{"id":51132,"date":"2023-09-20T09:17:48","date_gmt":"2023-09-20T09:17:48","guid":{"rendered":"https:\/\/medsname.com\/zimivir\/"},"modified":"2026-04-30T16:19:01","modified_gmt":"2026-04-30T16:19:01","slug":"zimivir","status":"publish","type":"product","link":"https:\/\/medsbase.com\/hu\/product\/zimivir\/","title":{"rendered":"Zimivir"},"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>Zimivir<\/strong> \u2014 valacyclovir 500\/1000 mg (GlaxoSmithKline). Aciklovir el\u0151gy\u00f3gyszer \u2014 a nemi herpesz (kezdeti + megel\u0151z\u00e9s), herpesz labialis (\u00f3ri\u00e1si herpesz), herpes zoster (\u00e1ral\u00f6v\u00e9s) \u00e9s a CMV megel\u0151z\u00e9se \u00e1t\u00fcltet\u00e9s ut\u00e1n. Az aciklovirral szemben el\u0151ny\u00f6sebb a betart\u00e1s szempontj\u00e1b\u00f3l: jobb sz\u00e1jon \u00e1t t\u00f6rt\u00e9n\u0151 felsz\u00edv\u00f3d\u00e1s miatt napi 2-3 alkalommal adhat\u00f3.<\/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 Zimivir egy WHO-GMP tan\u00fas\u00edtott gy\u00e1rt\u00f3t\u00f3l sz\u00e1rmazik, egyszer\u0171 csomagol\u00e1sban, \u00e9s egy szab\u00e1lyozott fizet\u00e9si feldolgoz\u00f3n kereszt\u00fcl sz\u00e1ml\u00e1zunk (a sz\u00e1mla le\u00edr\u00f3ja egy szab\u00e1lyozott k\u00e1rtyafizet\u00e9si feldolgoz\u00f3 lesz \u2014 soha nem MedsBase vagy gy\u00f3gyszer n\u00e9v). Minden rendel\u00e9shez j\u00e1r 20 munkanapos \u00fajrak\u00fcld\u00e9si 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>Zimivir (Valacyclovir 500\/1000 mg) \u2014 GSK aciklovir el\u0151gy\u00f3gyszer a nemi herpesz (kezdeti + megel\u0151z\u00e9s), herpesz labialis (\u00f3ri\u00e1si herpesz) \u00e9s herpes zoster (\u00e1ral\u00f6v\u00e9s) kezel\u00e9s\u00e9re. A jobb sz\u00e1jon \u00e1t t\u00f6rt\u00e9n\u0151 felsz\u00edv\u00f3d\u00e1s miatt napi 2-3 alkalommal adhat\u00f3.<\/p>","protected":false},"featured_media":51133,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3304],"product_tag":[],"class_list":{"0":"post-51132","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\/51132","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=51132"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media\/51133"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/media?parent=51132"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_brand?post=51132"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_cat?post=51132"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/hu\/wp-json\/wp\/v2\/product_tag?post=51132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}