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  3. Bivir Tablet DT

Bivir Tablet DT, Pack of 1 Tablet
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Written By Lakshmithulasi Yarragunta ,
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Bivir Tablet DT is an antiviral medication used to treat herpes zoster (shingles), genital herpes infection, labialis, and chicken pox. This medicine acts on the virus's DNA and stops the virus's multiplication in human cells. Common side effects include headaches, dizziness, nausea, vomiting, diarrhoea, and skin sensitivity to sunlight. Inform your doctor if you are allergic to this medicine.

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Composition :

ACYCLOVIR-400MG

Manufacturer/Marketer :

Prayas Pharmaceuticals

Consume Type :

ORAL

Return Policy :

Not Returnable

About Bivir Tablet DT

Bivir Tablet DT belongs to a class of antiviral medication used to treat viral infections such as cold sores (an inflamed blister in or near the mouth, caused by infection with the herpes simplex virus), genital herpes (a common sexually transmitted infection marked by genital pain and sores), and herpes zoster (a viral infection that causes a painful rash). In addition, it is also used to treat chickenpox. Bivir Tablet DT does not cure herpes but prevents the infection from spreading and treats its symptoms.

Bivir Tablet DT contains acyclovir, a type of antiviral medication. Bivir Tablet DT prevents the multiplication of viruses in human cells by acting on its DNA, resulting in decreased viral overload. Bivir Tablet DT kills or stops the growth of fungi and treats the infection.

The dose and duration will depend on your condition and how you respond to Bivir Tablet DT. In some cases, you may experience headaches, dizziness, nausea, vomiting, diarrhoea, and sensitivity of the skin to sunlight. Most of these side effects of Bivir Tablet DT are temporary, do not require medical attention, and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not take Bivir Tablet DT if you are allergic to acyclovir or any of its ingredients. Check with your doctor if you are pregnant, currently breastfeeding, or taking other prescribed or non-prescribed medicines. Use protection while having sexual intercourse to avoid the transfer of genital herpes (a sexually transmitted disease) to your partner. If you have a weak immune system, please inform your doctor before taking Bivir Tablet DT as you may require a dose adjustment.

Uses of Bivir Tablet DT

Bivir Tablet DT is an antiviral drug that is primarily used to treat herpesvirus infections. The detailed uses of Bivir Tablet DT are as follows:<br/>• Herpes Simplex Virus (HSV) Infections: It helps control oral and genital herpes by lowering symptoms and preventing new sores.<br/>• Shingles (Herpes Zoster): Used to cure shingles by shortening the duration and severity of the symptoms.<br/>• Chickenpox (Varicella): Sometimes given for chickenpox, particularly in people with weaker immune systems.<br/>• Herpetic Kerato-Uveitis Therapy: Effective in treating herpes-related eye infections.<br/>• Recurrence Prevention: Used as suppressive therapy for people who experience recurring herpes outbreaks.<br/>• Severe Forms of Herpes Zoster: Treats severe forms, such as face or ophthalmic zoster.<br/>

Directions for Use

  • Bivir Tablet DT can be taken with or without food.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safe and effective use.
  • Measure the prescribed dose using a measuring cup and administer it orally.
  • Shake well before use.

Medicinal Benefits

Bivir Tablet DT contains acyclovir, which is an antiviral medication. Bivir Tablet DT prevents the multiplication of viruses in human cells by acting on its DNA, resulting in decreased viral overload and preventing new viruses' formation. Bivir Tablet DT is used to treat viral infections such as cold sores (an inflamed blister in or near the mouth, caused by infection with the herpes simplex virus), genital herpes (a common sexually transmitted infection marked by genital pain and sores), and herpes zoster (a viral infection that causes a painful rash). In addition to this, it is also used to treat chickenpox.

How Bivir Tablet DT Works

Bivir Tablet DT contains acyclovir, which is an antiviral medication. Bivir Tablet DT prevents the multiplication of viruses in human cells by acting on their DNA, resulting in decreased viral overload. Bivir Tablet DT kills or stops the growth of fungi and treats the infection.

Storage

• Store in a cool and dry place away from sunlight.• Keep out of the sight and reach of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Bivir Tablet DT
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Managing Medication-Triggered Erythema (Redness of the Skin or Skin redness): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.

