{"id":3832,"count":9,"description":"Herpesul genital este cauzat de virusul herpes simplex tip 1 (din ce \u00een ce mai frecvent la adul\u021bii tineri) sau tip 2 (subtipul genital clasic). Dup\u0103 infec\u021bia primar\u0103, virusul devine latent \u00een ganglioni senzitivi sacrali, cu reactiv\u0103ri periodice care provoac\u0103 recidive. Nu exist\u0103 vindecare, dar analogii aciclici ai guanosinei (aciclovir, valaciclovir, famciclovir) reduc eficient durata recidivelor, frecven\u021ba recuren\u021belor \u00een terapia de suprimare \u0219i riscul de transmitere sexual\u0103 la parteneri. Catalogul de tratament pentru herpes genital MedsBase include \u00eentreaga gam\u0103 de antivirale, furnizate de <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\n<strong>Aciclovir \u2014 analogul original al guanosinei.<\/strong> Aciclovir necesit\u0103 administrare mai frecvent\u0103 dec\u00e2t alternativele mai noi, dar r\u0103m\u00e2ne utilizat pe scar\u0103 larg\u0103 \u0219i este ieftin. Tratament episodic al recidivelor: 400 mg de trei ori pe zi timp de 5 zile (sau 200 mg de cinci ori pe zi). Terapie de suprimare zilnic\u0103: 400 mg de dou\u0103 ori pe zi. Pacien\u021bii cu afec\u021biuni severe\/imunocompromi\u0219i pot necesita aciclovir IV. Disponibil sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/acivir-200-dt\/\">Acivir 200 DT<\/a> comprimate dispersibile (dozare pediatric\u0103 \u0219i \u00een func\u021bie de greutate), <a href=\"https:\/\/medsbase.com\/ro\/zovirax-suspension\/\">Zovirax Suspensie<\/a> (suspensie oral\u0103 pediatric\u0103 \u0219i pentru adul\u021bi), <a href=\"https:\/\/medsbase.com\/ro\/zoster-cream\/\">Crem\u0103 Zoster<\/a> (topical pentru herpes orolabial \u2014 eficacitate moderat\u0103, dovezi limitate pentru utilizarea genital\u0103) \u0219i <a href=\"https:\/\/medsbase.com\/ro\/ekovir\/\">Ekovir<\/a> (200 mg).\n\n<strong>Valaciclovir \u2014 alegerea oral\u0103 modern\u0103 preferat\u0103.<\/strong> Valaciclovir este prodrogul ester L-valil al aciclovirului cu o biodisponibilitate oral\u0103 de 3\u20135 ori mai mare \u2014 mai pu\u021bine doze pe zi, o mai bun\u0103 adheren\u021b\u0103, siguran\u021b\u0103 similar\u0103. Tratament episodic: 1000 mg de dou\u0103 ori pe zi timp de 5 zile (sau 500 mg de dou\u0103 ori pe zi). Tratament zilnic supresiv: 500 mg o dat\u0103 pe zi. Terapia supresiv\u0103 reduce transmiterea c\u0103tre partener cu aproximativ 50% (Corey 2004). Stocat ca <a href=\"https:\/\/medsbase.com\/ro\/valclovir\/\">Valclovir<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/valovera\/\">Valovera<\/a>, \u0219i <a href=\"https:\/\/medsbase.com\/ro\/valcosign\/\">Valcosign<\/a>.\n\n<strong>Famciclovir \u2014 alternativ\u0103 prodrog a penciclovirului.<\/strong> Famciclovir 250 mg de trei ori pe zi timp de 5 zile pentru episoade de erup\u021bii. Timpul de \u00eenjum\u0103t\u0103\u021bire intracelular mai mare al penciclovirului \u00eenseamn\u0103 intervale mai lungi \u00eentre doze. Stocat ca <a href=\"https:\/\/medsbase.com\/ro\/penvir\/\">Penvir<\/a>.\n\n<strong>Kituri combinate.<\/strong> Numele <a href=\"https:\/\/medsbase.com\/ro\/medical-emergency-kit\/\">Trus\u0103 medical\u0103 de urgen\u021b\u0103<\/a> include antivirale pentru tratament acut.\n\n<strong>Cum s\u0103 alegi.<\/strong> Tratamentul episodic al erup\u021biilor recurente \u2192 \u00eencepe la primul simptom prodromal (furnic\u0103turi, durere, c\u0103ldur\u0103) pentru cel mai scurt curs. Recuren\u021be frecvente (\u2265 6 pe an) \u2192 terapie supresiv\u0103 zilnic\u0103 cu valaciclovir 500 mg o dat\u0103 pe zi \u2014 reduce substan\u021bial at\u00e2t frecven\u021ba atacurilor, c\u00e2t \u0219i riscul de transmitere c\u0103tre partener. Sarcin\u0103 cu herpes genital activ aproape de termen \u2192 aciclovir sau valaciclovir supresiv zilnic de la 36 de s\u0103pt\u0103m\u00e2ni pentru a reduce indica\u021bia de cezarian\u0103. Infec\u021bie sever\u0103\/diseminat\u0103 sau pacient imunocompromis \u2192 aciclovir IV sub \u00eengrijire specializat\u0103.\n\n<strong>Important.<\/strong> Genital herpes is lifelong \u2014 counselling on the diagnosis, asymptomatic shedding, and partner-disclosure decisions is as important as antiviral treatment. Most transmission to partners occurs during asymptomatic shedding rather than visible outbreak. Condoms reduce but do not eliminate transmission risk. Suppressive therapy + condoms + disclosure together provide best protection. Pregnant women with first-episode genital herpes near term need same-day specialist obstetric input \u2014 neonatal herpes is a serious complication. Renal impairment requires dose adjustment for all three antivirals.\n\nAll MedsBase Genital Herpes Treatment products ship from <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/genital-herpes-treatment\/","name":"Tratament pentru herpes genital","slug":"genital-herpes-treatment","taxonomy":"product_cat","parent":3337,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3832","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3337"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}