Consumer Information for: JAMP-VALACYCLOVIR

Consumer Information

Information about the product including what the product is used for, dosage, warnings, proper use and side effects. This summary will not tell you everything about the product. Contact your healthcare professional if you have any questions about the product.


What the medication is used for

JAMP-VALACYCLOVIR is an antiviral medicine. It is used to lower the ability of herpes viruses to multiply in your body. JAMP-VALACYCLOVIR does not cure herpes infections.

What it does

JAMP-VALACYCLOVIR 500 mg tablets:
Treatment of shingles (herpes zoster)

JAMP-VALACYCLOVIR is used to treat shingles (herpes zoster) infections. Shingles is caused by the varicella-zoster virus which damages nerves and skin. JAMP-VALACYCLOVIR helps stop the virus from multiplying, therefore reducing the damage.

JAMP-VALACYCLOVIR 500 mg tablets:
Treatment or suppression of genital herpes

JAMP-VALACYCLOVIR 500 mg tablets are used to treat genital herpes which is caused by the herpes simplex virus (HSV).

HSV causes small, fluid-filled blisters in the genital area which break down into ulcers/sores which may be itchy or painful. The blisters contain many infectious HSV particles. JAMP-VALACYCLOVIR helps stop HSV from multiplying which helps to shorten the time that the virus is shed from the skin and mucous membranes. It reduces the number of painful blisters and also helps them to heal more quickly.

If you start taking JAMP-VALACYCLOVIR as soon as you feel an infection starting, you may actually prevent the blisters from developing. This type of treatment is called episodic therapy.

When taken every day, JAMP-VALACYCLOVIR can also be used to prevent the HSV infection from coming back. This type of treatment is called suppressive therapy.

Reduction of transmission of genital herpes
JAMP-VALACYCLOVIR taken every day and in combination with safer sex practices can reduce the risk of transmitting genital herpes to your sexual partner. This type of treatment is for reduction of transmission.

Sometimes the herpes simplex virus (HSV) may be released to the skin at levels too low to cause blisters – this is called viral shedding.

With no visible symptoms, viral shedding can occur anywhere in the “boxer short” area (from just below the waistline down to the upper thighs, including the buttocks). This means it is possible to transmit genital herpes through skin-to-skin contact with the “boxer short” area, even in the absence of blisters.

JAMP-VALACYCLOVIR helps stop HSV from multiplying which helps to shorten the time that the virus is shed from the skin and mucous membranes.

Treatment of cold sores (herpes labialis)
JAMP-VALACYCLOVIR is used to treat cold sores (herpes labialis) which are caused by the herpes simplex virus (HSV).

Cold sores are small, fluid-filled blisters that you get in or around your mouth. The blisters then break down into ulcers/sores which may be itchy or painful. The blisters contain many infectious HSV particles. Cold sores may be spread by kissing or other physical contact with the infected area of the skin.

JAMP-VALACYCLOVIR helps stop HSV from multiplying which helps to shorten the time that the virus is released from the skin and mucous membranes. It reduces the number of painful blisters and also helps them to heal more quickly.

When it should not be used

You should not use JAMP- VALACYCLOVIR if you are allergic to or react badly to valacyclovir or acyclovir or any other components of the formulation of JAMP-VALACYCLOVIR (see “What the nonmedicinal ingredients are” section). Tell your doctor if you have ever had an allergic reaction to any of these ingredients.

What the medicinal ingredient is

valacyclovir hydrochloride.

What the non-medicinal ingredients are

Each JAMP-VALACYCLOVIR blue tablet contains valacyclovir hydrochloride equivalent to 500 mg valacyclovir. Each tablet core also contains the following non-medicinal ingredients: Dibasic calcium phosphate, sodium starch glycolate, hydroxypropyl cellulose, talc, magnesium stearate.

In addition, the 500 mg blue coated tablet also contains FD&C Blue #2 Indigo Carmine Aluminum Lake, Hydroxypropyl methylcellulose, Titanium dioxide, Polyethylene glycol 400, Polysorbate 80, Carnauba wax.

