Efavirenz; Emtricitabine; Tenofovir Tablets
What is this medicine?
EFAVIRENZ; EMTRICITABINE; TENOFOVIR (e fa VEER ens; em tri SIT uh bean; te NOE fo veer) is 3 antiretroviral medicines in 1 tablet. It is used 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 on an empty stomach, at least 30 minutes before or 2 hours after food. Do not take with food. Take your dose at bedtime. 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 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
bone or muscle pain
changes in behavior like severe depression, strange thoughts, thoughts of suicide, or angry behavior
fast, irregular heartbeat
nausea, vomiting, unusual stomach upset or pain
signs and symptoms of kidney injury like trouble passing urine or change in the amount of urine
signs and symptoms of liver injury like dark yellow or brown urine; general ill feeling or flu-like symptoms; light-colored stools; loss of appetite; right upper belly pain; unusually weak or tired; yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
difficulty sleeping, strange dreams
skin discoloration on the hands or feet
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:
any medicine that contains efavirenz, emtricitabine, lamivudine, or tenofovir
This medicine may also interact with the following medications:
certain antibiotics like clarithromycin, gentamicin, rifabutin, rifampin
female hormones, like estrogens or progestins and birth control pills, patches, rings, or injections
medicines for heart rate and blood pressure like diltiazem, felodipine, nicardipine, nifedipine, verapamil
medicines for cholesterol like atorvastatin, pravastatin, simvastatin
medicines for depression, anxiety, or psychotic disturbances like bupropion, sertraline
medicines for fungal infections like ketoconazole, itraconazole, and posaconazole
medicines for seizures like carbamazepine, phenobarbital, phenytoin
medicines for viral infections like adefovir, boceprevir, simeprevir, ledipasvir; sofosbuvir, pibrentasvir; glecaprevir, velpatasvir; sofosbuvir, velpatasvir; sofosbuvir; voxilaprevir, cidofovir, acyclovir, valacyclovir, ganciclovir, valganciclovir
NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen
other medicines for HIV
red yeast rice
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:
history of a drug or alcohol abuse problem
history of depression or other mental illness
an unusual or allergic reaction to efavirenz, emtricitabine, tenofovir, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional 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.
If you have hepatitis B, talk to your doctor if you plan to stop this medicine. The symptoms of hepatitis B may get worse if you stop this medicine.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Avoid alcohol and mood altering (street) drugs while taking this medicine because they can make these side effects worse.
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.
November 11, 2018