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Умеренно активен в отношении цитомегаловируса (ЦМВ). При герпесе предупреждает образование новых элементов сыпи снижает вероятность кожной диссеминации и висцеральных осложнений ускоряет образование корок снижает боль в острой фазе опоясывающего герпеса. Ацикловир легко проникает через эпителий роговицы и создаёт терапевтическую концентрацию во внутриглазной жидкости. В настоящее время не существует методов определения ацикловира в крови при применении его в виде глазной мази. Ацикловир при наружном применении определяется только в моче причём в незначительном количестве. 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