{"id":21201,"date":"2022-05-17T09:44:47","date_gmt":"2022-05-17T09:44:47","guid":{"rendered":"https:\/\/zeepedia.com\/?p=21201"},"modified":"2022-05-17T15:43:25","modified_gmt":"2022-05-17T15:43:25","slug":"prezista","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/prezista\/","title":{"rendered":"Prezista &#8211; Darunavir uses, dose and side effects"},"content":{"rendered":"\n<p>75 mg&nbsp;film-coated tablets<br>darunavir<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What PREZISTA is and what it is used for<\/h2>\n\n\n\n<p><strong>What PREZISTA is<\/strong><\/p>\n\n\n\n<p>PREZISTA contains the active substance darunavir.\u00a0PREZISTA is an antiretroviral medicine used to treat\u00a0human immunodeficiency virus (\u00a0HIV\u00a0)\u00a0infection.\u00a0It belongs to a group of medicines called\u00a0protease inhibitors.\u00a0PREZISTA works by reducing the amount of\u00a0HIV\u00a0in your body.\u00a0This improves your immune system and reduces the risk of developing diseases associated\u00a0with\u00a0HIV\u00a0infection.<\/p>\n\n\n\n<p><strong>What is it used for<\/strong><\/p>\n\n\n\n<p>PREZISTA is used to treat adults and children over 3 years of age who weigh at least 15 kg who are infected with&nbsp;HIV&nbsp;and who have already used other antiretroviral medicines.<\/p>\n\n\n\n<p>PREZISTA must be taken in combination with a low&nbsp;dose of&nbsp;ritonavir and other&nbsp;HIV&nbsp;medicines.&nbsp;Your doctor will discuss with you which drug combination is best for you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking PREZISTA<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take PREZISTA:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are&nbsp;<strong>allergic<\/strong>&nbsp;to darunavir or any of the other ingredients of this medicine (listed in section 6) or to ritonavir.<\/li><li>if you have&nbsp;<strong>severe liver disease.&nbsp;<\/strong>Talk to your doctor if you are unsure about the severity of your liver disease.&nbsp;Additional tests may be necessary.<\/li><\/ul>\n\n\n\n<p>Tell your doctor about&nbsp;<strong>all<\/strong>&nbsp;medicines you take, including medicines you take by mouth, inhale, inject or lubricate your skin.<\/p>\n\n\n\n<p><strong>Do not combine PREZISTA with any of the following medicines<\/strong><\/p>\n\n\n\n<p>If you take any of these, ask your doctor if you can switch to another medicine.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Drug<\/strong><\/td><td><strong>Area of \u200b\u200bthe use of the drug<\/strong><\/td><\/tr><tr><td><em>Avanafil<\/em><\/td><td>to treat erection problems<\/td><\/tr><tr><td><em>Astemizole<\/em>&nbsp;or&nbsp;<em>terfenadine<\/em><\/td><td>to treat allergy symptoms<\/td><\/tr><tr><td><em>Triazolam<\/em>&nbsp;and&nbsp;<em>midazolam<\/em>&nbsp;taken by mouth<\/td><td>to help you sleep and\/or to relieve anxiety<\/td><\/tr><tr><td><em>Cisapride<\/em><\/td><td>to treat certain stomach problems<\/td><\/tr><tr><td><em>Colchicine<\/em>\u00a0(if you have kidney and\/or liver problems)<\/td><td>to treat&nbsp;gout&nbsp;or familial Mediterranean fever<\/td><\/tr><tr><td><em>Lurasidone, pimozide, quetiapine<\/em>&nbsp;or&nbsp;<em>sertindole<\/em><\/td><td>to treat psychiatric conditions<\/td><\/tr><tr><td><em>Ergotamine alkaloids<\/em>\u00a0such as\u00a0<em>ergotamine<\/em>, dihydroergotamine, ergonovine,\u00a0and\u00a0<em>methylergometry (methylergonovine)<\/em><\/td><td>to treat migraine headaches<\/td><\/tr><tr><td><em>Amiodarone&nbsp;, bepridil, dronedarone,&nbsp;ivabradine&nbsp;,&nbsp;quinidine&nbsp;, ranolazine<\/em><\/td><td>to treat certain heart diseases, e.g.&nbsp;irregular heartbeat<\/td><\/tr><tr><td><em>Lovastatin,&nbsp;simvastatin&nbsp;and lomitapid<\/em><\/td><td>to lower cholesterol levels<\/td><\/tr><tr><td><em>Rifampicin<\/em><\/td><td>to treat certain&nbsp;infections&nbsp;such as&nbsp;tuberculosis<\/td><\/tr><tr><td>The combination&nbsp;<em>drug lopinavir \/ ritonavir<\/em><\/td><td>this anti-&nbsp;HIV&nbsp;drug belongs to the same class as PREZISTA<\/td><\/tr><tr><td><em>Elbasvir \/ grazoprevir<\/em><\/td><td>to treat&nbsp;hepatitis&nbsp;C&nbsp;infection<\/td><\/tr><tr><td><em>Alfuzosin<\/em><\/td><td>for the treatment of enlarged&nbsp;prostate<\/td><\/tr><tr><td><em>Sildenafil<\/em><\/td><td>for the treatment of high&nbsp;blood pressure&nbsp;in the blood vessels of the lungs.