Several antiviral agents were applied topically or by iontophoresis to hairless mouse skin inoculated with herpes simplex virus type 1 (HSV-1), and the chemotherapeutic effectiveness was evaluated. Topical application of iododeoxyuridine, arabinoside A, and adenine arabinoside monophosphate (ara-AMP) moderately decreased the average lesion score, number of mice with paralysis, and number of mice dying in HSV-1-infected animals. Also, the mean survival time was moderately prolonged by topical application of those antiviral agents. When ara-AMP was applied by cathodal (-) iontophoresis to the HSV-1-infected skin, the average lesion score, number of mice with paralysis, and number of mice dying were greatly decreased. Furthermore, the mean survival time of mice was highly increased by cathodal (-) iontophoresis of ara-AMP. The therapeutic efficacy of ara-AMP iontophoresis was much superior to the topical application of iododeoxyuridine, arabinoside A, and ara-AMP. These data suggest that ara-AMP iontophoresis would be the method of choice for the management of HSV-1 skin lesions in hairless mice.Iontophoresis is the process of increasing the penetration of a desired ionized substance into surface tissues by the aid of a direct electrical current (12). Pilocarpine iontophoresis is the method of choice for the diagnosis of a cystic fibrosis (11). Iontophoresis of lidocaine and epinephrine has been reported for the local anesthesia of the external ear canal and ear drum (3, 6, 7) and oral mucous membrane (8). Fluoride iontophoresis is very useful for the treatment of ultrasensitive dentin (9,19,25). Recently, we have reported the iontophoretic application of several antiviral agents in neonatal mouse skin (10, 13) and adult mouse skin (13,22). Iontophoretic application greatly increased the penetration of iododeoxyuridine (IUdR) and 9-f8-Darabinofuranosyladenine monophosphate (ara-AMP) into skin (10,13,22). We also have shown that ara-AMP and its antiviral metabolites (9-,8-D-arabinofuranosyladenine [ara-A] and arahypoxanthine) remain at the application site for a significant period of time (22). Since the transport of ara-AMP across the cell membrane is highly limited (2, 24) and,.in contrast to ara-A, t Present address: