It is a putative neurotoxin and the main metabolite of Acyclovir that has been used in the treatment and prophylaxis of infections with herpes simplex virus and varicella-zoster virus.
References
Hellden, A., et al. “High Serum Concentrations of the Acyclovir Main Metabolite 9-Carboxymethoxymethylguanine in Renal Failure Patients with Acyclovir-Related Neuropsychiatric Side Effects: An Observational Study.†Nephrology Dialysis Transplantation, vol. 18, no. 6, June 2003, pp. 1135–41, https://doi.org/10.1093/ndt/gfg119. Darville, J. M., et al. “Development, Evaluation and Application of an Isocratic High-Performance Liquid Chromatography (HPLC) Assay for the Simultaneous Determination of
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