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Acyclovir, commonly referred to as Ekovir, is a modern highly effective drug designed to combat viral infections.   It is often prescribed to treat cold sores, herpes, chicken pox, shingles, mononucleosis and viral infections.

The half-life of Acyclovir around 2.5 to 4 hours so in order for the medication to be effective, it needs to be taken every few hours to sustain its concentration in the bloodstream.

Common side effects associated with Acyclovir include headache, nausea and vomiting, insomnia, muscle cramps and pain, mood swings, joint pain and several others.  While taking this medication, it is highly recommended to drink plenty of fluids and reduce the dietary calcium intake.

Acyclovir tablets are available in 200, 400 and 800mg.   Common dosages are:

– For treatment of shingles: 800 milligrams (mg) five times daily for 7 to 10 days;

– For genital herpes treatment: 200 mg five times daily for 10 days;

– For preventing a recurrence of genital herpes: 400 mg every 12 hours for 12 months;

– For treating chickenpox in adults and children who weigh more than 40 pounds: 800 mg four times daily for 5 days.


Amoxicillin is a penicillin antibiotic that fights bacteria.  It is used to treat different types of infections such as bronchitis, pneumonia, infections of the ear, nose, throat and skin as well as many others.  It is is a semisynthetic broad-spectrum antibiotic that is active against many Gram-positive and Gram-negative microorganisms.  Amoxicillin is destroyed by beta-lactamase, and does not affect microorganisms that produce the enzyme. The mechanism of its action consists in inhibiting the biosynthesis-muropeptides of the cell wall.

Megamentin is a combined antibiotic containing amoxicillin and clavulanic acid, with a broad spectrum of bactericidal action, resistant to beta-lactamase.

Clavulanic acid is a beta-lactamase structurally related to penicillins, which has the ability to inactivate a wide range of beta-lactamases.  Beta-lactamases are produced by many Gram-positive play negative bacteria. The action of beta-lactamases can lead to the destruction of some antibacterial drugs even before their effects on pathogens.  Clavulanic acid blocks the action of enzymes, restoring the sensitivity of bacteria to amoxicillin. In particular, it has a high activity for plasmid beta-lactamases, which are often associated with drug resistance, but less effective against type 1 chromosomal beta- lactamases.

The presence of clavulanic acid in the composition of Augmentin protects amoxicillin from the destructive action of beta-lactamases and expands its spectrum of antibacterial activity with the inclusion of microorganisms usually resistant to other penicillins and cephalosporins.


Azithromycin is used to treat certain bacterial infections, such as bronchitis; pneumonia; sexually transmitted diseases (STD); and infections of the ears, lungs, sinuses, skin, throat, and reproductive organs.  It will not work for colds, the flu or other viral infections.

The tablets are usually taken with or without food once a day for 1–5 days. To help you remember to take azithromycin, take it around the same time every day.  If you stop taking azithromycin too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.

It is highly recommended to follow the dosing instructions provided with this medication.

Do not take antacids that contain aluminum or magnesium within 2 hours before or after you take azithromycin. This includes Acid Gone, Aldroxicon, Alternagel, Di-Gel, Gaviscon, Gelusil, Genaton, Maalox, Maldroxal, Milk of Magnesia, Mintox, Mylagen, Mylanta, Pepcid Complete, Rolaids, Rulox, and others. These antacids can make azithromycin less effective when taken at the same time.

Some of the side effects include:

– Severe stomach pain, diarrhea that is watery or bloody;

– Fast or pounding heartbeats, fluttering in your chest, shortness of breath, and sudden dizziness (like you might pass out); or

– Liver problems – nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).


Doxycycline is a prescription antibiotic approved for several uses including acne, bacterial infections, gum disease and rosacea.  Your doxycycline dosage will depend on several factors, such as the condition being treated, the particular doxycycline product used, your age, other medical conditions you may have, and other medications you are taking.

The recommended dose for most bacterial infections is 100 mg to 200 mg a day for seven to fourteen days.

It works best when taken without food. However, some products can be taken with food if stomach upset occurs. Make sure to refer to the instructions for your specific product.  It is important to take doxycycline with plenty of water (or other fluids) while in an upright position, in order to prevent the medication from irritating the throat. Doxycycline should be taken at the same time(s) each day to maintain an even level in your system.

Bodybuilders and athletes who use steroids are often faced with the onset of acne on the face, back and shoulders. Using Doxycycline during steroid cycles can reduce or prevent bouts of acne that are not only embarrassing but also painful and uncomfortable.


Isotretinoin, also known as Accutane, is primarily used to treat bad cases of cystic acne, and to help the skin more rapidly renew itself.  In addition, it is used in rare cases for certain skin cancers and skin diseases. It is a type of retinoid, which is naturally found in the body in small amounts.  Isotretinoin was first developed in 1982 and the doctor responsible for its development received the inventor’s award for both the discovery and use to treat cystic acne.

Accutane works by reducing the amount of oil released by the oil glands in the skin.  Most users were happy with the results indicating that nearly all acne was cleared by using Accutane.

Since chances of acne are increased with anabolic steroid use, and bodybuilding requires looking good (especially those who compete), many athletes will turn to accutane for bouts of acne that appear on parts of the skin that have a lot of oil glands (face, chest and back).

It is the androgenic increases associated with steroids that will trigger increased acne. This is especially true for those genetically prone to the condition.  Also, the hormonal changes can trigger acne as well, such as increased testosterone levels.

Bodybuilders and athletes typically dose between 10-20mg per day for six to eight weeks.  For the general public fighting acne breakouts, doses may be much higher and go up to 150mg per day (as prescribed by their physician).  Accutane should be taken with food and in some cases, the course of treatment may need to be repeated (depending on the severity of the acne).

Other acne medications commonly used by bodybuilders and athletes include Tretiva and Tretizen.  Both are used to combat moderate to severe acne breakouts that can occur with prolonged use of anabolic steroids.