RIZENE Film-coated tablet Ref.[108840] Active ingredients: Efavirenz Emtricitabine Tenofovir disoproxil

Source: Health Products Regulatory Authority (ZA)  Revision Year: 2022  Publisher: Adcock Ingram Limited, 1 New Road, Erand Gardens, Midrand, 1685

4.1. Therapeutic indications

RIZENE is indicated for use alone as a complete regimen or in combination with other anti-retroviral agents for the treatment of HIV-1 infection in adults.

4.2. Posology and method of administration

Adults

Take one RIZENE film-coated tablet daily on an empty stomach.

Dosing at bedtime may improve the tolerability of nervous system symptoms.

Paediatrics

RIZENE is not recommended for use by patients under the age of 18 years.

Renal impairment

RIZENE is a fixed dose combination and should not be used by patients that require dose adjustment, such as those with moderate or severe renal impairment resulting in a creatinine clearance of less than 50 ml/min.

4.9. Overdose

Standard supportive treatment should be applied for patients who have overdosed on RIZENE. Treatment is based on evidence of toxicity and monitoring of vital signs as well as observation of the patient’s clinical status.

Efavirenz

Accidental intake of 600 mg of efavirenz has resulted in nervous system symptoms such as involuntary muscle contractions.

Unabsorbed efavirenz may be removed by activated charcoal. Efavirenz is not effectively removed by haemodialysis.

Emtricitabine and tenofovir disoproxil fumarate

There is no data of severe side effects for emtricitabine and tenofovir disoproxil fumarate. The available studies are at the prescribed doses and therefore data is limited.

Emtricitabine and tenofovir may be removed by haemodialysis.

A 3-hour haemodialysis period starting 1,5 hours post-dosing (blood flow rate of 400 ml/min and a dialysate flow rate of 600 ml/min) may be able to remove around 30 % of the emtricitabine dose. It is not known whether emtricitabine can be removed by peritoneal dialysis.

The extraction coefficient of 54% for tenofovir results in efficient removal. A 4-hour haemodialysis session following a 300 mg single-dosing of tenofovir disoproxil fumarate may be able to remove approximately 10% of the administered dose.

6.3. Shelf life

36 months.

6.4. Special precautions for storage

Store at or below 30°C. Keep well closed.

6.5. Nature and contents of container

RIZENE is packed as 28’s, 30’s, 60’s, 84’s, 90’s, 120’s, 180’s and 500’s in white opaque, heavy weight high density polyethylene (HDPE) bottles with child-resistant closures and a silica gel desiccant sachet.

Not all packs sizes may be marketed.

6.6. Special precautions for disposal and other handling

No special precautions.

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