Darunavir tablets

What is this medicine?

DARUNAVIR (da ROON a veer) is an antiretroviral medicine. It is used with other medicines to treat HIV. This medicine is not a cure for HIV. This medicine can lower, but not fully prevent, the risk of spreading HIV to others.

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine with food. Take your medicine at regular intervals. Do not take your medicine more often than directed. For your anti-HIV therapy to work as well as possible, take each dose exactly as prescribed. Do not skip doses or stop your medicine even if you feel better. Skipping doses may make the HIV virus resistant to this medicine and other medicines. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 3 years for selected conditions, precautions do apply.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• increased hunger or thirst

• muscle or joint pain

• redness or swelling of the eyes

• redness, blistering, peeling or loosening of the skin, including inside the mouth

• signs of infection like fever or chills; cough; sore throat; pain or trouble passing urine

• signs of liver injury like dark yellow or brown urine; generally ill feeling of flu-like symptoms; light-colored stools; loss of appetite; nausea or vomiting; right upper belly pain; unusually weak or tired; yellowing of the eyes or skin

• signs and symptoms of high blood sugar such as being more thirsty or hungry or having to urinate more than normal. You may also feel very tired or have blurry vision.

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• diarrhea

• headache

• stomach pain

• upset stomach

• weight gain around waist, back, or thinning of face, arms, legs

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• alfuzosin

• certain medicines for blood pressure, heart disease, irregular heart beat like dronedarone, ivabradine, ranolazine

• cisapride

• colchicine (if you have liver or kidney problems)

• elbasvir; grazoprevir

• lurasidone

• medicines for cholesterol like lomitapide, lovastatin, simvastatin

• medicines for headaches like dihydroergotamine, ergonovine, ergotamine, methylergonovine

• midazolam

• naloxegol

• pimozide

• red yeast rice

• rifampin

• sildenafil (for the treatment of pulmonary arterial hypertension)

• St. John's Wort

• triazolam

This medicine may also interact with the following medications:

• artemether; lumefantrine

• bosentan

• certain antibiotics like clarithromycin, rifabutin, rifapentine

• certain other antiviral medicines for HIV like didanosine, indinavir, maraviroc, saquinavir, or lopinavir; ritonavir

• certain medicines for anxiety or sleep like buspirone, diazepam, estazolam, zolpidem

• certain medicines for blood pressure and heart disease like amlodipine, carvedilol, diltiazem, felodipine, metoprolol, nicardipine, nifedipine, timolol, verapamil

• certain medicines for cancer like dasatinib, nilotinib, vinblastine, vincristine

• certain medicines for depression like amitriptyline, desipramine, imipramine, nortriptyline, paroxetine, sertraline, and trazodone

• certain medicines for erectile dysfunction like avanafil, sildenafil, tadalafil, vardenafil

• certain medicines for fungal infection like itraconazole, ketoconazole, posaconazole, voriconazole

• certain medicines for hepatitis infection like boceprevir, simeprevir

• certain medicines for psychotic disturbances like quetiapine, risperidone, thioridazine

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• certain medicines that treat or prevent blood clots like apixaban, rivaroxaban, warfarin

• female hormones, like estrogens and progestins and birth control pills

• medicines for cholesterol like atorvastatin, pravastatin, rosuvastatin

• medicines for irregular heart beat like amiodarone, bepridil, digoxin, disopyramide, flecainide, lidocaine, mexiletine, propafenone, quinidine

• medicines that lower your chance of fighting infection like cyclosporine, everolimus, sirolimus, tacrolimus

• narcotic medicines for pain such as buprenorphine, buprenorphine; naloxone, methadone

• omeprazole

• salmeterol

• steroid medicines like betamethasone, budesonide, ciclesonide, dexamethasone, fluticasone, methylprednisolone, mometasone, prednisolone, triamcinolone

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• diabetes

• hemophilia

• liver disease

• an unusual or allergic reaction to darunavir, sulfa medicines, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

What should I watch for while using this medicine?

Visit your doctor or health care provider for regular check ups. Discuss any new symptoms with your doctor. You will need to have important blood work done while on this medicine.

HIV is spread to others through sexual or blood contact. Talk to your doctor about how to stop the spread of HIV.

Birth control pills may not work properly while you are taking this medicine. Talk to your doctor about using an extra method of birth control. Women who can still have children must use a reliable form of barrier contraception, like a condom or diaphragm.

This medicine may increase blood sugar. Ask your healthcare provider if changes in diet or medicines are needed if you have diabetes.