What if I have taken an overdose of Bivir Tablet DT

Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms of overdose may include agitation, seizures, extreme tiredness, loss of consciousness, decreased urination, and swelling of the hands, ankles, feet, or lower legs. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Bivir Tablet DT if you are allergic to any of its ingredients. Inform your doctor about all other medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. If you are 65 years of age, have kidney disease or a kidney transplant, have a heart problem or a history of heart problems, have HIV/AIDS, are pregnant, or plan to become pregnant, Bivir Tablet DT should be taken with caution and only if a doctor prescribes it to you. Bivir Tablet DT may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position, especially when you start taking Bivir Tablet DT, so please get up gradually. Also, do not drive a car or operate machinery requiring concentration as Bivir Tablet DT may cause dizziness. Please do not take Bivir Tablet DT if you have ever developed a rash due to a fever. If you have a weak immune system, please inform your doctor before taking Bivir Tablet DT, as a dose adjustment may be required.

Drug-Drug Interactions

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AciclovirCidofovir
Critical
AciclovirTizanidine
Severe

Drug-Drug Interactions

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AciclovirCidofovir
Critical
How does the drug interact with Bivir Tablet DT:
Co-administration of Cidofovir with Acyclovir can increase the risk of kidney problems.

How to manage the interaction:
Taking Bivir Tablet DT with Cidofovir is not recommended, please consult your doctor before taking it. You should consult a doctor if you experience vomiting, irregular urination, sudden weight gain or loss, swelling, shortness of breath, muscle cramps, weakness, and palpitations. Do not stop using any medications without talking to a doctor.
AciclovirTizanidine
Severe
How does the drug interact with Bivir Tablet DT:
Concomitant use of Bivir Tablet DT with Tizanidine can increase the risk of developing low blood pressure.

How to manage the interaction:
Coadministration of Bivir Tablet DT with Tizanidine can result in an interaction, but it can be taken if your doctor has advised it. Contact a doctor immediately if you experience signs such as dizziness, excessive sweating, or palpitations. Do not discontinue any medications without consulting a doctor.
AciclovirIodamide
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Iodamide contrast with Bivir Tablet DT may increase the risk or severity of kidney injury.

How to manage the interaction:
Before undergoing any imaging procedure let your doctor know you are on Bivir Tablet DT treatment.
AciclovirTacrolimus
Severe
How does the drug interact with Bivir Tablet DT:
Co-administration of Bivir Tablet DT with tacrolimus may increase the risk or severity of kidney problems.

How to manage the interaction:
Coadministration of Bivir Tablet DT with Tacrolimus can result in an interaction, it can be taken if your doctor has advised it. Contact a doctor immediately if you experience signs such as decreased or increased urine output, sudden weight gain or loss, swelling, or shortness of breath. Do not discontinue any medications without first consulting a doctor.
AciclovirTenofovir disoproxil
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Bivir Tablet DT with Tenofovir Disoproxil may increase the risk or severity of kidney disorder.

How to manage the interaction:
Coadministration of Bivir Tablet DT with Tenofovir disoproxil can result in an interaction, it can be taken when your doctor has advised it. Contact a doctor immediately if you experience decreased or increased urine output, sudden weight gain or loss, swelling, or shortness of breath. Do not discontinue any medications without consulting a doctor.
AciclovirMetrizamide
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Metrizamide in contrast with Bivir Tablet DT may increase the risk or severity of kidney disorder.

How to manage the interaction:
Before undergoing any imaging procedure, let your doctor know you are on Bivir Tablet DT treatment. Look out for signs such as vomiting, increased or decreased urination, sudden weight gain or loss, swelling, shortness of breath, muscle cramps, or weakness. Consult the doctor immediately.
AciclovirAmphotericin b
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Bivir Tablet DT with Amphotericin B can increase the risk or severity of kidney disorder.

How to manage the interaction:
Taking Bivir Tablet DT with Amphotericin b together can result in an interaction, it can be taken if a doctor has advised it. Consult a doctor if you experience irregular urination, muscle ache, shortness if breath, or palpitations. Do not discontinue any medications without consulting a doctor.
AciclovirSirolimus
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Bivir Tablet DT with Sirolimus may increase the risk or severity of kidney injury.

How to manage the interaction:
Taking Bivir Tablet DT with Sirolimus can result in an interaction, it can be taken if your doctor has advised it. However, if you experience vomiting, a decrease in hunger, irregular urine, weight gain or loss, swelling, difficulty breathing, muscle pain, or weakness, consult a doctor.
AciclovirTenofovir alafenamide
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Bivir Tablet DT with Tenofovir alafenamide may increase the risk or severity of kidney injury.

