Viranz

Viranz

efavirenz

Manufacturer:

Aurobindo Pharma

Distributor:

Unimed
Concise Prescribing Info
Contents
Efavirenz
Indications/Uses
Antiviral combination treatment of HIV-1 infected adults, adolescents & childn.
Dosage/Direction for Use
In combination w/ PIs &/or NRTIs Adult 600 mg once daily. Adolescent & childn ≤17 yr, ≥40 kg 600 mg once daily, 32.5 to <40 kg 400 mg once daily, 25 to <32.5 kg 350 mg once daily, 20 to <25 kg 300 mg once daily, 15 to <20 kg 250 mg once daily, 13 to <15 kg 200 mg once daily.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Not to be administered concurrently w/ terfenadine, astemizole, cisapride, midazolam, triazolam, pimozide, bepridil, ergot derivatives, voriconazole.
Special Precautions
Discontinue use if severe rash develops. Not to be used as single agent to treat HIV or add-on as sole agent to failing regimen. History of psychiatric disorders, seizures; known or suspected history of hepatitis B or C infection. Concomitant use w/ combination antiretroviral therapy, other medications associated w/ liver toxicity. Intermittent monotherapy & sequential reintroduction. Periodic monitoring of plasma & lipid levels. May affect ability to drive or operate machinery. Hepatic disease. Renal insufficiency. Women of childbearing potential should use effective contraception. Not to be used during pregnancy & lactation. Not to be given in childn <3 yr or <13 kg. Elderly.
Adverse Reactions
Mild to moderate rash; dizziness, insomnia, somnolence, impaired concentration, abnormal dreams; tiredness, upset stomach, vomiting, diarrhea.
Drug Interactions
Inhibited metabolism of terfenadine, astemizole, cisapride, midazolam, triazolam, pimozide, bepridil, ergot derivatives. Decreased voriconazole plasma conc. Decreased amprenavir conc. Decreased atazanavir exposure. Increased indinavir metabolism. Higher frequency of adverse clinical experiences & lab abnormalities w/ ritonavir. Developed rash w/ clarithromycin. Reduced plasma conc of HMG-CoA reductase inhibitors eg, atorvastatin, pravastatin or simvastatin, Ca-channel blockers eg, verapamil, felodepine, nifedipine, nicardipine. Reduced plasma conc by St. John's wort. Induced metabolism of sertraline. Monitor signs of w/drawal w/ methadone. False +ve urine cannabinoid test results. Concomitant use w/ fosamprenavir Ca, saquinavir, rifamycins, itraconazole, carbamazepine, OCs.
MIMS Class
Antivirals
ATC Classification
J05AG03 - efavirenz ; Belongs to the class of non-nucleoside reverse transcriptase inhibitors. Used in the systemic treatment of viral infections.
Presentation/Packing
Form
Viranz FC tab 600 mg
Packing/Price
30's
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