Varicella zoster (chickenpox)

The regional formulary will not cover all eventualities for infections medicines choices. As with any condition; patient specific factors and sensitivities need to be considered. Please consider this regional formulary advice alongside any relevant local Board guidelines.

Treatment of varicella zoster

>14 years old, treatment needs to be started within 24 hours of onset of rash.

Aciclovir
Aciclovir 800mg tablets

800mg 5 times daily for 7 days started within 24 hours of onset of rash.

Prescribing Notes:

  • Specialist advice should be sought for chickenpox in immunocompromised or pregnant patients.
  • NSAIDs should be avoided in individuals suffering from varicella due to a suggested link between NSAIDs and skin and soft tissue complications of varicella.
  • Consider parenteral therapy for disseminated infection.

History Notes

30/07/2026

Regional formulary chapter launched.