{"id":5533,"date":"2020-12-21T15:21:24","date_gmt":"2020-12-21T15:21:24","guid":{"rendered":"https:\/\/zeepedia.com\/?p=5533"},"modified":"2021-07-18T17:07:48","modified_gmt":"2021-07-18T17:07:48","slug":"aptivus","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/aptivus\/","title":{"rendered":"Aptivus &#8211; Tipranavir uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n250 mg&nbsp;soft capsules&nbsp;<br>tipranavir<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Aptivus is and what it is used for<\/h2>\n\n\n\n<p>Aptivus contains the active substance tipranavir.&nbsp;It belongs to a group of medicines called&nbsp;protease inhibitors&nbsp;and is used in the treatment of&nbsp;infections&nbsp;caused by the Human Immunodeficiency&nbsp;Virus&nbsp;(&nbsp;HIV&nbsp;).&nbsp;It inhibits an&nbsp;enzyme&nbsp;called&nbsp;protease&nbsp;that is involved in the multiplication of&nbsp;HIV.&nbsp;When the&nbsp;enzyme&nbsp;is inhibited, the&nbsp;virus&nbsp;does not multiply&nbsp;as normal, which&nbsp;slows down the&nbsp;infection.&nbsp;You must take Aptivus with:<\/p>\n\n\n\n<p>&#8211; low&nbsp;dose&nbsp;ritonavir (this helps Aptivus to reach a sufficiently high level in the blood)<\/p>\n\n\n\n<p>&#8211; other&nbsp;HIV&nbsp;medicines.&nbsp;Your doctor, together with you, will decide which medicines to use.&nbsp;This depends on, for example:<\/p>\n\n\n\n<p>&#8211; what other medicines you are already taking for&nbsp;HIV<\/p>\n\n\n\n<p>&#8211; which drugs your&nbsp;HIV&nbsp;is&nbsp;resistant&nbsp;to.&nbsp;If your&nbsp;HIV&nbsp;is&nbsp;resistant&nbsp;to any&nbsp;HIV&nbsp;drugs, it means that those drugs will not work so well, or will not work at all.<br><\/p>\n\n\n\n<p>Aptivus is especially used for the treatment of&nbsp;HIV&nbsp;which is resistant to most other&nbsp;protease inhibitors.&nbsp;Before starting treatment, your doctor will take a blood test to check the&nbsp;resistance&nbsp;of your&nbsp;HIV.&nbsp;These tests will have confirmed that&nbsp;HIV&nbsp;in your blood is&nbsp;resistant&nbsp;to most other&nbsp;protease inhibitors.&nbsp;Aptivus treatment is, therefore, suitable for you.&nbsp;You should not use Aptivus if you have never received&nbsp;antiretroviral therapy or have other treatment options.<br><\/p>\n\n\n\n<p>Aptivus soft capsules are intended for:<\/p>\n\n\n\n<p>&#8211; young people 12 years or older<\/p>\n\n\n\n<p>&#8211; adults<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Aptivus<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Aptivus<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>You must take Aptivus with low&nbsp;dose&nbsp;ritonavir and other antiviral medicines.&nbsp;It is therefore important to also know about these drugs.&nbsp;You should therefore carefully read the package leaflet for ritonavir and other antiviral medicines.&nbsp;Ask your doctor or&nbsp;pharmacist&nbsp;if you have any questions about ritonavir or the other medicines you have been prescribed.<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Do not take Aptivus<\/strong>&nbsp;:<\/p>\n\n\n\n<p>&#8211; if you are allergic to tipranavir or any of the other ingredients of this medicine (listed in section 6).<\/p>\n\n\n\n<p>&#8211; if you have moderate to severe liver disease.&nbsp;Your doctor will take blood samples to examine your liver function.&nbsp;Depending on your liver function, you may need to wait or discontinue treatment with Aptivus.<\/p>\n\n\n\n<p>&#8211; if you are currently taking medicines containing:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rifampicin (used to treat&nbsp;tuberculosis&nbsp;)<\/li><li>cisapride (medicine for stomach upset)<\/li><li>pimozide or sertindole (medicine for schizophrenia)<\/li><li>quetiapine (medicine for schizophrenia,&nbsp;bipolar disorder,&nbsp;and major depression)<\/li><li>lurasidone (used to treat schizophrenia)<\/li><li>triazolam or oral midazolam (which is swallowed).