{"id":51080,"date":"2023-09-20T09:17:15","date_gmt":"2023-09-20T09:17:15","guid":{"rendered":"https:\/\/medsname.com\/natclovir\/"},"modified":"2026-04-30T16:19:01","modified_gmt":"2026-04-30T16:19:01","slug":"natclovir","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/natclovir\/","title":{"rendered":"Natclovir"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">Gyors v\u00e1lasz<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Natclovir<\/strong> \u2014 valacyclovir 250\/500 mg (Natco Pharma). Acyclovir el\u0151anyag \u2014 nemi herpesz (kezdeti \u00e9s megel\u0151z\u00e9s), herpes labialis (f\u00e1jdalmas ajakfek\u00e9ly), herpes zoster (\u00f6vs\u00f6m\u00f6r) kezel\u00e9s\u00e9re, valamint CMV megel\u0151z\u00e9s\u00e9re \u00e1t\u00fcltet\u00e9skor. Az acyclovirhoz k\u00e9pest el\u0151ny\u00f6sebb a betart\u00e1si ar\u00e1ny: jobb sz\u00e1jbiok\u00e9szhet\u0151s\u00e9g miatt napi 2-3\u00d7 adagol\u00e1s elegend\u0151.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Mit kapsz a MedsBase-n\u00e1l:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3<\/li>\n<li>Diszkr\u00e9t sima bor\u00edt\u00e9kos csomagol\u00e1s<\/li>\n<li>Sz\u00e1ll\u00edt\u00e1s vil\u00e1gszerte<\/li>\n<li>1 400+ v\u00e1s\u00e1rl\u00f3 \u00e9rt\u00e9kelte (<a href=\"https:\/\/medsbase.com\/hu\/reviews\/\">\u00e9rt\u00e9kel\u00e9sek olvas\u00e1sa<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>\u00dajrak\u00fcld\u00e9si garancia:<\/strong> ha a rendel\u00e9sed nem \u00e9rkezik meg 20 munkanapon bel\u00fcl a felad\u00e1st k\u00f6vet\u0151en, ingyen \u00fajrak\u00fcldj\u00fck. <a href=\"https:\/\/medsbase.com\/hu\/medsbase-re-shipment-assurance-policy\/\">A szab\u00e1lyzat elolvas\u00e1sa<\/a>.<\/p>\n<h3>Mi\u00e9rt rendelj a MedsBase-r\u00f3l<\/h3>\n<p>A Natclovirt WHO-GMP min\u0151s\u00edt\u00e9s\u0171 gy\u00e1rt\u00f3 sz\u00e1ll\u00edtja egyszer\u0171 csomagol\u00e1sban, a fizet\u00e9st szab\u00e1lyozott fizet\u00e9si feldolgoz\u00f3n kereszt\u00fcl terhelik (a kivonatban egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3 szerepel \u2014 soha nem MedsBase vagy gy\u00f3gyszer neve). Minden rendel\u00e9shez j\u00e1r a 20 munkanapos \u00fajrasz\u00e1ll\u00edt\u00e1si garancia.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Vesei d\u00f3zis-korrekci\u00f3 + hidrat\u00e1l\u00e1s<\/strong><br \/>A valaciklov\u00edr vesei \u00faton t\u00e1vozik; a dehidrat\u00e1ci\u00f3 krist\u00e1lyosod\u00e1st \u00e9s akut veseel\u00e9gtelens\u00e9get okozhat. Biztos\u00edtson megfelel\u0151 folyad\u00e9kbevitelt. Korrig\u00e1lja a d\u00f3zist CrCl &lt;50 mL\/perc eset\u00e9n. \u00d3vatosan az id\u0151sekn\u00e9l.