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Aciclovir 200 mg Tablets – patient leaflet, side effects, dosage

Last updated: · Text from the MHRA, as of · About this document

Medicine status: Prescription only (POM) Details

Medicine strength:
200 mg
Contains active substance:
ATC code:

Patient leaflet - Aciclovir 200 mg tablets

1. What Aciclovir is and what it is used for

Aciclovir 200 mg Tablets and Aciclovir 400 mg Tablets (called 'Aciclovir' in this leaflet) contain a medicine called aciclovir. This belongs to a group of medicines called antivirals. It works by killing or stopping the growth of viruses.

Aciclovir can be used to:

Ÿ treat chickenpox and shingles

Ÿ treat cold sores, genital herpes and other

herpes simplex infections

Ÿ stop these problems returning after you have

had them

Ÿ stop these problems in people whose immune

systems work less well, which means their bodies are less able to fight infections.

2. What you need to know before you take Aciclovir

Do not use Aciclovir:

Ÿ if you are allergic to aciclovir or valaciclovir or

any of the other ingredients of this medicine (listed in Section 6).

Do not take Aciclovir if the above applies to you. If you are not sure, talk to your doctor or pharmacist before taking Aciclovir.

Warnings and precautions

Talk to your doctor or pharmacist before taking Aciclovir if:

Ÿ you have kidney problems

Ÿ you are over 65 years of age.

If you are not sure if the above apply to you, talk to your doctor or pharmacist before taking Aciclovir.

It is important that you drink plenty of water while taking Aciclovir.

Other medicines and Aciclovir

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This includes medicines obtained without a prescription, including herbal medicines.

In particular tell your doctor or pharmacist if you are taking any of the following medicines: Ÿ probenecid, used to treat gout

Ÿ cimetidine, used to treat stomach ulcers Ÿ mycophenolate mofetil, used to stop your

body rejecting transplanted organs.

Pregnancy, breast-feeding and fertility

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using any medicine.

Driving and using machines

Some side effects such as feeling drowsy or sleepy may impair your ability to concentrate and react. Make sure you are not affected before you drive or operate machinery.

Important information about the contents of Aciclovir Tablets

This medicine contains less than 1 mmol sodium (23 mg) per dosage unit, that is to say essentially 'sodium-free'.

3. How to take Aciclovir

Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

Taking this medicine

Ÿ Take this medicine by mouth.

Ÿ Dissolve the tablet in a glass of water and stir

before drinking.

Ÿ If you prefer, the tablet can also be swallowed

whole with a little water.

Ÿ Start to take Aciclovir as soon as possible.

The dose that you should take will depend on what you have been given Aciclovir for. Your doctor will discuss this with you. An 800 mg tablet is also available.

Treatment of chickenpox and shingles

Ÿ The usual dose is two 400 mg tablets taken

five times a day.

Ÿ You should space each dose by 4 hours. Suggested times are: 7am, 11am, 3pm, 7pm and 11pm.

Ÿ You should take Aciclovir for seven days.

Treatment of cold sores and genital herpes

Ÿ The usual dose is one 200 mg tablet taken

five times a day.

Ÿ You should space each dose by 4 hours.

Suggested times are: 7am, 11am, 3pm, 7pm and 11pm.

Ÿ You should take Aciclovir for five days, or longer if your doctor tells you to.

Stopping these problems returning after you have had them

Ÿ The usual dose is one 200 mg tablet taken four times a day.

Ÿ You should try to space each dose by 6 hours. Ÿ You should take Aciclovir until your doctor tells you to stop.

Stopping these problems in people whose immune systems work less well and whose bodies are less able to fight infections

Ÿ The usual dose is one 200 mg taken four times a day.

Ÿ You should try to space each dose by 6 hours. Ÿ You should take Aciclovir until your doctor tells you to stop.

Your doctor may adjust the dose of Aciclovir if:

Ÿ it is for a child

Ÿ you are over 65 years of age

Ÿ you have kidney problems. If you have kidney problems, it is important to drink plenty of water while you are being treated with Aciclovir.

Talk to your doctor before taking Aciclovir if any of the above apply.

If you take more Aciclovir than you should

Aciclovir is not usually harmful, unless you take too much over several days. Talk to your doctor or pharmacist if you take too much Aciclovir. Take the medicine pack with you.

If you forget to take Aciclovir

Ÿ If you forget to take Aciclovir, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose. Ÿ Do not take a double dose to make up for a forgotten dose.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects may happen with this medicine:

Allergic reactions (may affect up to 1 in 1,000 people)

If you have an allergic reaction, stop taking Aciclovir and see a doctor straight away. The signs may include:

Ÿ rash, itching or hives on your skin

Ÿ swelling of your face, lips, tongue or other parts of your body

Ÿ shortness of breath, wheezing or trouble breathing

Ÿ collapse

Other side effects include:

Common (may affect up to 1 in 10 people) Ÿ headache

Ÿ feeling dizzy

Ÿ feeling or being sick

Ÿ diarrhoea

Ÿ stomach pains

Ÿ rash

Ÿ skin reaction after exposure to light

(photosensitivity)

Ÿ itching

Ÿ feeling tired

Ÿ unexplained fever (high temperature) and feeling faint, especially when standing up.

