Viral Meningitis / Encephalitis
Viral meningitis (including HSV and VZV) is commonly a self-limiting illness.
Antiviral treatment should be used where there are clinical features of encephalitis or in systemically unwell immunocompromised patient (i.e. possible viraemia)
Aciclovir 10mg/kg IV 8 hourly
IV route necessary to ensure adequate tissue levels
Adjust dose in renal impairment
Use ideal body weight in obesity