Emtricitabine, Tenofovir disoproxil and Efavirenz

Therapeutic indications

Emtricitabine, Tenofovir disoproxil and Efavirenz is indicated for:

Human immunodeficiency virus type 1 infection

Population group: only adults (18 - 65 years old)

Fixed-dose combination of efavirenz, emtricitabine and tenofovir disoproxil. It is indicated for the treatment of human immunodeficiency virus-1 (HIV-1) infection in adults aged 18 years and over with virologic suppression to HIV-1 RNA levels of <50 copies/ml on their current combination antiretroviral therapy for more than three months. Patients must not have experienced virological failure on any prior antiretroviral therapy and must be known not to have harboured virus strains with mutations conferring significant resistance to any of the three components prior to initiation of their first antiretroviral treatment regimen.

The demonstration of the benefit of efavirenz/emtricitabine/tenofovir disoproxil is primarily based on 48-week data from a clinical study in which patients with stable virologic suppression on a combination antiretroviral therapy changed to efavirenz/emtricitabine/tenofovir disoproxil. No data are currently available from clinical studies with efavirenz/emtricitabine/tenofovir disoproxil in treatment-naïve or in heavily pretreated patients.

No data are available to support the combination of efavirenz/emtricitabine/tenofovir disoproxil and other antiretroviral agents.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Contraindications

Emtricitabine, Tenofovir disoproxil and Efavirenz is contraindicated in the following cases:

Lactation

Lactation

Moderate renal impairment, severe renal impairment

at least one of



Renal failure stage 5: Kidney failure (GFR <15 mL/min/1.73 m2 or dialysis)

Severe hepatic impairment

Hepatic failure stage IV

Voriconazole

Voriconazole

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