What dosage form it comes in

Tablets: 500 mg

Warnings and precautions

Before using JAMP-VALACYCLOVIR, tell your doctor if:

  • You have kidney problems or you are 65 years of age or older. Your doctor may give you a lower dose of JAMP-VALACYCLOVIR.
  • You are pregnant, planning to become pregnant, breastfeeding or planning to breastfeed. Your doctor may decide not to prescribe JAMP-VALACYCLOVIR depending on your condition.
Interactions with this medication

Proper use of this medication

You must take JAMP-VALACYCLOVIR as prescribed by your doctor. If you are not sure how many tablets to take, or how often to take them, consult your doctor or pharmacist. You should not increase or decrease the prescribed dose or frequency unless advised by your doctor. For shingles, genital herpes (initial and recurrent episodes) and cold sores, for best effect, start taking your JAMP-VALACYCLOVIR tablets as soon as possible after your symptoms start. Swallow the tablets with some water. It is important to drink enough water to prevent dehydration when you are taking JAMP- VALACYCLOVIR. It does not matter if you take them with or without food.

Usual adult dose:

Shingles (herpes zoster):
For the treatment of shingles, the usual dose of JAMPVALACYCLOVIR is 1000 mg orally three times a day for 7 days. Most people take one dose when they get up in the morning, one dose mid-afternoon and one dose before they go to bed at night. Spreading the doses evenly throughout the day will help to shorten your rash and discomfort.

Genital herpes:

  • Episodic Therapy
  • For the treatment of an initial (first) episode of genital herpes, the usual dose of JAMP-VALACYCLOVIR is 1000 mg orally two times a day. The treatment is usually taken for 10 days.

    For the treatment of recurrent episodes of genital herpes, the usual dose of JAMP-VALACYCLOVIR is 500 mg orally two times a day for 3 days. Take one dose in the morning and one in the evening. Take your JAMP-VALACYCLOVIR tablets as soon as you get the warning signs of an outbreak (i.e., itching, burning, swelling or pain in your genital area). This may actually prevent the blisters from developing.

  • Suppressive Therapy
  • For the suppression of genital herpes, the usual dose of JAMP-VALACYCLOVIR is 1000 mg orally once a day. If you have a history of 9 or fewer recurrences per year, your doctor may prescribe an alternative dose of 500 mg orally once a day. You should continue to take this medicine every day and follow your doctor’s instruction.

    For the suppression of genital herpes in HIV-infected patients with CD4 cell count > 100 cells/mm3 , the recommended dosage of JAMP-VALACYCLOVIR is 500 mg orally two times a day

  • Reduction of Transmission
  • For the reduction of transmission of genital herpes in patients with a history of 9 or fewer recurrences per year, the usual dose of JAMP-VALACYCLOVIR is 500 mg once a day for the partner with the infection. Note that the efficacy of JAMP-VALACYCLOVIR for reducing transmission of genital herpes has not been established in individuals with multiple partners, non-heterosexual couples, and couples not counselled to use safer sex practices.

  • Cold sores (herpes labialis):
  • For the treatment of cold sores, the usual dose of JAMP-VALACYCLOVIR is 2000 mg orally two times a day for 1 day (24-hour period). The second dose should be taken around 12 hours after the first dose, but not less than 6 hours after the first dose. Do not exceed 1 day of treatment. Take your JAMP-VALACYCLOVIR tablets as soon as you get the warning signs of an outbreak (i.e., tingling, itching or burning).

    Overdose

    In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Center immediately, even if there are no symptoms.

    Missed Dose

    If you forget to take a dose, take it as soon as you remember. Then continue with the next dose at the proper time interval. Do not double doses.

    Side effects and what to do about them

    JAMP-VALACYCLOVIR does not often have side effects. Some people may feel sick (nausea, vomiting, diarrhea and stomach pain) or have a mild headache. These side effects are generally mild and do not usually cause patients to stop taking JAMPVALACYCLOVIR.

