title: Effects of valacyclovir in cats infected with feline herpesvirus 1.
abstract: OBJECTIVE
  To determine whether orally administered valacyclovir can be used safely and effectively to treat cats with primary, feline herpesvirus 1 (FHV-1) infection.
  
  
  METHODS
  14 specific-pathogen-free adult cats.
  
  
  METHODS
  Cats were infected with FHV-1 strain 87-727 (300 microliters, 10(7) plaque-forming units/ml) by ocular and nasal inoculations, and were treated every 6 hours with dextrose (controls) or valacyclovir (60 mg/kg of body weight, PO). Virus shedding from both eyes and the oropharynx was monitored every 2 days by virus isolation, and subjective clinical scores were assigned daily for ocular and nasal discharge and conjunctival hyperemia. Urinalysis, CBC, and serum biochemical analysis were done prior to inoculation, and on days 2, 5, 7, 9, and 12 of infection. Differences in CBC and serum biochemical indices between groups were compared, as were differences between preinfection values and maximal postinfection values, rectal temperature, and scores for disease severity.
  
  
  RESULTS
  All cats developed acute conjunctivitis and rhinitis typical of FHV-1 infection. Beginning between days 6 and 9, valacyclovir-treated cats became noticeably more lethargic and dehydrated than did cats of the control group. Total WBC and neutrophil counts were significantly lower in cats of the valacyclovir group. The experiment was terminated on day 12 for humane reasons. Histologic changes attributable to FHV-1 infection were similar in all cats. Additional histologic abnormalities seen only in the valacyclovir-treated cats were coagulative necrosis of the renal tubular epithelium, centrilobular atrophy and hepatic necrosis, and severe bone marrow depression.
  
  
  CONCLUSIONS
  Cats appear to be uniquely sensitive to the toxic effects of valacyclovir, and even high doses appear not to suppress FHV-1 replication in acutely infected cats.
  
  
  CONCLUSIONS
  Use of valacyclovir is of questionable value in cats with acute FHV-1 infection and, at high doses, the drug may be toxic.
authors.affiliation: Department of Companion Animal and Special Species Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: Nasisse
authors.forename: D C
authors.initials: DC
authors.lastname: Dorman
authors.forename: K C
authors.initials: KC
authors.lastname: Jamison
authors.forename: B J
authors.initials: BJ
authors.lastname: Weigler
authors.forename: E C
authors.initials: EC
authors.lastname: Hawkins
authors.forename: J B
authors.initials: JB
authors.lastname: Stevens
mesh_terms: D000212:Acyclovir / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000494:pharmacology / Q000627:therapeutic use; D000284:Administration, Oral; D000818:Animals; D000998:Antiviral Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D001772:Blood Cell Count; D001853:Bone Marrow / Q000187:drug effects / Q000473:pathology; D002371:Cat Diseases / Q000188:drug therapy* / Q000453:epidemiology / Q000473:pathology; D002415:Cats; D003231:Conjunctivitis / Q000188:drug therapy / Q000453:epidemiology / Q000662:veterinary; D004305:Dose-Response Relationship, Drug; D005260:Female; D006564:Herpesviridae / Q000187:drug effects / Q000502:physiology; D006566:Herpesviridae Infections / Q000188:drug therapy / Q000662:veterinary* / Q000821:virology; D015994:Incidence; D007684:Kidney Tubules / Q000187:drug effects / Q000473:pathology; D008099:Liver / Q000187:drug effects / Q000473:pathology; D012220:Rhinitis / Q000188:drug therapy / Q000453:epidemiology / Q000662:veterinary; D012720:Severity of Illness Index; D013047:Specific Pathogen-Free Organisms; D013997:Time Factors; D000077483:Valacyclovir; D014633:Valine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000494:pharmacology / Q000627:therapeutic use; D014779:Virus Replication / Q000502:physiology; D017201:Virus Shedding
chemical_list: D000998:Antiviral Agents; D014633:Valine; D000077483:Valacyclovir; D000212:Acyclovir