<\/td><\/tr><tr><td><em>Dabigatran<\/em>&nbsp;,&nbsp;<em>tikagrelor<\/em><\/td><td>to prevent platelets from clotting in the treatment of patients who have had a heart attack<\/td><\/tr><tr><td><em>Naloxegol<\/em><\/td><td>to treat constipation caused&nbsp;by&nbsp;opioids<\/td><\/tr><tr><td><em>Dapoxetine<\/em><\/td><td>to treat premature ejaculation<\/td><\/tr><tr><td><em>Domperidone<\/em><\/td><td>to treat nausea and vomiting<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Do not take PREZISTA with products containing\u00a0St. John&#8217;s wort (\u00a0<em>Hypericum perforatum<\/em>\u00a0).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before taking PREZISTA.<\/p>\n\n\n\n<p>PREZISTA does not\u00a0cure\u00a0HIV\u00a0infection.\u00a0You can still transmit\u00a0HIV\u00a0infection when you take this medicine, even though the risk of effective\u00a0antiviral\u00a0therapy is reduced.\u00a0Discuss with your doctor the necessary steps to avoid infecting others.<\/p>\n\n\n\n<p>People taking PREZISTA may still develop\u00a0infections\u00a0or\u00a0other illnesses associated with\u00a0HIV\u00a0infection.\u00a0You must continue to have regular contact with your doctor.<\/p>\n\n\n\n<p>People taking PREZISTA may develop a skin rash.&nbsp;In rare cases, a rash can be serious or potentially life-threatening.&nbsp;Always consult your doctor if you develop a rash.<\/p>\n\n\n\n<p>Rash (usually mild or moderate) may occur more frequently in patients taking both PREZISTA and raltegravir (in case of&nbsp;HIV&nbsp;infection&nbsp;)&nbsp;than in patients taking either of these medicines.<\/p>\n\n\n\n<p><strong>Inform your doctor about your situation BEFORE and DURING your treatment<\/strong><\/p>\n\n\n\n<p>Check the following points and tell your doctor if any of these apply to you.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tell your doctor if you have a\u00a0<strong>history of liver problems<\/strong>, including\u00a0hepatitis\u00a0B or C\u00a0infection.\u00a0Your doctor can assess the severity of your liver disease before deciding if you can take PREZISTA.<\/li><li>Tell your doctor if you have\u00a0diabetes.\u00a0PREZISTA may increase blood sugar levels.<\/li><li>Tell your doctor immediately if you notice any\u00a0symptoms of\u00a0infection\u00a0(such as enlarged\u00a0lymph nodes\u00a0or fever).\u00a0In some patients with advanced\u00a0HIV\u00a0infection\u00a0and\u00a0who have previously had an\u00a0opportunistic infection, signs, and symptoms of\u00a0inflammation\u00a0from a previous\u00a0infection\u00a0may appear shortly after starting treatment with\u00a0HIV\u00a0medicines.\u00a0It is believed that these symptoms are due to an improvement in the body&#8217;s\u00a0immune response, which enables the body to fight\u00a0infections\u00a0that may have been present without giving clear symptoms.<\/li><li>In addition to opportunistic\u00a0infections, autoimmune disorders (conditions in which the immune system attacks healthy body tissue) can also occur after you start taking medicines to treat\u00a0your\u00a0HIV\u00a0infection.\u00a0Autoimmune disorders can occur several months after starting treatment.\u00a0If you notice any symptoms of\u00a0infection\u00a0or other symptoms such as muscle weakness, a weakness that starts in the hands or feet and moves to the torso, palpitations, tremors, or hyperactivity,inform your doctor immediately for the necessary treatment.<\/li><li>Tell your doctor if you have\u00a0hemophilia.\u00a0PREZISTA may increase the risk of bleeding.<\/li><li>Tell your doctor if you are\u00a0allergic to\u00a0sulphonamides\u00a0(such as those used to treat certain\u00a0infections\u00a0).<\/li><li>Tell your doctor if you notice any\u00a0problems with your muscles and bones.