, or face) seek emergency medical attention.

Other less serious side effects are also uncommon. Headache has been reported.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

It is not known whether docosanol topical will interact with other medications. Tell your doctor and pharmacist about all other medicines you are using, especially other topical preparations, and talk to your doctor and pharmacist before using any prescription or over-the-counter medicines during treatment with docosanol topical.

If you are using this product under your doctor's direction, your doctor or pharmacist may already be aware of possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.

Keep a list of all your medications with you, and share the list with your doctor and pharmacist.