Kraj: Armenia
Język: angielski
Źródło: Դեղերի և բժշկական տեխնոլոգիաների փորձագիտական կենտրոնի գործունեության Հայաստանի Հանրապետությունում
sofosbuvir, velpatasvir
Gilead Sciences Ireland UC
J05AP55
sofosbuvir, velpatasvir
400mg+ 100mg
tablets film-coated
(28) plastic container
Prescription
Registered
2019-04-22
1 PATIENT INFORMATION EPCLUSA TM (EP-KLOO-SUH) 400 MG/100 MG (sofosbuvir and velpatasvir) film-coated tablets IMPORTANT: IF YOU TAKE EPCLUSA TM WITH RIBAVIRIN, YOU SHOULD ALSO READ THE MEDICATION GUIDE FOR RIBAVIRIN. WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT EPCLUSA TM ? EPCLUSA TM can cause serious side effects, including, HEPATITIS B VIRUS REACTIVATION: Before starting treatment with EPCLUSA TM , your healthcare provider will do blood tests to check for hepatitis B virus infection. If you have ever had hepatitis B virus infection, the hepatitis B virus could become active again during or after treatment of hepatitis C virus with EPCLUSA TM . Hepatitis B virus becoming active again (called reactivation) may cause serious liver problems including liver failure and death. Your healthcare provider will monitor you if you are at risk for hepatitis B virus reactivation during treatment and after you stop taking EPCLUSA TM . FOR MORE INFORMATION ABOUT SIDE EFFECTS, SEE THE SECTION “WHAT ARE THE POSSIBLE SIDE EFFECTS OF EPCLUSA TM ?” WHAT IS EPCLUSA TM ? • EPCLUSA TM is a prescription medicine used to treat adults with chronic (lasting a long time) hepatitis C virus (HCV) genotype 1, 2, 3, 4, 5, or 6 infection: o without cirrhosis or with compensated cirrhosis o with advanced cirrhosis (decompensated) in combination with ribavirin It is not known if EPCLUSA TM is safe and effective in children under 18 years of age. BEFORE TAKING EPCLUSA TM , TELL YOUR HEALTHCARE PROVIDER ABOUT ALL OF YOUR MEDICAL CONDITIONS, INCLUDING IF YOU: • have ever had hepatitis B virus infection • have liver problems other than hepatitis C infection • have kidney problems or you are on dialysis • have HIV-1 infection • are pregnant or plan to become pregnant. It is not known if EPCLUSA TM will harm your unborn baby. o Females who take EPCLUSA TM in combination with ribavirin should avoid becoming pregnant during treatment and for 6 months after stopping treatment. Call your healthcare provider right away if you Przeczytaj cały dokument
1 SUMMARY OF MEDICINAL PRODUCT CHARACTERISTICS GILEAD ACCESS PROGRAM FULL PRESCRIBING INFORMATION WARNING: RISK OF HEPATITIS B VIRUS REACTIVATION IN PATIENTS COINFECTED WITH HCV AND HBV TEST ALL PATIENTS FOR EVIDENCE OF CURRENT OR PRIOR HEPATITIS B VIRUS (HBV) INFECTION BEFORE INITIATING TREATMENT WITH EPCLUSA TM . HBV REACTIVATION HAS BEEN REPORTED IN HCV/HBV COINFECTED PATIENTS WHO WERE UNDERGOING OR HAD COMPLETED TREATMENT WITH HCV DIRECT ACTING ANTIVIRALS AND WERE NOT RECEIVING HBV ANTIVIRAL THERAPY. SOME CASES HAVE RESULTED IN FULMINANT HEPATITIS, HEPATIC FAILURE, AND DEATH. MONITOR HCV/HBV COINFECTED PATIENTS FOR HEPATITIS FLARE OR HBV REACTIVATION DURING HCV TREATMENT AND POST-TREATMENT FOLLOW-UP. INITIATE APPROPRIATE PATIENT MANAGEMENT FOR HBV INFECTION AS CLINICALLY INDICATED _[SEE _ _WARNINGS AND PRECAUTIONS (5.1)]_. 1 INDICATIONS AND USAGE EPCLUSA TM is indicated for the treatment of adult patients with chronic hepatitis C virus (HCV) genotype 1, 2, 3, 4, 5, or 6 infection _[see Dosage and Administration (2.2) and _ _Clinical Studies (14)]_: • without cirrhosis or with compensated cirrhosis • with decompensated cirrhosis for use in combination with ribavirin. 2 DOSAGE AND ADMINISTRATION 2.1 TESTING PRIOR TO THE INITIATION OF THERAPY Test all patients for evidence of current or prior HBV infection by measuring hepatitis B surface antigen (HBsAg) and hepatitis B core antibody (anti-HBc) before initiating HCV treatment with EPCLUSA TM _[see Warnings and Precautions (5.1)]_. 2.2 RECOMMENDED DOSAGE The recommended dosage of EPCLUSA TM is one film-coated tablet taken orally once daily with or without food _[see Clinical Pharmacology (12.3)]_. One film-coated tablet of EPCLUSA TM contains 400 mg of sofosbuvir and 100 mg of velpatasvir. Table 1 shows the recommended treatment regimen and duration based on patient population_. _ _ _ For patients with HCV/HIV-1 coinfection, follow the dosage recommendations in Table 1 _[see Clinical Studies (14.3)]. _Refer to _Drug Interactions (7)_ for dosage recommendation Przeczytaj cały dokument