\u00a0Some patients taking combination\u00a0antiviral\u00a0therapy may develop a skeletal disease called\u00a0osteonecrosis\u00a0(dead bone tissue due to loss of blood supply to the skeleton).\u00a0The length of the combination antiviral therapy,\u00a0corticosteroid\u00a0use, alcohol consumption, severe immunosuppression (severely weakened immune system), and high\u00a0BMI\u00a0(\u00a0body mass index\u00a0), can be some of the many risk factors for developing the disease.\u00a0Signs of\u00a0osteonecrosis are stiff and aching joints (especially in the hip, knee, and shoulder) and difficulty moving.\u00a0If you notice any of these symptoms, talk to your doctor.<\/li><\/ul>\n\n\n\n<p><strong>Older<\/strong><\/p>\n\n\n\n<p>PREZISTA has only been used in a limited number of patients aged 65 years or older.&nbsp;If you belong to this age group, discuss with your doctor if you can use PREZISTA.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>PREZISTA should not be used in children under 3 years of age or weighing less than 15 kg.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and PREZISTA<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking or have recently taken any other medicines.<\/p>\n\n\n\n<p>There are certain medicines that&nbsp;<strong>you must not combine<\/strong>&nbsp;with PREZISTA.&nbsp;These are listed above under the heading &#8220;Do not combine PREZISTA with any of the following medicines&#8221;.<\/p>\n\n\n\n<p>In most cases, PREZISTA can be combined with anti-\u00a0HIV\u00a0medicines belonging to other classes (eg NRTIs (\u00a0nucleoside analogs), NNRTIs (non-nucleoside analogs), CCR5\u00a0antagonists,\u00a0and FIs (fusion inhibitors). Ritonavir has not been tested with all PIs (\u00a0protease inhibitors ), and must not be\u00a0used\u00a0with other\u00a0HIV\u00a0-PIs. other medicines for\u00a0HIV\u00a0and carefully follow your doctor&#8217;s instructions on which medicines can be combined.<\/p>\n\n\n\n<p>The effect of PREZISTA may be reduced if you take any of the following medicines.&nbsp;Tell your doctor if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>phenobarbital<\/em>,\u00a0phenytoin\u00a0(to prevent seizures)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/toflacort\/\">dexamethasone<\/a>\u00a0(\u00a0corticosteroid\u00a0)<\/li><li>efavirenz (\u00a0for\u00a0HIV\u00a0infection\u00a0)<\/li><li>rifapentine, rifabutin\u00a0(medicines to treat certain\u00a0infections, such as\u00a0tuberculosis\u00a0)<\/li><li><em>saquinavir<\/em>\u00a0(for\u00a0HIV\u00a0infection).<\/li><\/ul>\n\n\n\n<p>The effects of other medicines may be affected if you take PREZISTA.&nbsp;Tell your doctor if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>amlodipine,\u00a0diltiazem<\/em>,\u00a0disopyramide, carvedilol, felodipine,\u00a0flecainide,\u00a0lidocaine,\u00a0metoprolol, mexiletine, nifedipine, nicardipine,\u00a0propafenone,\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/medicines\/timosan\/\">timolol<\/a>, verapamil\u00a0(for heart disease) as the treatment effect or\u00a0side effects\u00a0of these medicines may be increased.<\/li><li>apixaban, edoxaban, rivaroxaban,\u00a0warfarin, and clopidogrel\u00a0\u00a0(to reduce blood clotting) as their treatment effect or\u00a0side effects\u00a0may change;\u00a0your doctor may need to check your blood.<\/li><li>estrogen-based hormonal contraceptives or hormonal replacement therapy.\u00a0PREZISTA may reduce their effect.\u00a0If these are used as a method of contraception, alternative non-hormonal methods of contraception are recommended.<\/li><li>ethinyl estradiol \/ drospirenone.\u00a0PREZISTA may increase the risk of increased potassium levels caused by drospirenone.<\/li><li>atorvastatin, pravastatin, and rosuvastatin\u00a0(to lower cholesterol levels).\u00a0The risk of muscle damage may be increased.\u00a0Your doctor will evaluate which cholesterol-lowering treatment best suits your specific situation.<\/li><li>clarithromycin\u00a0(\u00a0antibiotic\u00a0)<\/li><li>ciclosporin, everolimus, tacrolimus, and sirolimus\u00a0(to suppress the immune system) as the treatment effect or\u00a0side effects\u00a0of these medicines may be increased.