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Two medicines, side by side

Acyclovir vs remdesivir

Acyclovir is labeled for herpes and shingles; remdesivir for covid-19. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of acyclovir since 1982 and of remdesivir since 2020. In FDA's classes, acyclovir is a herpes zoster virus nucleoside analog dna polymerase inhibitor and remdesivir a sars-cov-2 nucleotide analog rna polymerase inhibitor.

Check it at the source: the acyclovir FDA label on DailyMed (effective July 24, 2026); the remdesivir FDA label on DailyMed (effective July 29, 2026).

Highlights of the acyclovir record

Acyclovir (Zovirax) · label of July 24, 2026

Used for

From the label: indications

Herpes Zoster Infections: Acyclovir tablets are indicated for the acute treatment of herpes zoster (shingles). Genital Herpes: Acyclovir tablets are indicated for the treatment of initial episodes and the management of recurrent episodes of genital herpes. Chickenpox: Acyclovir tablets are indicated for the treatment of chickenpox (varicella).

On the market

Earliest approval on file
March 29, 1982
Generic labelers
66 labelers
Pharmacy cost
$0.0962 per tablet

Supply and safety

Shortage
No current entry
Recalls
12

Highlights of the remdesivir record

Remdesivir (Veklury) · label of July 29, 2026

Used for

From the label: indications

VEKLURY is indicated for the treatment of coronavirus disease 2019 (COVID-19) in adults and pediatric patients (birth to less than 18 years of age weighing at least 1.5 kg) who are [see Clinical Studies (14) ]: Hospitalized, or Not hospitalized and have mild-to-moderate COVID-19, and are at high risk for progression to severe COVID-19, including hospitalization or death. […]

On the market

Earliest approval on file
October 22, 2020
Generic labelers
none listed
Pharmacy cost
Not in the survey

Supply and safety

Shortage
No current entry
Recalls
2

Source: FDA drug labels via openFDA (Acyclovir label of July 24, 2026, Remdesivir label of July 29, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do acyclovir and remdesivir differ on the record?

In FDA's classes, acyclovir is a herpes zoster virus nucleoside analog dna polymerase inhibitor and remdesivir a sars-cov-2 nucleotide analog rna polymerase inhibitor.

Generics: acyclovir since 1997; remdesivir none approved (Drugs@FDA).

AcyclovirRemdesivir
Labeled forHerpes and shinglesCOVID-19
Pharmacologic classHerpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor, Herpes Zoster Virus Nucleoside Analog DNA Polymerase Inhibitor, Herpesvirus Nucleoside Analog DNA Polymerase InhibitorSARS-CoV-2 Nucleotide Analog RNA Polymerase Inhibitor
How it works (label)n/aRemdesivir is an antiviral drug with activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [see Microbiology (12.4) ].
Half-life (label)Mean half-life after oral doses of 300 mg/m 2 and 600 mg/m 2 in pediatric patients aged 7 months to 7 years was 2.6 hours (range 1.59 to 3.74 hours).n/a
Earliest approval on file (Drugs@FDA)March 29, 1982October 22, 2020
First generic approvedApril 22, 1997none
Generic labelers (NDC)66 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0962 per tablet (Acyclovir 400 mg tablet)n/a
12-month price change+5%n/a
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded122
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)114,71713,249
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to acyclovir
every medicine labeled for the same conditions