How to manage the interaction:
Taking Bivir Tablet DT with tenofovir alafenamide can result in an interaction. However, if the benefits outweigh the risks, your doctor will prescribe them. Contact a doctor immediately if you experience symptoms such as decreased or increased urine output, sudden weight gain or loss, swelling, or shortness of breath. Do not discontinue any medication without consulting your doctor.
AciclovirEverolimus
Severe
How does the drug interact with Bivir Tablet DT:
Coadministration of Bivir Tablet DT with Everolimus may increase the risk or severity of kidney injury.

How to manage the interaction:
Taking Bivir Tablet DT with Everolimus together can result in an interaction, it can be taken if a doctor has advised it. Contact a doctor immediately if you experience vomiting, irregular urination, sudden weight gain or loss, swelling, breathing difficulty, muscle pains, dizziness, or palpitations. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Avoid alcoholic beverages with Bivir Tablet DT as they can make you dehydrated and may affect your sleep.
  • Try to include heart-healthy omega-3 fatty acid-containing foods in your daily diet. You can also use low-fat cooking oils like olive, soybean, canola, and coconut oil.
  • Include turmeric or yellow mustard in your diet to avoid constipation caused by antiviral drugs, and increase your fluid intake to stay hydrated.
  • Take enough Vitamin D and fresh air, as it is known to improve the symptoms of herpes infection.
  • Try to reduce emotional and physical stress by spending time with family or doing whatever makes you happy.
  • Eat a healthy and balanced diet and sleep at least 8 hours daily for a speedy recovery.
  • If you are going in strong sunlight, please wear a lip balm SPF 50 or higher, as the Bivir Tablet DT makes you sensitive to UV and sunlight.

Habit Forming

No

Therapeutic Class

ANTIVIRALS

Bivir Tablet DT Substitute

Substitutes safety advice

Product Substitutes

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Alcohol

Caution

Alcohol is not known to cause any unpleasant side effects if taken along with Bivir Tablet DT. But the intake of alcohol may damage your liver. So, the intake of alcohol should be avoided with Bivir Tablet DT.

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Pregnancy

Consult your doctor

Bivir Tablet DT is a pregnancy Category B medicine. It is unknown whether it will affect pregnant women or the fetus. Hence, it should be taken only if prescribed and under medical supervision.

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Breast Feeding

Consult your doctor

The safety of Bivir Tablet DT in breastfeeding women is not known. Hence, Bivir Tablet DT should only be taken if prescribed by a doctor and under medical supervision.

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Driving

Caution

Bivir Tablet DT can affect alertness and coordination. So, operating machinery which requires concentration should be avoided.

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Liver

Consult your doctor

If you have liver disease, inform your doctor before taking Bivir Tablet DT. Your doctor may adjust the dose or recommend liver function tests while you are taking it.

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Kidney

Caution

If you have kidney disease, inform your doctor before taking Bivir Tablet DT. Your doctor may adjust the dose if necessary based on your condition.

bannner image

Children

Safe if prescribed

Bivir Tablet DT is safe for use in children if recommended by the paediatrician.

Have a query?

FAQs

Bivir Tablet DT belongs to a class of antiviral medication used to treat viral infections such as cold sores (an inflamed blister in or near the mouth, caused by infection with the herpes simplex virus), genital herpes common sexually transmitted infection marked by genital pain and sores), and herpes zoster (a viral infection that causes a painful rash).

Bivir Tablet DT works by killing or stopping the growth of the fungi. Thereby preventing the spread of infection.

No, you should not take Bivir Tablet DT if you have HIV (Human Immunodeficiency Virus) infection. It can increase the risk of Thrombotic Thrombocytopenic Purpura (blood clot formation in small blood vessels).

If you miss a dose of Bivir Tablet DT, take it as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and take the scheduled dose. Do not take a double dose to make up for a missed one.

No, Bivir Tablet DT does not cure herpes infection. Instead, it reduces the pain and itching caused by the infection and prevents the formation of new sores.

Take Bivir Tablet DT for the duration prescribed by your doctor, depending on the condition being treated. For most viral infections, Bivir Tablet DT is typically taken for 5-10 days, starting as soon as your symptoms appear. When used to prevent outbreaks of genital herpes, Bivir Tablet DT is usually taken for up to 12 months. Please consult the doctor if you have any concerns regarding the duration of treatment.

Country of origin

India
Other Info - BI30491

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Author Details

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 18, 2025 | 7:12 AM IST

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Reference

  1. https://www.medicines.org.uk/emc/product/76/smpc#gref
  2. https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=62bdcf22-51f3-4c81-9bd4-a2dc48bec580&amp;type=display
  3. https://www.nhs.uk/medicines/aciclovir/about-aciclovir/
  4. https://www.webmd.com/drugs/2/drug-941/acyclovir-oral/details
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