Xoviral Special Precautions

Ganciclovir is indicated for topical ophthalmic use only. Patients should not wear contact lenses if they have signs or symptoms of herpetic keratitis or during the course of therapy with ganciclovir. Patients should be advised not to allow the dropper tip to touch any surface, as this may contaminate the gel.
Use in pregnancy: Pregnancy Category C: There are no adequate and well-controlled studies in pregnant women. Ganciclovir should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Use in lactation: It is not known whether topical ophthalmic ganciclovir administration could result in sufficient systemic absorption to produce detectable quantities in breast milk. Caution should be exercised when ganciclovir is administered to nursing mothers.
Use in children: Safety and efficacy in pediatric patients be <2 years have not been established.
Use in the elderly: No overall differences in safety or effectiveness have been observed between elderly and younger patients.