Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
EFAVIRENZ
CIPLA MALAYSIA SDN BHD
EFAVIRENZ
30 Tablets
CIPLA LTD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ EFAVIR TABLET_ _ Efavirenz (600 mg) __________________________________________________________________________________________ 1 WHAT IS IN THIS LEAFLET 1. What Efavir is used for 2. How Efavir works 3. Before you use Efavir 4. How to use Efavir 5. While you are using it 6. Side effects 7. Storage and Disposal of Efavir 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT EFAVIR IS USED FOR Efavir Tablet is used together with other antiretroviral medicines for the treatment of HIV infection. HOW EFAVIR WORKS Efavir contains efavirenz which is an antiretroviral medicine called non- nucleoside reverse transcriptase inhibitors (NNRTIs). It works by fighting the HIV virus by reducing the amount of virus in blood. BEFORE YOU USE EFAVIR _- When you must not use it _ Do not take this medicine if: • you are allergic to Efavirenz or any other ingredients of this medicine (listed in _Product Description_ ) Do not take Efavir with the following medicines as it may be fatal: • Terfenadine, Astemizole (medicines for allergy reaction) • Cisapride (medicines for digestion) • Midazolam, triazolam (medicines for sedation) • Ergot alkaloids, such as dihydroergotamine, ergonovine, ergotamine, methylergonovine (medicines for migraine) • Bepridil (medicines for heart disease) • Pimozide (medicines for mental disorder) • St. John’s wort (herbal medicine for depression) _ _ -_ Before you start to use it _ Tell your doctor before using Efavir if you have: • problems with your kidney or liver • liver infection • ever had mental illness or seizures • any heart disorders _Pregnancy and Lactation _ Please consult your doctor or pharmacist if you are pregnant, planning for pregnancy or breast-feeding before using any medicine. Pregnancy should be avoided in women taking Efavir. If you could get pregnant while receiving Efavir, a reliable form of barrier contraception (e.g. condom) should always be used with other methods of Baca dokumen lengkap
_For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only _ EFAVIR-600 MG TABLET Efavirenz Tablets USP 600 mg COMPOSITION Each film coated tablet contains: Efavirenz USP ……….. 600 mg Colour: Yellow Oxide of iron, Titanium Dioxide DOSAGE FORM Oral, film-coated tablet DESCRIPTION Yellow Colored, Capsule shaped biconvex tablets debossed with “EFV” on one side and plain on other side. PHARMACOLOGY _PHARMACODYNAMICS _ Efavirenz (EFV) is a non-nucleoside reverse transcriptase inhibitor (NNRTI) of human immunodeficiency virus type 1 (HIV-1). Efavirenz activity is mediated predominantly by non- competitive inhibition of HIV-1 reverse transcriptase (RT). HIV-2 RT and human cellular DNA polymerases alpha, beta, gamma and delta are not inhibited by efavirenz. Cardiac Electrophysiology The effect of Efavir on the QTc interval was evaluated in an open-label, positive and placebo controlled, fixed single sequence 3-period, 3-treatment crossover QT study in 58 healthy subjects enriched for CYP2B6 polymorphisms. The mean Cmax of efavirenz in subjects with CYP2B6 *6/*6 genotype following the administration of 600mg daily dose for 14 days was 2.25- fold the mean Cmax observed in subjects with CYP2B6 *1/*1 genotype. A positive relationship between efavirenz concentration and QTc prolongation was observed. Based on the concentration-QTc relationship, the mean QTc prolongation and its upper bound 90% confidence interval are 8.7 ms and 11.3 ms in subjects with CYP2B6*6/*6 genotype following the administration of 600 mg daily dose for 14 days. (see _SECTION WARNINGS AND _ _PRECAUTIONS & SECTION DRUG INTERACTIONS_). _PHARMACOKINETICS _ Absorption Peak efavirenz plasma concentrations of 1.6–9.1 μM were attained by 5 hours following single oral doses of 100 mg to 1600 mg administered to uninfected volunteers. Dose-related increase in Cmax and AUC were less than proportional, suggesting diminished absorption at higher doses. In HIV-1-infected patients at steady state, mean Cmax, mean Cmin, and mean A Baca dokumen lengkap