\u00a0Your doctor may want to do additional tests.<\/li><li>Corticosteroids\u00a0include betamethasone, budesonide,\u00a0fluticasone, mometasone, prednisone, and triamcinolone.\u00a0These drugs are used to treat\u00a0allergies,\u00a0asthma, inflammatory bowel diseases,\u00a0inflammation\u00a0of the skin, eyes, joints, and muscles, and other inflammatory conditions.\u00a0These medicines are usually taken by mouth, inhaled, injected, or applied to the skin.\u00a0If alternative medicines can not be used, these medicines should only be used after a medical evaluation and under the close supervision of your doctor about\u00a0the side effects\u00a0of\u00a0corticosteroids.<\/li><li>buprenorphine \/ naloxone\u00a0(opioid treatment drug)<\/li><li>salmeterol\u00a0(medicine to treat\u00a0asthma\u00a0)<\/li><li>artemether\/lumefantrine\u00a0(a combination drug for\u00a0malaria\u00a0)<\/li><li>dasatinib, everolimus, irinotecan, nilotinib, vinblastine, vincristine\u00a0(to treat cancer)<\/li><li>sildenafil, tadalafil, vardenafil\u00a0(for erection problems or to treat a lung disease called\u00a0pulmonary\u00a0arterial\u00a0hypertension\u00a0)<\/li><li>glekaprevir \/ pibrentasvir\u00a0(to treat\u00a0hepatitis\u00a0C\u00a0infection\u00a0)<\/li><li>fentanyl<em>, oxycodone, <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tramadol-retard-krka\/\">tramadol<\/a><\/em>\u00a0(to treat pain)<\/li><li><em>fesoterodine, solifenacin<\/em>\u00a0(to treat urinary tract problems).<\/li><\/ul>\n\n\n\n<p>The dosage&nbsp;of one of the other medicines may need to be changed as either their own or PREZISTA&#8217;s treatment effect or&nbsp;side effects&nbsp;can be affected if they are combined.&nbsp;Tell your doctor if you are taking:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>alfentanil<\/em>\u00a0(powerful and short-acting painkiller for\u00a0injection\u00a0used in surgery)<\/li><li><em>digoxin<\/em>\u00a0(to treat certain heart diseases)<\/li><li><em>clarithromycin<\/em>\u00a0(\u00a0antibiotic\u00a0)<\/li><li><em>itraconazole,\u00a0isavuconazole,\u00a0fluconazole\u00a0, posaconazole, clotrimazole<\/em>\u00a0(to treat fungal infections).\u00a0Voriconazole should only be taken after a medical evaluation.<\/li><li><em>rifabutin<\/em>\u00a0(against bacterial infections)<\/li><li><em>sildenafil, vardenafil, tadalafil<\/em>\u00a0(for erection problems or high\u00a0blood pressure\u00a0in the blood vessels in the lungs)<\/li><li><em>amitriptyline, desipramine, imipramine, nortriptyline,\u00a0paroxetine<\/em>,\u00a0sertraline, trazodone\u00a0(for treating depression and anxiety)<\/li><li>maraviroc\u00a0(to\u00a0treat\u00a0HIV\u00a0infection\u00a0)<\/li><li>methadone\u00a0(to treat opiate addiction)<\/li><li>carbamazepine, clonazepam\u00a0\u00a0(to prevent seizures or to prevent certain types of nerve pain)<\/li><li>colchicine\u00a0(to treat\u00a0gout\u00a0or familial Mediterranean fever)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tracleer\/\">bosentan<\/a>\u00a0(to treat high\u00a0blood pressure\u00a0in the blood vessels of the lungs)<\/li><li>buspirone, chlorazepate,\u00a0diazepam\u00a0, estazolam, flurazepam, midazolam when taken as an\u00a0injection\u00a0, zolpidem\u00a0\u00a0(sedatives)<\/li><li>perfenazine,\u00a0risperidone, and <em>thioridazine<\/em>\u00a0(for the treatment of psychiatric conditions).<\/li><\/ul>\n\n\n\n<p>This is&nbsp;<strong>not<\/strong>&nbsp;a complete list of medicines.&nbsp;Tell your doctor about&nbsp;<strong><em>any<\/em><\/strong>&nbsp;medicines you take.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">PREZISTA with food and drink<\/h2>\n\n\n\n<p>See section 3 \u201cHow to take PREZISTA\u201d.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Tell your doctor immediately if you are pregnant, planning to become pregnant, or breastfeeding.\u00a0Pregnant or breastfeeding mothers should not take PREZISTA with ritonavir unless specifically prescribed by a doctor.\u00a0Pregnant or breastfeeding mothers should not take PREZISTA with cobicistat.