<\/div>\n<h2>D\u00f3zisoz\u00e1s indik\u00e1ci\u00f3 szerint<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:12px 0;\">\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:8px;border:1px solid #ddd;\">Agoprex is a 25 mg agomelatine tablet supplied by Sun Pharma. Agomelatine is mechanistically unique among antidepressants: it acts as an agonist at melatonin MT1 and MT2 receptors and an antagonist at 5-HT2C serotonin receptors. The dual mechanism resynchronises disrupted circadian rhythms (a feature of major depression) while indirectly increasing dopamine and noradrenaline release in the frontal cortex.<\/th>\n<th style=\"padding:8px;border:1px solid #ddd;\">Dose<\/th>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Kezdeti nemi herpesz (immunokompetens)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 g naponta k\u00e9tszer 7-10 napig<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Ism\u00e9tl\u0151d\u0151 nemi herpesz (kezdje 24 \u00f3r\u00e1n bel\u00fcl)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg naponta k\u00e9tszer 3 napig VAGY 1 g naponta egyszer 5 napig<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Suppressz\u00edv ter\u00e1pia (\u22656 epiz\u00f3d\/\u00e9v)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg vagy 1 g naponta egyszer hossz\u00fa t\u00e1von<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">Herpes labialis (kezdje az els\u0151 prodrom\u00e1lis t\u00fcnetn\u00e9l)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">2 g naponta k\u00e9tszer \u00d7 1 nap (egynapos kezel\u00e9s)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:8px;border:1px solid #ddd;\">Herpes zoster (\u00e1priliski\u00fct\u00e9s, &lt;72 \u00f3ra a ki\u00fct\u00e9s megjelen\u00e9se \u00f3ta)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">1 g naponta h\u00e1romszor \u00d7 7 nap<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px;border:1px solid #ddd;\">HSV-\u00e1tvitel megel\u0151z\u00e9se a partnerre (biztons\u00e1gos szexu\u00e1lis gyakorlatok mellett)<\/td>\n<td style=\"padding:8px;border:1px solid #ddd;\">500 mg naponta egyszer hossz\u00fa t\u00e1von<\/td>\n<\/tr>\n<\/table>\n<p>Vesei d\u00f3zis-korrekci\u00f3 sz\u00fcks\u00e9ges CrCl &lt;50 mL\/perc eset\u00e9n. Megfelel\u0151 hidrat\u00e1ci\u00f3 a kezel\u00e9s alatt cs\u00f6kkenti a krist\u00e1lyosod\u00e1s kock\u00e1zat\u00e1t.<\/p>\n<h2 id=\"faqs\">Gyakran Ism\u00e9telt K\u00e9rd\u00e9sek<\/h2>\n<h3>Valacyclovir vs acyclovir \u2014 melyik a jobb?<\/h3>\n<p>Ugyanaz a hat\u00f3anyag (acyclovir). A valacyclovirnak 3-5\u00d7 magasabb a sz\u00e1mon \u00e1tv\u00e9teli biodiszponibilit\u00e1sa, \u00e9s 2-3\u00d7 napi adagol\u00e1st tesz lehet\u0151v\u00e9 5\u00d7 helyett, jelent\u0151sen jav\u00edtva a betart\u00e1st. S\u00falyos betegs\u00e9gek (HSV encephalitis, \u00fajsz\u00fcl\u00f6ttkori HSV) eset\u00e9n az intrav\u00e9n\u00e1s acyclovir m\u00e9g mindig el\u0151nyben r\u00e9szes\u00edtend\u0151.<\/p>\n<h3>Mikor kezdj\u00fck a kezel\u00e9st?