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Prescription medicine

Acyclovir and hydrocortisone Brand names: Xerese

Acyclovir and hydrocortisone (Xerese) is a prescription medicine with an FDA approval on record since 2009. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the acyclovir and hydrocortisone FDA label on DailyMed (effective August 3, 2020, Bausch Health US LLC); the NDA 22436 record on Drugs@FDA; every acyclovir and hydrocortisone label on DailyMed.

Highlights of the record

FDA label of August 3, 2020; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

XERESE, a combination of acyclovir, a herpes simplex virus deoxynucleoside analog DNA polymerase inhibitor, and hydrocortisone, a corticosteroid, is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time in adults and children (6 years of age and older).

Forms and strengths

  • 50 mg/g / 10 mg/g

Cream.

On the market

Earliest approval on file
July 31, 2009 Xerese, Bausch; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
40 through July 30, 2026

What is acyclovir and hydrocortisone used for?

From the label: indications and usage

XERESE, a combination of acyclovir, a herpes simplex virus deoxynucleoside analog DNA polymerase inhibitor, and hydrocortisone, a corticosteroid, is indicated for the early treatment of recurrent herpes labialis (cold sores) to reduce the likelihood of ulcerative cold sores and to shorten the lesion healing time in adults and children (6 years of age and older). […]

Conditions named in the indications of acyclovir and hydrocortisone's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: Corticosteroid, Herpes Simplex Virus Nucleoside Analog DNA Polymerase Inhibitor, Herpes Zoster Virus Nucleoside Analog DNA Polymerase Inhibitor and Herpesvirus Nucleoside Analog DNA Polymerase Inhibitor.

Source: FDA drug label (Xerese), Bausch Health US LLC, effective August 3, 2020 (SPL set 3b6ac164-0f1e-4f36-94a1-1fdb07d710f5), via openFDA; the full label on DailyMed

Is there a generic for acyclovir and hydrocortisone (Xerese)?

No generic acyclovir and hydrocortisone is approved (Drugs@FDA, October 8, 2026).

  • 2009 earliest approval on file

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do FAERS reports show for acyclovir and hydrocortisone?

The FDA Adverse Event Reporting System holds 40 reports that list acyclovir and hydrocortisone among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 2 are coded as a death and 5 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Pain11
  • Inflammation (named in the label)9
  • Oedema Peripheral9
  • Pharyngeal Paraesthesia9
  • Off Label Use (a use or a product term, not a reaction)4
  • Drug Ineffective (a use or a product term, not a reaction)3
  • Herpes Zoster3
  • Pain In Extremity3

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as acyclovir and hydrocortisone?

3 other medicines are given the same way (topical) and in the same FDA class as acyclovir and hydrocortisone or labeled mainly for the same use (herpes and shingles), the same class first. Herpes and shingles lists all 15 medicines labeled for it, by any route. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (topical)Pharmacy costShortage
PenciclovirHerpes and shingles3 labelers$52.15 per gram 1% creamNo current entry
DexamethasoneHerpes and shinglesnone listedn/aIn shortage
AllantoinHerpes and shinglesnone listedn/aNo current entry

Every medicine labeled for the same conditions as acyclovir and hydrocortisone

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

What next?

Other corticosteroids
the pharmacologic class, with prices and generics
Acyclovir and hydrocortisone side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other