Docosanol

Pronunciation

(doe KOE san ole)

U.S. Brand Names

Abreva® [OTC]

Synonyms

Behenyl Alcohol; n-Docosanol

Generic Available

No

Use

Treatment of herpes simplex of the face or lips

Contraindications

Hypersensitivity to docosanol or any component of the formulation

Warnings/Precautions

For external use only. Do not apply to inside of mouth or around eyes. Not for use in children <12 years of age.

Adverse Reactions

Limited information; headache reported (frequency similar to placebo)

Stability

Store at 20°C to 25°C (68°F to 77°F); do not freeze.

Mechanism of Action

Prevents viral entry and replication at the cellular level

Dosage

Children 12 years and Adults: Topical: Apply 5 times/day to affected area of face or lips. Start at first sign of cold sore or fever blister and continue until healed.

Patient Education

Wash hands before and after applying cream. Begin treatment at first tingle of cold sore or fever blister. Rub into area gently, but completely. Do not apply directly to inside of mouth or around eyes. Contact prescriber if sore gets worse or does not heal within 10 days. Do not share this product with others, may spread infection. Pregnancy/breast-feeding precautions: Inform prescriber if you are or intend to become pregnant. Consult prescriber if breast-feeding.

Anesthesia and Critical Care Concerns/Other Considerations

Do not apply directly to inside of mouth or around eyes.

Dental Health: Effects on Dental Treatment

No significant effects or complications reported

Dental Health: Vasoconstrictor/Local Anesthetic Precautions

No information available to require special precautions

Dental Comment

Wash hands before and after applying cream. Begin treatment at first tingle of cold sore or fever blister. Rub into area gently, but completely. Do not apply directly to inside of mouth or around eyes. Contact healthcare provider if sore gets worse or does not heal within 10 days. Do not share this product with others, may spread infection. Notify healthcare professional if pregnant or breast-feeding.

Dosage Forms

Cream: 10% (2 g)

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