&nbsp;These drugs are used to treat anxiety or sleep disorders<\/li><li>ergot derivatives (for the treatment of headaches)<\/li><li>astemizole or terfenadine (to treat&nbsp;allergies&nbsp;or hay fever)<\/li><li>simvastatin&nbsp;or lovastatin (lowers blood cholesterol)<\/li><li>amiodarone, bepridil,&nbsp;flecainide,&nbsp;propafenone,&nbsp;or&nbsp;quinidine&nbsp;(used in heart disease)<\/li><li>metoprolol&nbsp;(used for&nbsp;heart failure&nbsp;)<\/li><li>alfuzosin or sildenafil (when used to treat a rare blood vessel disease with high&nbsp;blood pressure&nbsp;in the pulmonary artery)<\/li><li>colchicine (when used to treat&nbsp;gout&nbsp;in patients with kidney or liver disease).<\/li><\/ul>\n\n\n\n<p>Do not use products that contain&nbsp;St. John&#8217;s wort&nbsp;(a natural remedy for mild depression and mild anxiety).&nbsp;This may prevent Aptivus from working properly.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Aptivus.<br><\/p>\n\n\n\n<p>Tell your doctor if you have:<\/p>\n\n\n\n<p>type A or B&nbsp;hemophilia<\/p>\n\n\n\n<p>&#8211;&nbsp;diabetes<\/p>\n\n\n\n<p>&#8211; liver disease<br><\/p>\n\n\n\n<p>If you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>high results in liver function tests<\/li><li>infection&nbsp;with&nbsp;hepatitis&nbsp;B or C<\/li><\/ul>\n\n\n\n<p>you have an increased risk of serious and potentially fatal liver damage when using Aptivus.&nbsp;Your doctor will monitor your liver function through blood tests before and during treatment with Aptivus.&nbsp;If you have liver disease or&nbsp;hepatitis, your doctor will decide if you need extended sampling.&nbsp;You should tell your doctor as soon as possible if you notice any signs or symptoms of hepatitis:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fever<\/li><li>feeling sick<\/li><li>nausea<\/li><li>vomiting<\/li><li>abdominal pain<\/li><li>fatigue<\/li><li>jaundice (yellowing of the skin and whites of the eyes)<\/li><\/ul>\n\n\n\n<p><strong>Aptivus does not lead to&nbsp;HIV&nbsp;&#8211;&nbsp;infection,&nbsp;a cure:<\/strong><\/p>\n\n\n\n<p>You should know that you can constantly develop new&nbsp;infections&nbsp;or other diseases related to&nbsp;HIV.&nbsp;You should therefore keep in regular contact with your doctor.&nbsp;You can still transmit&nbsp;HIV&nbsp;infection when you take this medicine, even though the risk of effective&nbsp;antiviral&nbsp;therapy is&nbsp;reduced.&nbsp;Discuss with your doctor the necessary steps to avoid infecting others.<br><\/p>\n\n\n\n<p><em>Skin rash<\/em>&nbsp;:<\/p>\n\n\n\n<p>Mild to moderate skin rashes, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>blisters<\/li><li>rash with flat or raised small red spots<\/li><li>hypersensitivity to the sun<\/li><\/ul>\n\n\n\n<p>has been reported in approximately 1 patient in 10 treated with Aptivus.&nbsp;Some patients who developed rash also had:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>joint pain or stiffness<\/li><li>tightness in the throat<\/li><li>general&nbsp;itching<\/li><\/ul>\n\n\n\n<p>In some patients with advanced&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;(&nbsp;AIDS&nbsp;) and a history of&nbsp;HIV&nbsp;-related&nbsp;infection,&nbsp;may be symptoms of&nbsp;inflammation&nbsp;occur soon after anti-&nbsp;HIV&nbsp;has begun.&nbsp;It is believed that these symptoms are due to the improvement of the body&#8217;s&nbsp;immune response, which allows the body to fight&nbsp;infection, which may have previously been hidden without obvious symptoms.&nbsp;Tell your doctor immediately if you notice any symptoms of&nbsp;infection&nbsp;(such as fever, enlarged&nbsp;lymph nodes&nbsp;).<br><\/p>\n\n\n\n<p>In addition to opportunistic&nbsp;infections, autoimmune disorders (conditions in which the immune system attacks healthy body tissue) can also occur after you start taking medicines to treat your&nbsp;HIV&nbsp;infection.&nbsp;Autoimmune disorders can occur several months after starting treatment.