Elaine Brennan Skin Renewal Peeling System Anti-Viral Medication Form

Instructions for anti-herpes medication if you are undergoing the Skin Renewal Peeling treatment.

If you have ever had a fever blister or cold sore at any time in the past, you will be required to take an antiviral medication to prevent an outbreak from occurring.

Please request one (1) of these four medications from your doctor’s office:
- ZOVIRAX
- FAMCICLOVIR
- ACYCLOVIR
- VALTREX
You will need 5,000 mg for each peeling treatment. Please request 10,000mg in total for your two peelings.

You will take 1,000mg of the medication for five (5) consecutive days. You begin by taking the pills two (2) days before your peeling treatment. You will continue to take your medication on the two (2) days of the peeling application and then on the day following your second application. This will constitute taking the antiviral for 5 consecutive days. Do not miss a dose.
I full name have been advised to take one of the Medications listed on this form.
I full name have never had a cold sore or fever blister at any time in the past and decline to take any medication.
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