<\/p>\n\n\n\n<p>HIV\u00a0-infected women should not breastfeed their babies because there is a risk that the baby will be infected with\u00a0HIV\u00a0through breast milk and because you do not know how the medicine will affect your baby.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Do not use machines or drive a car if you feel dizzy after taking PREZISTA.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">PREZISTA contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per tablet, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take PREZISTA<\/h2>\n\n\n\n<p>Always take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse has told you.\u00a0If you are not sure, talk to your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<p>Even if you feel better, do not stop taking PREZISTA and ritonavir without talking to your doctor.<\/p>\n\n\n\n<p>Once treatment has been started,&nbsp;dose&nbsp;one or the dosage form must not be changed and treatment must not be stopped without instructions from a doctor.<\/p>\n\n\n\n<p><strong>Dosage&nbsp;for children from 3 years of age who weigh at least 15 kg and who have not taken antiretroviral drugs before (your child&#8217;s doctor decides this)<\/strong><\/p>\n\n\n\n<p>The doctor decides on an appropriate daily single dose based on the child&#8217;s body weight (see table below).&nbsp;This&nbsp;dose&nbsp;should not exceed the recommended&nbsp;dose&nbsp;for adults which is 800 mg PREZISTA together with 100 mg ritonavir once daily.<\/p>\n\n\n\n<p>Your doctor will tell you how many PREZISTA tablets and how much ritonavir (capsules, tablets, or solution) your child should take.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><strong>Weight<\/strong><\/th><th scope=\"col\"><strong>A PREZISTA&nbsp;dose&nbsp;is<\/strong><\/th><th scope=\"col\"><strong>A&nbsp;ritonavir&nbsp;<sup>a<\/sup>&nbsp;dose&nbsp;is<\/strong><\/th><\/tr><\/thead><tbody><tr><td>15-30 kg<\/td><td>600 mg<\/td><td>100 mg<\/td><\/tr><tr><td>30-40 kg<\/td><td>675 mg<\/td><td>100 mg<\/td><\/tr><tr><td>over 40 kg<\/td><td>800 mg<\/td><td>100 mg<\/td><\/tr><tr><td><sup>a<\/sup>&nbsp;ritonavir&nbsp;oral&nbsp;solution: 80 mg \/ ml<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Dosage&nbsp;for children from 3 years of age who weigh at least 15 kg and who have taken antiretroviral drugs before (your child&#8217;s doctor decides this)<\/strong><\/p>\n\n\n\n<p>The doctor decides on a&nbsp;dose&nbsp;based on the child&#8217;s body weight (see table below).&nbsp;The doctor decides whether the child should be&nbsp;dosed&nbsp;once or twice daily.&nbsp;This&nbsp;dose&nbsp;should not exceed the recommended&nbsp;dose&nbsp;for adults, which is 600 mg PREZISTA with 100 mg ritonavir twice daily or 800 mg PREZISTA with 100 mg ritonavir once daily.<\/p>\n\n\n\n<p>Your doctor will tell you how many tablets PREZISTA and how much ritonavir (capsules, tablets, or solution) your child should take.\u00a0There are tablets with other strengths available and your doctor may have prescribed a certain combination of tablets to achieve the right\u00a0dosage.<\/p>\n\n\n\n<p>PREZISTA is also available as an\u00a0oral\u00a0suspension.\u00a0Your doctor will decide if PREZISTA tablets or\u00a0oral\u00a0suspension\u00a0are best for your child.<\/p>\n\n\n\n<p>Dosage\u00a0twice daily<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><strong>Weight<\/strong><\/th><th scope=\"col\"><strong>One&nbsp;dose&nbsp;is<\/strong><\/th><\/tr><\/thead><tbody><tr><td>15-30 kg<\/td><td>375 mg PREZISTA + 50 mg ritonavir twice daily<\/td><\/tr><tr><td>30-40 kg<\/td><td>450 mg PREZISTA + 60 mg ritonavir twice daily<\/td><\/tr><tr><td>over 40 kg *<\/td><td>600 mg PREZISTA + 100 mg ritonavir twice daily<\/td><\/tr><tr><td>* For children 12 years and up and weighing at least 40 kg, your child&#8217;s doctor will decide if PREZISTA 800 mg can be used once a day.&nbsp;This can not be given with these 75 mg tablets.&nbsp;Other strengths of PREZISTA are available.