<\/h3>\n<p>A t\u00fcnetek megjelen\u00e9s\u00e9t\u0151l sz\u00e1m\u00edtott 24 \u00f3r\u00e1n bel\u00fcl epizodikus nemi herpesz eset\u00e9n. A ki\u00fct\u00e9s megjelen\u00e9s\u00e9t\u0151l sz\u00e1m\u00edtott 72 \u00f3r\u00e1n bel\u00fcl \u00e1prilisk\u00f3r eset\u00e9n. Az els\u0151 prodrom\u00e1lis t\u00fcnetekn\u00e9l ajakherpesz eset\u00e9n. Min\u00e9l kor\u00e1bban = r\u00f6videbb kit\u00f6r\u00e9s.<\/p>\n<h3>Meddig tart a suppresszi\u00f3?<\/h3>\n<p>Legal\u00e1bb 6-12 h\u00f3nap a nemi herpesz suppresszi\u00f3ja eset\u00e9n gyakori recidiv\u00e1kat mutat\u00f3 betegekn\u00e9l. \u00c9vente \u00e9rt\u00e9kelj\u00fck \u2014 a term\u00e9szetes lefoly\u00e1s gyakran javul\u00e1st mutat \u00e9vek alatt, \u00edgy \u00e9sszer\u0171 a kezel\u00e9s ideiglenes megszak\u00edt\u00e1sa.<\/p>\n<h3>Mell\u00e9khat\u00e1sok?<\/h3>\n<p>\u00c1ltal\u00e1ban j\u00f3l toler\u00e1lhat\u00f3: fejf\u00e1j\u00e1s, h\u00e1nyinger, f\u00e1radts\u00e1g, sz\u00e9d\u00fcl\u00e9s. Ritka: thromboticus thrombocytopeni\u00e1s purpura\/haemolyticus uraemi\u00e1s szindr\u00f3ma (TTP\/HUS) immunhi\u00e1nyos betegekben (FDA figyelmeztet\u00e9s), akut veseel\u00e9gtelens\u00e9g (k\u00fcl\u00f6n\u00f6sen dehidrat\u00e1ci\u00f3 eset\u00e9n).<\/p>\n<h3>Terhess\u00e9g?<\/h3>\n<p>A valacyclovir sz\u00e9les k\u00f6rben haszn\u00e1latos terhess\u00e9g alatt (Terhess\u00e9gi kateg\u00f3ria B), k\u00fcl\u00f6n\u00f6sen suppressz\u00edv ter\u00e1pia form\u00e1j\u00e1ban 36. h\u00e9tt\u0151l HSV-pozit\u00edv n\u0151kn\u00e9l az \u00fajsz\u00fcl\u00f6ttkori HSV megel\u0151z\u00e9se \u00e9rdek\u00e9ben. Besz\u00e9lj\u00e9k meg a sz\u00fcl\u00e9szettel.<\/p>\n<h3>Gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1sok?<\/h3>\n<p>N\u00e9h\u00e1ny jelent\u0151s gy\u00f3gyszerk\u00f6lcs\u00f6nhat\u00e1s. Ker\u00fclje a kombin\u00e1l\u00e1st m\u00e1s nephrotoxikus gy\u00f3gyszerekkel (kr\u00f3nikus NSAID-k, aminoglikozidok). A probenecid + cimetidin enyh\u00e9n n\u00f6veli a szintet \u2013 \u00e1ltal\u00e1ban klinikailag jelent\u00e9ktelen.<\/p>\n<h3>Vesei d\u00f3zisbe\u00e1ll\u00edt\u00e1s sz\u00fcks\u00e9ges?<\/h3>\n<p>Sz\u00fcks\u00e9ges CrCl &lt;50 mL\/perc eset\u00e9n. A felhalmoz\u00f3d\u00e1s \u00e9s a neuropszichi\u00e1triai t\u00fcnetek (zavar, hallucin\u00e1ci\u00f3k) kock\u00e1zata a veseel\u00e9gtelens\u00e9gben, k\u00fcl\u00f6n\u00f6sen id\u0151s korban.<\/p>\n<h3>Mi a teend\u0151, ha kihagyok egy adagot?<\/h3>\n<p>Vegye be, amikor esz\u00e9be jut, kiv\u00e9ve, ha majdnem itt az id\u0151 a k\u00f6vetkez\u0151 adaghoz. Ne dupl\u00e1zza meg az adagot. Az epizodikus ter\u00e1pi\u00e1ban a kihagyott adagok cs\u00f6kkentik a hat\u00e1st; a szuppresszi\u00f3ban az alkalmi kihagy\u00e1sok elviselhet\u0151k, de a k\u00f6vetkezetess\u00e9g fontos a tov\u00e1bbad\u00e1s megel\u0151z\u00e9s\u00e9hez.<\/p>\n<h3>Gy\u00f3gy\u00edtja a herpeszt?