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emtricitabine

Detailed Prescribing Information

July 2006


 

Emtriva  = emtricitabine = FTC
Also a component of Truvada, Atripla, Complera, Stribild
Forms Available 200 mg caps
200 mg emtricitabine with 300 mg tenofovir as Truvada
200 mg entricitabine with 600 mg efavirenz and 300 mg tenofovir as Atripla
Dosing 200 mg daily
Renal dosing1 Ccr
(cc/min)
Dose
(mg)
> 50 200 daily
30-49 200 q48h
15-29 200 q72h
<15 200 q96h
hemodialysis 200 q96h
give dose after dialysis
Hepatic dosing: insufficient data, but there appears to be no hepatic metabolism
Food dependence This medication may be taken with or without food.
Adverse Effects Very well tolerated

Diarrhea, nausea, rash at incidence similar to other agents
Skin discoloration, usually mild and asymptomatic: palms and/or soles 3%

Flare of hepatitis B if stopped suddenly.

Interactions None significant
Suggested lab follow-up None
Warning Rare lactic acidosis

Low barrier to one-step mutational resistance
Possible flare of hepatitis B if emtricitabine is discontinued suddenly.

Suggested Usage Do not use in combination with lamivudine, Truvada, Epzicom, Combivir, Atripla or Trizivir due to identical mechanism of action (with lamivudine) or duplication of emtricitabine dosing.
Emtricitabine has a very low (one-step) barrier to resistance.  Always ensure that emtricitabine is used with several potent and active antiretroviral agents.
Do not discontinue abruptly in patients with chronic hepatitis B without consideration of continuation of lamivudine or some other agent active against hepatitis B.

Complete prescribing information

http://www.emtriva.com/fpi.pdf

 

 

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maraviroc
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enfuvirtide
Integrase Inhibitors
raltegravir  |  elvitegravir
Antiretroviral Metabolic Inhibitors
cobicistat  |  ritonavir
Coformulations
Atripla (efavirenz/tenofovir/emtricitabine)  |  Complera (rilpivirine/tenofovir/emtricitabine)  | Stribild (elvitegravir/cobicistat/tenofovir/emtricitabine)

 

 

Quick Menu / Table of Contents
Introduction Principles Management NRTI Info NNRTI Info
PI Info Fusion Inhibitors Coreceptor Inhibitors Integrase Inhibitors Drug Summary
Coformulation Antiretroviral Therapy
Investigational Adherence Lab Evaluation Resistance Tests PEP
Antiretroviral Tables OI Prevention Vaccinations TB Therapy Hepatitis Therapy
OI Diagnosis OI Therapy Bibliography Links Palliative Therapy

 

 

 

3/27/2013

 


 

1. Renal dosing information from: Ian R. McNicholl & Rudolph A. Rodriguez, MD, Dosing of Antiretroviral Drugs in Renal Insufficiency and Hemodialysis, May 2004
http://hivinsite.ucsf.edu/InSite?page=md-rr-18