    If you experience any of the following side effects, contact your doctor as soon as possible:

    • Skin rash (which may also occur after exposure to UV light e.g., sunbathing or using a sun bed)
    • Pain in the side (between ribs and hip) or kidney area of your back

    Tell your pharmacist or doctor if you notice any other side effects from your medicine which are not mentioned here. A complete listing of adverse events that have been reported is contained in the Product Monograph supplied to your doctor and pharmacist.

    If you feel worse, or if you have taken all the tablets and do not feel better, tell your doctor as soon as possible.

    JAMP-VALACYCLOVIR can alter liver function tests. This is a blood test that lets your doctor know how well your liver is working. If there are any significant changes due to JAMP-VALACYCLOVIR, your doctor will decide on the appropriate course of action.

    Serious side effects, how often they happen and what to do about them
    Symptom / effect Talk with your doctor, nurse, or pharmacist only if severe Talk with your doctor, nurse, or pharmacist in all cases Stop taking drug and seek immediate emergency medical attention
    Unknown
    Blood clotting disorder with symptoms such as bruising, bleeding (from gums), fever, fatigue, headache, confusion, numbness, paralysis  
    Destruction of red blood cells creating anemia with symptoms such as bloody diarrhea, abdominal pain, fatigue, nausea, vomiting, confusion, swelling of hands and feet.  
    Rare
    Central nervous system effects with symptoms such as dizziness, confusion, agitation, hallucinations, particularly in those with kidney problems.  

    This is not a complete list of side effects. For any unexpected effects while taking JAMPVALACYCLOVIR, contact your doctor or pharmacist.

    How to store

    Store JAMP-VALACYCLOVIR tablets between 15°C and 30°C. Keep the tablets away from direct heat and sunlight.

    Keep your JAMP-VALACYCLOVIR tablets in a safe place where children cannot reach or see them.

    Do not take any tablets after the expiry date.

    Reporting side effects

    You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following three ways:

    • Report online at www.healthcanada.gc.ca/medeffect
    • Call toll-free at 1-866-234-2345
    • Complete a Canada Vigilance Reporting Form and:
      • Fax toll-free to 1-866-678-6789, or
      • Mail to:
        Canada Vigilance Program
        Health Canada
        Postal Locator 0701E
        Ottawa ON K1A 0K9

    Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffectTM Canada Web site at www.healthcanada.gc.ca/medeffect.

    NOTE: Should you require information related to the management of side effects, contact your health professional. The Canada Vigilance Program does not provide medical advice.

    More information

    What is genital herpes?

    Genital herpes, one of the most common sexually transmitted infections, is caused by the herpes simplex virus (HSV), the same family of viruses that causes cold sores or fever blisters. You can get genital herpes by having sex (skin-to- skin contact including genital, anal, and/or oral contact) with a person who has herpes. Genital herpes does not always occur on the genitals. It may occur anywhere in the “boxer short” area for both men and women (from just below the waistline down to the upper thighs, including the buttocks).

    Are there any warning signs of a genital herpes outbreak?

    Many people have genital herpes and don’t even know it. Here are some of the signs and symptoms that may signal a genital herpes outbreak:
    • Swelling, pain, itching, or burning in your genital area
    • Redness, tiny blisters, or sores
    • Burning feeling when urinating
    • Genital discharge
    • Muscle aches, tiredness, or headaches

    There is no cure for genital herpes. Once the herpes virus enters the body, it is present throughout life, alternating between active (outbreak or viral shedding) and inactive states.

    Why outbreaks recur is still unknown. Some people know what triggers their genital herpes infection to become active again, while others do not. Some factors that may trigger the virus into activity are lack of sleep, poor diet, stress and menstruation.

    Try to notice if these factors cause your infection to return, as you may be able to avoid some of them. Taking your JAMP-VALACYCLOVIR as soon as you get the warning signs may actually prevent the blisters from developing.

    How did I get genital herpes?

    Genital herpes is passed from one person to another through direct intimate contact. It can be transmitted sexually, by direct contact with blisters or sores, which contain many infectious virus particles. It can also be transmitted through skin-to-skin contact with the “boxer short” area even in the absence of blisters, because the virus can be active on the skin without causing symptoms.

    Small cuts or scratches in the skin or mucous membranes allow the virus to gain entry into the body more easily. These may not be visible to the naked eye.

    Genital herpes cannot be transmitted via handshakes, toilet seats, swimming pools, saunas, hot tubs or blood transfusions.

    Can I transmit genital herpes to other people?

    Yes. It is important to remember that the herpes virus can be shed from your skin even when you do not have any signs or symptoms. For this reason, you can transmit the infection to your partner through skin-to-skin contact with the “boxer short” area even in the absence of blisters or sores. In 70% of cases, genital herpes is transmitted when there are no signs or symptoms.

    How can I reduce the risk of transmitting genital herpes to other parts of my body or to other people?

    You do not have to stop having sex if you have genital herpes.

    However, here are some things you should consider in order to reduce the risk of transmission:
    • Avoid sexual contact with your partner when you have an outbreak of genital herpes, or think you are about to have an outbreak.
    • Use latex or polyurethane condoms each time you engage in sexual intercourse even when there are no signs of infection.
    • Avoid touching or breaking the blisters or sores and do not pick the scabs when they form.
    • Always wash your hands if you touch the blisters, sores, or scabs.
    • If you or your partner has an active genital herpes infection (or even the warning signs), avoid contact with the blisters or sores.
    • When combined with safer sex practices, including condoms, daily therapy with JAMP-VALACYCLOVIR reduces the risk of transmitting genital herpes to your partner.
    • Talk to your doctor about the best options for you and your partner.

    What about genital herpes and pregnancy?

    There is no evidence that having genital herpes affects fertility in men or women and is unlikely to complicate a pregnancy. The measures described above will also help to reduce the risk of transmitting genital herpes during pregnancy. Special precautions should be taken during pregnancy to avoid transmission to a pregnant woman if her partner has genital herpes. Care is needed at the time of birth if there is an active infection present. Discuss the options available with your doctor.

    How can you treat (or manage) your genital herpes?

    There are 3 different ways to manage genital herpes with JAMP-VALACYCLOVIR:

    Episodic therapy: Episodic therapy involves taking JAMP-VALACYCLOVIR for a specific number of days during an outbreak to help speed the healing of blisters, shorten the duration of pain and discomfort, and reduce viral shedding (the stage during which herpes virus is secreted). If treatment with JAMPVALACYCLOVIR is started before the appearance of any sores, it may prevent sores from occurring.

    Suppressive therapy: JAMP-VALACYCLOVIR can also be used to help prevent outbreaks of genital herpes. JAMP-VALACYCLOVIR will not cure genital herpes, but, if taken every day, it may prevent genital herpes outbreaks before they start. Suppressive therapy can significantly reduce the frequency of outbreaks, although results will vary from person to person. Many people can remain recurrence-free while on suppressive treatment.

    Reduction of Transmission: When taken every day, JAMP-VALACYCLOVIR in combination with safer sex practices can also reduce the risk of transmitting genital herpes to your sexual partner.

    Talk to your doctor if you have questions about treatment with JAMP-VALACYCLOVIR and if you are concerned about transmitting genital herpes to your partner. Your physician will help you decide which type of therapy is best for you.

    MORE INFORMATION

    This document plus the full product monograph, prepared for health professionals, can be obtained by contacting the sponsor, JAMP Pharma Corporation 1310 rue Nobel, Boucherville, Québec, J4B-5H3 or calling at 1-866-399-9091 .

    This leaflet was prepared by
    JAMP Pharma Corporation
    1310 rue Nobel,
    Boucherville, Québec
    J4B 5H3


    Date of Revision: November 29, 2018