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Dosage\u00a0once daily<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\"><strong>Weight<\/strong><\/th><th scope=\"col\"><strong>A PREZISTA&nbsp;dose&nbsp;is<\/strong><\/th><th scope=\"col\"><strong>A&nbsp;ritonavir&nbsp;<sup>a<\/sup>&nbsp;dose&nbsp;is<\/strong><\/th><\/tr><\/thead><tbody><tr><td>15\u201330 kg<\/td><td>600 mg<\/td><td>100 mg<\/td><\/tr><tr><td>30\u201340 kg<\/td><td>675 mg<\/td><td>100 mg<\/td><\/tr><tr><td>over 40 kg<\/td><td>800 mg<\/td><td>100 mg<\/td><\/tr><tr><td><sup>a<\/sup>&nbsp;ritonavir&nbsp;oral&nbsp;solution: 80 mg \/ ml<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong><em>Instructions for use for children<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The child should always take PREZISTA with ritonavir.&nbsp;PREZISTA cannot function properly without ritonavir.<\/li><li>The child should take the&nbsp;doses&nbsp;of PREZISTA and ritonavir twice daily or once daily.&nbsp;If PREZISTA has been prescribed twice daily, the child must take one&nbsp;dose&nbsp;in the morning and one&nbsp;dose&nbsp;in the evening.&nbsp;Your child&#8217;s doctor will determine the appropriate&nbsp;dosage&nbsp;for your child.<\/li><li>The child should take PREZISTA with food.&nbsp;PREZISTA can not work properly without food.&nbsp;The type of food is not important.<\/li><li>The child should swallow the tablets with a drink such as water or milk.<\/li><\/ul>\n\n\n\n<p><strong>Dosage&nbsp;for adults who have not taken antiretroviral medicines before (your doctor will decide)<\/strong><\/p>\n\n\n\n<p>You will need another&nbsp;dose&nbsp;of PREZISTA that cannot be given with these 75 mg tablets.&nbsp;Other strengths of PREZISTA are available.<\/p>\n\n\n\n<p><strong>Dosage&nbsp;for adults who have taken antiretroviral drugs before (your doctor will decide)<\/strong><\/p>\n\n\n\n<p>Dose&nbsp;one is either:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>600 mg PREZISTA together with 100 mg ritonavir twice daily.<\/li><\/ul>\n\n\n\n<p>OR<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>800 mg PREZISTA (2 tablets containing 400 mg PREZISTA or 1 tablet containing 800 mg PREZISTA) together with 100 mg ritonavir once daily.&nbsp;PREZISTA 400 mg and 800 mg tablets should only be used to achieve a&nbsp;dose&nbsp;of 800 mg once daily.<\/li><\/ul>\n\n\n\n<p>Discuss with your doctor which&nbsp;dosage&nbsp;is best for you.<\/p>\n\n\n\n<p><strong><em>Instructions for use for adults<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Always take PREZISTA with ritonavir.\u00a0PREZISTA does not work properly without ritonavir.<\/li><li>Take one PREZISTA 600 mg tablet in the morning with 100 mg ritonavir.<\/li><li>Take one PREZISTA 600 mg tablet in the evening with 100 mg ritonavir.<\/li><li>Take PREZISTA with food.\u00a0PREZISTA does not work properly without food.\u00a0The type of food is not important.<\/li><li>Swallow the tablets with a drink, e.g.\u00a0water or milk.<\/li><li>PREZISTA 75 mg and 150 mg tablets and 100 mg\/ml\u00a0oral\u00a0suspension\u00a0have been developed for the treatment of children, but may also be used in adults in some cases.<\/li><\/ul>\n\n\n\n<p><strong>How to open the child-resistant cover<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20080710000112#\" rel=\"noopener\"><\/a><\/td><td>The plastic jar has a child-resistant lid and should be opened as follows: Press the plastic cap down while turning it counterclockwise. Remove the lid.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more PREZISTA than you should<\/h2>\n\n\n\n<p>Contact a doctor, pharmacist, or nurse immediately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take PREZISTA<\/h2>\n\n\n\n<p>If you notice this\u00a0<strong>within 6 hours<\/strong>, take the tablets immediately.\u00a0Always take the tablets with ritonavir and food.\u00a0If you notice it\u00a0later than 6 hours\u00a0after the missed\u00a0dose, skip the tablets and take the next\u00a0dose\u00a0as usual.\u00a0Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<p><strong>If you vomit after taking PREZISTA and ritonavir<\/strong><\/p>\n\n\n\n<p>If you vomit\u00a0<strong>within 4 hours<\/strong>\u00a0of taking the medicine, take another\u00a0dose\u00a0of PREZISTA and ritonavir with food as soon as possible.