Acyclovir Cream and Ointment Usage Precautions
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Questions and Answers

Why is the warning not to use Acyclovir cream and ointment in the eye necessary?

  • Because the cream may cause cold sores and fever blisters
  • Because the ointment is not intended for use in the mouth or vagina
  • Because the cream contains ingredients that are irritant to the eyes (correct)
  • Because the ointment base is highly hygroscopic and can irritate mucosal membranes
  • What is the function of Poloxamer 407 in Zovirax Cream 5%?

  • Hydrophilic non-ionic surfactant (correct)
  • Hydrocarbon (oleaginous part)
  • Emulsifying agent
  • Co-solvent (aqueous part)
  • Why is Acyclovir 5% cream not recommended for use on the genitals?

  • Because it may cause cold sores and fever blisters
  • Because it is not effective in treating genital herpes (correct)
  • Because the ointment can be used instead
  • Because it may irritate the mucosal membranes
  • What is the main advantage of using ointment bases like PEG?

    <p>They provide a hydrophobic barrier on the skin surface</p> Signup and view all the answers

    What is the role of mineral oil in Zovirax Cream 5%?

    <p>Hydrocarbon (oleaginous part) and can also serve as a levigating agent</p> Signup and view all the answers

    Why is the efficacy of Acyclovir 5% cream in treating genital herpes limited?

    <p>Because it only decreases the duration of itching compared to placebo</p> Signup and view all the answers

    What is the primary concern regarding the storage of acyclovir ointment?

    <p>Chemical stability of acyclovir in the presence of water</p> Signup and view all the answers

    What patient counseling point is necessary to reduce systemic absorption of acyclovir from topical products?

    <p>Avoiding unnecessary rubbing of the affected area</p> Signup and view all the answers

    What is the primary reason why acyclovir is formulated in a PEG ointment base?

    <p>To enhance its water solubility</p> Signup and view all the answers

    What is the primary advantage of using a cream formulation of acyclovir?

    <p>Improved physical stability of the emulsion</p> Signup and view all the answers

    What would be the consequence of formulating acyclovir in a hydrocarbon base?

    <p>Delayed drug release due to lipophilicity</p> Signup and view all the answers

    What is a contraindication for the use of topical acyclovir products?

    <p>Open wounds or broken skin</p> Signup and view all the answers

    What is the maximum solubility of acyclovir in water at 37°C?

    <p>2.5 mg/mL</p> Signup and view all the answers

    What is the primary advantage of PEG ointment bases in terms of texture properties?

    <p>Stiffness and Adhesiveness</p> Signup and view all the answers

    What is a scenario that would increase the systemic absorption of acyclovir from topical products?

    <p>Shaving the affected area to enhance skin permeation</p> Signup and view all the answers

    What is the effect of PEG 1500 on the ointment base?

    <p>Increases the hydrophilicity of the ointment base</p> Signup and view all the answers

    What is the primary concern regarding the use of PEG ointment bases in acyclovir formulations?

    <p>Hygroscopicity of the ointment base</p> Signup and view all the answers

    What is the range of solubility of acyclovir in water?

    <p>1.2-1.6 mg/mL</p> Signup and view all the answers

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