Interaction databaseSupplement × PrescriptionReviewed May 2026

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.

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At a glance

Substances
Acyclovir and Vitamin C
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.

Sources (2)
  1. Hovi T, et al. Topical treatment of recurrent mucocutaneous herpes with ascorbic acid-containing solution. Antiviral Res. 1995;27(3):263-70. PMID 8540748
  2. Colunga Biancatelli RML, et al. The antiviral properties of vitamin C. Expert Rev Anti Infect Ther. 2020;18(2):99-101. PMID 31852327

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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