\u00a0If you vomit\u00a0<strong>more than 4 hours<\/strong>\u00a0after taking the medicine, you do not need to take another\u00a0dose\u00a0of PREZISTA and ritonavir until you take the next scheduled\u00a0dose.<\/p>\n\n\n\n<p>Contact your doctor&nbsp;<strong>if you are not sure<\/strong>&nbsp;what to do if you miss a&nbsp;dose&nbsp;or vomit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do not stop taking PREZISTA without talking to your doctor<\/h2>\n\n\n\n<p>Anti &#8211;&nbsp;HIV&nbsp;drugs can make you feel better.&nbsp;Even if you feel better, do not stop taking PREZISTA.&nbsp;Talk to your doctor first.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>During&nbsp;HIV&nbsp;treatment, weight gain and increased levels of&nbsp;lipids&nbsp;and&nbsp;glucose&nbsp;in the blood may occur.&nbsp;This is partly related to restored health and lifestyle, but when it comes to blood lipids, there can sometimes be a connection with&nbsp;HIV&nbsp;drugs.&nbsp;The doctor will perform tests to find such changes.<\/p>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Tell your doctor if you experience any of the following&nbsp;side&nbsp;effects<\/strong><\/p>\n\n\n\n<p>Liver problems that can sometimes be serious have been reported.\u00a0Your doctor should take a blood sample before starting treatment with PREZISTA.\u00a0If you have\u00a0chronic\u00a0hepatitis\u00a0B or C\u00a0infection, your doctor should take blood tests more often because you have an increased risk of developing liver problems.\u00a0Talk to your doctor about the signs and symptoms of liver problems.\u00a0These may include yellowing of the skin or whites of the eyes, dark (tea-colored) urine, pale stools (bowel movements), nausea, vomiting, loss of appetite, or pain, aches or pains, and discomfort on the right side below the ribs.<\/p>\n\n\n\n<p>Skin rash (more often when used in combination with raltegravir),\u00a0itching.\u00a0The rash is usually mild to moderate.\u00a0A skin rash can also be a symptom of a rare difficult situation.\u00a0It is therefore important that you talk to your doctor if you get a rash.\u00a0Your doctor will advise you on how to deal with your symptoms or if PREZISTA needs to be stopped.<\/p>\n\n\n\n<p>Other serious&nbsp;side effects&nbsp;were&nbsp;diabetes&nbsp;(common) and&nbsp;inflammation&nbsp;of the pancreas (less common).<\/p>\n\n\n\n<p>Very common&nbsp;side effects&nbsp;(may affect more than 1 user in 10)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diarrhea.<\/li><\/ul>\n\n\n\n<p>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>vomiting, nausea, stomach pain or tension, indigestion, flatulence<\/li><li>headache, fatigue, dizziness, drowsiness, numbness, tingling or pain in hands and feet, weakness, and difficulty falling asleep.<\/li><\/ul>\n\n\n\n<p>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>chest pain, ECG\u00a0(\u00a0electrocardiogram\u00a0) changes, rapid heartbeat<\/li><li>impaired or abnormal sensitivity of the skin, tingling, attention deficit, memory loss, balance problems<\/li><li>difficulty breathing, cough, nosebleeds, irritation of the throat<\/li><li>inflammation\u00a0of the stomach or mouth, heartburn, ulceration, dry mouth, abdominal discomfort, constipation, belching<\/li><li>kidney failure,\u00a0kidney stones, difficulty urinating, frequent or heavy urination, sometimes at night<\/li><li>hives, severe swelling of the skin or other\u00a0tissues\u00a0(usually lips or eyes),\u00a0eczema, excessive sweating, night sweats, hair loss,\u00a0acne, scaly skin, the coloring of the nails<\/li><li>muscle pain, muscle cramps or muscle weakness, pain in the\u00a0extremities,\u00a0osteoporosis<\/li><li>impaired thyroid function.\u00a0This can be seen in a blood test.<\/li><li>high\u00a0blood pressure, hemorrhage<\/li><li>red or dry eyes<\/li><li>fever, swelling of the legs due to fluid, malaise, irritability, pain<\/li><li>symptom of\u00a0infection,\u00a0herpes\u00a0simplex<\/li><li>erectile dysfunction, breast enlargement<\/li><li>sleep problems, drowsiness, depression, anxiety, abnormal dreams, and decreased sexual desire.