Uncommon (may affect up to 1 in 100 people) Ÿ itchy, hive-like rash

Ÿ hair loss.

Rare (may affect up to 1 in 1,000 people) Ÿ effects on some blood and urine tests Ÿ increases in the enzymes that work in the liver.

Very rare (may affect up to 1 in 10,000 people) Ÿ reduced numbers of red blood cells (anaemia) Ÿ reduced numbers of white blood cells

(leukopenia)

Ÿ reduced numbers of blood platelets (cells that help blood to clot) (thrombocytopenia) Ÿ feeling weak

Ÿ feeling agitated or confused

Ÿ shaking or tremors

Ÿ hallucinations (seeing or hearing things that aren't there)

Ÿ fits

Ÿ feeling unusually sleepy or drowsy Ÿ unsteadiness when walking and lack of coordination

Ÿ difficulty speaking

Ÿ inability to think or judge clearly

Ÿ unconsciousness (coma)

Ÿ paralysis of part or all of your body Ÿ disturbances of behaviour, speech and eye movements

Ÿ stiff neck and sensitivity to light

Ÿ inflammation of the liver (hepatitis) Ÿ yellowing of your skin and whites of your eyes

(jaundice)

FRONT 150 X 400 MM

Ÿ kidney problems where you pass little or no urine

Ÿ pain in your lower back, the kidney area of your back or just above your hip (renal pain).

Reporting of side effects

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store Aciclovir

Ÿ Keep this medicine out of the sight and reach of children.

Ÿ Do not store above 30°C.

Ÿ Do not use this medicine after the expiry date which is stated on the carton after Exp. The expiry date refers to the last day of that month. Ÿ Do not throw away any medicines via

wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.

6. Contents of the pack and other information

What Aciclovir contains

Ÿ The active substance is aciclovir.

Each tablet contains either 200 mg or 400 mg aciclovir.

Ÿ The other ingredients are microcrystalline cellulose, sodium starch glycollate Type A, povidone K30 and magnesium stearate.

What Aciclovir looks like and contents of the pack

Aciclovir 200 mg Tablets are supplied to you in cartons containing 25 tablets in aluminium foil strips. They are white, round, biconvex tablets marked “200” on one side.

Aciclovir 400 mg Tablets are supplied to you in cartons containing 56 tablets in aluminium foil strips. They are white, round, biconvex tablets

Marketing Authorisation Holder and Manufacturer

Marketing Authorisation Holder

Dawa Ltd, 5 Sandridge Close, Harrow, Middlesex HA1 1XD

Manufacturer

Pharmaceutical Works POLPHARMA SA 19 Pelplinska Street, 83-200 Starogard Gdanski, Poland.

This leaflet was last revised in January 2025.

Blind or partially

sighted?

Is this leaflet hard to see or read?

Call 020 8423 2111 to obtain the leaflet in a format suitable for you.

0320-0321/L-2

BACK 150 X 400 MM

About this document

Source: MHRA - Medicines and Healthcare products Regulatory Agency (products.mhra.gov.uk) · Marketing authorisation: PL 30684/0320

Last revision stated in the text: January 2025 · MHRA data as of 13 October 2026

Found a mistake? Tell us on the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Facts about Aciclovir 200 mg tablets

Prescription needed? Yes, prescription-only medicine (POM)
Active substance Aciclovir
Strength 200 mg
Pharmaceutical form Oral tablet
White to off-white, round (diameter: 9.5 mm), biconvex, uncoated tablets debossed with ‘AR 200’ on one side and plain on the other side.
How is it taken Oral
Excipients Cellulose, microcrystalline [Grade 101], Sodium starch glycolate [Type - A], Povidone [K - 30], Silica colloidal anhydrous, Magnesium stearate
Pack sizes 25 tablet
Is it available? Listed as available (NHS Dictionary of Medicines and Devices – not a record of current supplies)
Shelf life 3 years
Storage No special storage conditions are required.
Drug group (ATC) Direct acting antivirals, Nucleosides and nucleotides excl. reverse transcriptase inhibitors
  1. J Antiinfectives for systemic use
    1. J05 Antivirals for systemic use
      1. J05A Direct acting antivirals
        1. J05AB Nucleosides and nucleotides excl. reverse transcriptase inhibitors
          1. J05AB01 aciclovir
Marketing authorisation PL 16363/0556 (first authorised 7 March 2025), PL 30684/0320 (first authorised 19 May 2025)
Marketing authorisation holder Milpharm Limited, DAWA Limited
Codes GTIN 8901175044306 · BNF 05030201

Sources: the MHRA product information (products.mhra.gov.uk) and the NHS Dictionary of Medicines and Devices (dm+d), release 10.2.0 of 19 October 2026, NHS Business Services Authority. Contains public sector information licensed under the Open Government Licence v3.0.