Ledipasvir; Sofosbuvir tablets

What is this medicine?

LEDIPASVIR; SOFOSBUVIR (led' i pas' vir; soe fos' bue vir) is two antiviral medicines in one tablet. It is used to treat hepatitis C. It will not work for colds, flu, or other viral infections.

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. You can take it with or without food. Take your medicine at regular intervals. Do not take your medicine more often than directed. Take all of your medicine as directed even if you think you are better. Do not skip doses or stop your medicine early.

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

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

• nausea

• tiredness

• trouble sleeping

What may interact with this medicine?

• amiodarone

• antiviral medicines for HIV or AIDS like cobicistat; elvitegravir; emtricitabine; tenofovir, efavirenz; emtricitabine; tenofovir, tenofovir, tipranavir

• certain antibiotics like rifabutin, rifampin, rifapentine

• certain medicines for diabetes

• certain medicines for seizures like carbamazepine, phenobarbital, phenytoin

• certain medicines for stomach problems like aluminium hydroxide, cimetidine, esomeprazole, famotidine, lansoprazole, magnesium hydroxide, nizatidine, omeprazole, pantoprazole, rabeprazole, ranitidine

• digoxin

• rosuvastatin

• simeprevir

• St. John's Wort

• warfarin

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 below 30 degrees C (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

• heart disease

• HIV or AIDS

• other liver disease

• an unusual or allergic reaction to ledipasvir, sofosbuvir, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

What should I watch for while using this medicine?

See your doctor or health care professional for a follow-up visit as directed. You may need blood work while you are taking this medicine. Tell your doctor if your symptoms do not improve or if they get worse.

If you have had hepatitis B infection (HBV) in the past, taking this medicine could cause the HBV to become active again. If you have had HBV, your doctor should monitor you with blood tests. Tell your doctor right away if you develop a general ill feeling, light-colored stools, loss of appetite, unusual weakness, or yellowing of the eyes or skin.

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