<\/li><\/ul>\n\n\n\n<p>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>a reaction called DRESS [severe rash that may be accompanied by fever, fatigue, swelling of the face or\u00a0lymph nodes, increased\u00a0eosinophils\u00a0(type of\u00a0white blood cells\u00a0), effect on liver, kidney, or lung]<\/li><li>heart attack, or slow heartbeat, palpitations<\/li><li>visual disturbance<\/li><li>chills, feeling abnormal<\/li><li>state of confusion or disorientation, altered mood, restlessness<\/li><li>fainting, epileptic seizures, altered or lost sense of taste<\/li><li>cold sores, vomiting,\u00a0inflammation\u00a0of the lips, dry lips, coating on the tongue<\/li><li>Runny nose<\/li><li>skin changes, dry skin<\/li><li>stiffness in muscles or joints, joint pain with or without\u00a0inflammation<\/li><li>changes in certain blood levels.\u00a0These can be seen in the results of blood and urine tests.\u00a0Your doctor will explain this to you.\u00a0Examples are an increase in certain\u00a0white blood cells.<\/li><\/ul>\n\n\n\n<p>Some&nbsp;side effects&nbsp;are typical of anti &#8211;&nbsp;HIV&nbsp;medicines that belong to the same group as PREZISTA.&nbsp;These are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muscle aches, soreness, or weakness.\u00a0In rare cases, muscle problems have been severe.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store PREZISTA<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton and can after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is darunavir.\u00a0Each tablet contains 75 mg of darunavir (as ethanolate).<\/li><li>The other ingredients are microcrystalline cellulose,\u00a0colloidal\u00a0anhydrous silica, crospovidone, and magnesium stearate.\u00a0The film coating contains poly (vinyl alcohol) &#8211; partially hydrolyzed, macrogol 3350, titanium dioxide (E171), and talc.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Film-coated white oval tablet with TMC printed on one side and 75 on the other side.&nbsp;480 tablets in a plastic jar.<\/p>\n\n\n\n<p>PREZISTA is also available in strengths of 150 mg, 400 mg, 600 mg, and 800 mg film-coated tablets and as a 100 mg\/ml\u00a0oral\u00a0suspension.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Janssen \u2011 Cilag International NV, 30 Turnhoutseweg, B-2340 Beerse, Belgium<\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Janssen-Cilag SpA, Via C. Janssen, Borgo San Michele, 04100 Latina, Italy<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<p><strong>Sweden<\/strong><\/p>\n\n\n\n<p>Janssen-Cilag AB<\/p>\n\n\n\n<p>Tel: +46 8 626 50 00<\/p>\n\n\n\n<p>jacse@its.jnj.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>PREZISTA contains the active substance darunavir. PREZISTA is an antiretroviral medicine used to treat human immunodeficiency virus ( HIV ) infection . It belongs to a group of medicines called protease inhibitors . PREZISTA works by reducing the amount of HIV in your body. This improves your immune system and reduces the risk of developing diseases associated with HIV infection .<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18527],"tags":[21820,6112,6114,6115,21821,21825,21824,21819,6113,21822,21823],"class_list":["post-21201","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-darunavir","tag-darunavir","tag-darunavir-side-effects","tag-darunavir-tablet","tag-prezista","tag-prezista-side-effects","tag-prezista-tablet","tag-what-darunavir-is-used-for","tag-what-is-darunavir","tag-what-is-prezista","tag-what-prezista-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21201","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=21201"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21201\/revisions"}],"predecessor-version":[{"id":21254,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21201\/revisions\/21254"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21201"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21201"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}