Topical acyclovir formulations and uses thereof
Provided herein are gel formulations of acyclovir with a low concentration of acyclovir, which can be used, for example, for the treatment of recurrent herpes labialis (cold sores) in immunocompetent adults and adolescents 12 years of age and older. The gel formulation can be an aqueous gel formulation, an emulsified gel formulation, or a non-aqueous gel formulation.
1. An aqueous gel formulation comprising: a) acyclovir in an amount of 0.1% to 0.3% by weight of the aqueous gel formulation; b) water; c) diethylene glycol monoethyl ether; d) PEG 400; e) a gel-forming agent which is a crosslinked polyacrylic acid; and f) an antioxidant or preservative, wherein the aqueous gel formulation is substantially free of acyclovir in a solid form, wherein the aqueous gel formulation comprises by weight of the aqueous gel formulation, water in an amount of 35-45%, diethylene glycol monoethyl ether in an amount of 45-55%, and PEG 400 in an amount of 5-15% and wherein the pH of the aqueous gel formulation is about 4 to 8.
2. The aqueous gel formulation of claim 1 , wherein acyclovir is the only active ingredient.
3. The aqueous gel formulation of claim 1 , wherein the antioxidant or preservative is selected from butylated hydroxytoluene, phenoxyethanol, sodium metabisulfite, EDTA, ascorbic acid, and combinations thereof.
4. The aqueous gel formulation of claim 1 , wherein the aqueous gel formulation comprises by weight of the aqueous gel formulation, water in an amount of 39.3%, diethylene glycol monoethyl ether in an amount of 49.9%, and PEG 400 in an amount of 9.1%.