<\/h3>\n<p>Nem \u2013 a herpeszfert\u0151z\u00e9s \u00e9lethosszig tart\u00f3. Az antivir\u00e1lis szerek cs\u00f6kkentik a v\u00edrus szaporod\u00e1s\u00e1t a kit\u00f6r\u00e9sek alatt \u00e9s megakad\u00e1lyozz\u00e1k a tov\u00e1bbad\u00e1st, de nem irtj\u00e1k ki a lappang\u00f3 v\u00edrust. Az \u00fajabb, gy\u00f3gy\u00edt\u00e1sra f\u00f3kusz\u00e1l\u00f3 kutat\u00e1sok (CRISPR, g\u00e9nszerkeszt\u00e9s) k\u00eds\u00e9rleti st\u00e1diumban vannak.<\/p>\n<h3>Mi a helyzet a tov\u00e1bbad\u00e1s kock\u00e1zat\u00e1val?<\/h3>\n<p>A HSV-pozit\u00edv partnerben alkalmazott szuppressz\u00edv valaciklovir kb. 50%-kal cs\u00f6kkenti a tov\u00e1bbad\u00e1st a negat\u00edv partner fel\u00e9 (Corey 2004). A k\u00f6vetkezetes \u00f3vszerhaszn\u00e1lattal \u00e9s a kit\u00f6r\u00e9sek alatti szex ker\u00fcl\u00e9s\u00e9vel kombin\u00e1lva a tov\u00e1bbad\u00e1s kock\u00e1zata tov\u00e1bb cs\u00f6kken.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Egy\u00e9b antivir\u00e1lis gy\u00f3gyszerek<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/hu\/zimivir\/\">Zimivir<\/a> \u2014 valaciklovir 500\/1000 mg \u2014 alternat\u00edv m\u00e1rka<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/natclovir\/\">Natclovir<\/a> \u2014 valaciklovir \u2014 Natco m\u00e1rka<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/centrex\/\">Centrex<\/a> \u2014 valaciklovir 500\/1000 mg \u2014 Centurion m\u00e1rka<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/valgan\/\">Valgan<\/a> \u2014 valganciclovir 450 mg \u2014 CMV-ellenes szerek \u00e1t\u00fcltet\u00e9skor<\/li>\n<li><a href=\"https:\/\/medsbase.com\/hu\/zovirax\/\">Zovirax<\/a> \u2014 aciklovir \u2014 r\u00e9gebbi alternat\u00edva<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Orvosi felel\u0151ss\u00e9gnyilatkozat:<\/strong> This page is for information only and is not a substitute for medical advice from a qualified clinician. Discuss any new medication with your doctor or pharmacist.<\/div>","protected":false},"excerpt":{"rendered":"<p>Natclovir (Valacyclovir) \u2014 Natco acyclovir el\u0151anyaga HSV-1, HSV-2 nemi herpesz, herpes labialis \u00e9s herpes zoster kezel\u00e9s\u00e9re. Jobb betart\u00e1si ar\u00e1ny, mint az acyclovir napi 5\u00d7 adagol\u00e1sa eset\u00e9n.<\/p>","protected":false},"featured_media":51081,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3304],"product_tag":[],"class_list":{"0":"post-51080","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-hiv-medication","10":"first","11":"outofstock","12":"shipping-taxable","13":"purchasable","14":"product-type-variable","15":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product\/51080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/comments?post=51080"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/51081"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=51080"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=51080"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=51080"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=51080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}