&nbsp;If you notice any symptoms of&nbsp;infection&nbsp;or other symptoms such as muscle weakness, the weakness that starts in the hands or feet and moves to the torso, palpitations, tremors, or hyperactivity, informs your doctor immediately for the necessary treatment.<br><\/p>\n\n\n\n<p>Tell your doctor if you have fainted or experienced abnormal heartbeats.&nbsp;Aptivus with low&nbsp;dose&nbsp;ritonavir can cause changes in your heart rhythm and the electrical activity of your heart.&nbsp;These changes can be seen on an&nbsp;ECG&nbsp;(&nbsp;electrocardiogram&nbsp;).<br><\/p>\n\n\n\n<p><em>Bone problems<\/em>: Some patients receiving&nbsp;combination&nbsp;antiretroviral&nbsp;therapy may develop a bone disease called&nbsp;osteonecrosis&nbsp;(bone tissue dies due to lost blood supply to the bone).&nbsp;Some of the many risk factors for developing the disease are long-term&nbsp;antiretroviral&nbsp;combination therapy, use of&nbsp;corticosteroids, alcohol consumption, a severe weakening of the immune system, and higher body mass index.&nbsp;Signs of&nbsp;osteonecrosis&nbsp;are stiffness in the joints and pain (especially in the hip, knee, and shoulders) and difficulty moving.&nbsp;Tell your doctor if you experience any of these symptoms.<br><\/p>\n\n\n\n<p><em>Elderly:<\/em>&nbsp;If you are older than 65 years, your doctor will exercise caution when prescribing Aptivus soft capsules to you and will closely monitor your treatment. Tipranavir has been used in a limited number of patients aged 65 years or older.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Aptivus soft capsules should not be used by children under 12 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Aptivus<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription.<\/p>\n\n\n\n<p>This is very important.&nbsp;If you are taking other medicines at the same time as Aptivus and ritonavir, this may increase or decrease the effectiveness of the treatment.&nbsp;These effects are called&nbsp;interactions&nbsp;and can lead to serious&nbsp;side effects&nbsp;or prevent adequate control of other conditions you may have.<br><\/p>\n\n\n\n<p><strong>Interaction&nbsp;with other&nbsp;HIV&nbsp;medicines:<\/strong><\/p>\n\n\n\n<p>etravirine belongs to a class of&nbsp;HIV&nbsp;medicines called non-nucleoside reverse transcriptase inhibitors (NNRTIs).&nbsp;Taking Aptivus with etravirine is not recommended.<br><\/p>\n\n\n\n<p><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triumeq\/\">abacavir<\/a> and zidovudine.&nbsp;These belong to a class of&nbsp;HIV&nbsp;drugs called nucleoside reverse transcriptase inhibitors (NRTIs).&nbsp;Your doctor will only prescribe abacavir and zidovudine if you can not use other reverse transcriptase inhibitors.<br><\/p>\n\n\n\n<p>&#8211; didanosine: If you use didanosine tablets with gastric juice-resistant coating, take them at least 2 hours before or after Aptivus.<\/p>\n\n\n\n<p>&#8211; emtricitabine: If you are taking emtricitabine, your kidney function should be checked before starting treatment with Aptivus.<\/p>\n\n\n\n<p>&#8211; rilpivirine: If you are using rilpivirine, your doctor will monitor your treatment closely.<br><\/p>\n\n\n\n<p><em>&#8211;&nbsp;Protease inhibitors&nbsp;(PIs)<\/em>: Treatment with Aptivus can lead to large reductions in the blood levels of other&nbsp;HIV&nbsp;protease inhibitors.&nbsp;For example, the levels of the protease inhibitors amprenavir, atazanavir, lopinavir, and saquinavir are reduced.<\/p>\n\n\n\n<p>If Aptivus is used in combination with atazanavir, the blood levels of Aptivus and ritonavir may increase significantly.<br><\/p>\n\n\n\n<p>Your doctor will carefully consider whether you should be treated with a combination of Aptivus and&nbsp;protease inhibitors.<br><\/p>\n\n\n\n<p><strong>Other medicines that Aptivus may&nbsp;interact&nbsp;with include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Birth control pills\/hormone replacement therapy (&nbsp;HRT&nbsp;): If you are using&nbsp;birth control pills&nbsp;to avoid pregnancy, you should use additional or alternative contraceptives (eg barrier contraceptives such as condoms).