Acyclovir and Vitamin C, a synergy.
Vitamin C has in vitro antiviral activity against HSV and supports immune function, and a topical ascorbate solution showed modest benefit in recurrent mucocutaneous herpes. Evidence for additive benefit when combined with acyclovir is limited but the combination is low risk and may modestly support immune-mediated viral clearance.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.
From the interaction database
What the row says.
Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.
At a glance
- Pair type
- Synergy
- Evidence (highest tier)
- Emerging
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Emerging evidence
Synergy
What is happening. Vitamin C has in vitro antiviral activity against HSV and supports immune function, and a topical ascorbate solution showed modest benefit in recurrent mucocutaneous herpes. Evidence for additive benefit when combined with acyclovir is limited but the combination is low risk and may modestly support immune-mediated viral clearance.
Mechanism. Vitamin C inactivates virions in vitro via oxidative mechanisms, supports neutrophil and lymphocyte function, and regenerates other antioxidants. Acyclovir is a nucleoside analogue inhibiting viral DNA polymerase; the mechanisms are independent.
Recommendation. Standard-dose vitamin C (500-1000 mg/day) is a reasonable adjunct during HSV outbreaks while taking acyclovir. Do not use high-dose vitamin C as a substitute for prescribed antivirals.
Stack Score
How this pair moves the number.
Effect on the composite score
If both Acyclovir and Vitamin C are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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