&nbsp;In general, the use of Aptivus with ritonavir, in combination with oral contraceptives or hormone replacement therapy (&nbsp;HRT&nbsp;)&nbsp;is not recommended.&nbsp;You should talk to your doctor if you want to continue&nbsp;taking birth control pills&nbsp;or&nbsp;HRT.&nbsp;If you are&nbsp;taking birth control pills&nbsp;or&nbsp;HRTThere is an increased risk of skin rash when you use Aptivus.&nbsp;If skin rashes occur, they are usually mild or moderate.&nbsp;You should talk to your doctor as you may need to take a temporary break from treatment with Aptivus or your&nbsp;birth control pills&nbsp;or&nbsp;HRT.<\/li><li>carbamazepine, phenobarbital, and&nbsp;phenytoin&nbsp;(for the treatment of&nbsp;epilepsy&nbsp;).&nbsp;These medicines may reduce the effect of Aptivus.<\/li><li>sildenafil, vardenafil, tadalafil (medicines used to induce and maintain an&nbsp;erection).&nbsp;The effects of sildenafil and vardenafil are likely to increase if you take them with Aptivus.&nbsp;You should not receive a prescription for tadalafil until you have used Aptivus for 7 days or more.<\/li><li>omeprazole, esomeprazole, lansoprazole, pantoprazole, rabeprazole (&nbsp;proton pump inhibitors&nbsp;used to reduce gastric acid production)<\/li><li>metronidazole (for the treatment of&nbsp;infections&nbsp;)<\/li><li>disulfiram&nbsp;(to treat alcohol dependence)<\/li><li>buprenorphine\/naloxone (medicine to treat severe pain)<\/li><li>ciclosporin, tacrolimus, sirolimus (used to prevent organ rejection (immunosuppressive)<\/li><li>warfarin&nbsp;(used to treat and prevent&nbsp;thrombosis&nbsp;)<\/li><li>digoxin&nbsp;(used to treat heart rhythms and&nbsp;heart failure&nbsp;)<\/li><li>antifungal drugs including&nbsp;fluconazole, itraconazole,&nbsp;ketoconazole,&nbsp;or voriconazole<\/li><\/ul>\n\n\n\n<p>The following medicines are not recommended:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fluticasone&nbsp;(for the treatment of&nbsp;asthma&nbsp;)<\/li><li>atorvastatin (to lower blood cholesterol)<\/li><li>salmeterol&nbsp;(for long-term treatment of&nbsp;asthma, prevention of&nbsp;bronchospasm&nbsp;in COPD)<\/li><li>bosentan&nbsp;(for the treatment of high&nbsp;blood pressure&nbsp;in the pulmonary artery)<\/li><li>halofantrine or lumefantrine (used to treat&nbsp;malaria&nbsp;)<\/li><li>tolterodine (used to treat overactive bladder (with symptoms such as urination frequency, urination or urge incontinence))<\/li><li>boceprevir and telaprevir (used to treat&nbsp;hepatitis&nbsp;C)<\/li><li>cobicistat and products containing cobicistat (used to increase the effect of&nbsp;HIV medicines).<\/li><\/ul>\n\n\n\n<p>Aptivus may reduce the effectiveness of certain medicines, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>methadone, pethidine (used as a morphine substitute)<\/li><\/ul>\n\n\n\n<p>Your doctor may need to increase or decrease the&nbsp;dose of&nbsp;one of the other medicines you are taking with Aptivus.&nbsp;For example:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rifabutin and clarithromycin (&nbsp;antibiotics&nbsp;)<\/li><li>theophylline (for the treatment of&nbsp;asthma&nbsp;)<\/li><li>desipramine, trade zone, and bupropion (for the treatment of depression; bupropion is also used as a smoking cessation agent)<\/li><li>midazolam (when given as an&nbsp;injection&nbsp;);&nbsp;Midazolam is sedative and is used to treat anxiety and to help you fall asleep<\/li><li>rosuvastatin or pravastatin (used to lower blood cholesterol)<\/li><li>colchicine (used to treat&nbsp;gout&nbsp;in patients with normal kidney and liver function)<\/li><li>raltegravir (used to treat&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;)<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tivicay\/\">dolutegravir<\/a> (used to treat&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;)<\/li><\/ul>\n\n\n\n<p>If you are using aluminum-magnesium-based antacids (to treat dyspepsia \/&nbsp;gastroesophageal&nbsp;reflux disease&nbsp;), the time interval between Aptivus and antacids should be at least 2 hours.<br><\/p>\n\n\n\n<p>Tell your doctor if you are taking blood-thinning medicines, or if you are taking&nbsp;vitamin&nbsp;E. Your doctor may wish to take certain safety precautions in such cases.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Aptivus with food, drink, and alcohol<\/h2>\n\n\n\n<p>Aptivus capsules should be taken with food.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>It is not known if Aptivus is safe to use during pregnancy.&nbsp;You should not breast-feed your baby as it is possible that the baby may become&nbsp;HIV-&nbsp;infected through breast milk.&nbsp;See also section 2, under &#8220;Pills\/hormone replacement therapy (&nbsp;HRT&nbsp;)&#8221;.<br><\/p>\n\n\n\n<p>Aptivus contains a very small amount of alcohol (see Important information about some of the excipients in Aptivus).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Some&nbsp;side effects&nbsp;of Aptivus may affect the ability to drive and use machines (eg dizziness and drowsiness).&nbsp;If you are affected, do not drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Aptivus contains ethanol, macrogol glycerol ricinoleate, and sorbitol (E420)<\/h2>\n\n\n\n<p>Aptivus contains 100 mg of alcohol (&nbsp;ethanol&nbsp;) per capsule.&nbsp;The amount in 250 mg of this medicine (ie one capsule) corresponds to less than 3 ml of beer or 1 ml of wine.&nbsp;The low amount of alcohol in this medicine does not produce any noticeable effects.<br><\/p>\n\n\n\n<p>Aptivus also contains macrogol glycerol ricinoleate, which may cause an upset stomach and diarrhea.<br><\/p>\n\n\n\n<p>This medicine contains 12.6 mg sorbitol per capsule.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Aptivus<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.&nbsp;You must take Aptivus with ritonavir.<br><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;for adults or adolescents over 12 years of age is:<\/p>\n\n\n\n<p>500 mg (two 250 mg capsules) Aptivus together with<\/p>\n\n\n\n<p>&#8211; 200 mg (two 100 mg capsules) ritonavir<\/p>\n\n\n\n<p>twice daily with food.<br><\/p>\n\n\n\n<p>Oral&nbsp;use.<\/p>\n\n\n\n<p>Aptivus capsules should be taken with food, swallowed whole, and must not be opened or chewed.<br><\/p>\n\n\n\n<p>Always use this medicine in combination with other antiretroviral medicines.&nbsp;You must follow the instructions for these medicines, which are included in the package leaflets that come with the packs.<br><\/p>\n\n\n\n<p>You should continue to use Aptivus for as long as your doctor recommends it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>Aptivus soft capsules should not be used by children under 12 years of age.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Aptivus than you should &nbsp;<\/h2>\n\n\n\n<p>Tell your doctor as soon as possible if you are taking more than the prescribed&nbsp;dose of&nbsp;Aptivus.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Aptivus<\/h2>\n\n\n\n<p>If you miss a&nbsp;dose&nbsp;of Aptivus or ritonavir by more than 5 hours, skip it and take the next&nbsp;dose of&nbsp;Aptivus and ritonavir at the next regular time.&nbsp;If a&nbsp;dose&nbsp;of Aptivus and\/or ritonavir is less than 5 hours late, take it at once.&nbsp;Then take the next scheduled&nbsp;dose&nbsp;of Aptivus and ritonavir as usual at the next regular time.<br><\/p>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Aptivus<\/h2>\n\n\n\n<p>It has been shown that taking all&nbsp;doses&nbsp;at the right time:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>greatly increases the effectiveness of your combination of antiretroviral drugs<\/li><li>reduces the risk of your&nbsp;HIV&nbsp;becoming&nbsp;resistant&nbsp;to your antiretroviral medicines<\/li><\/ul>\n\n\n\n<p>Therefore, it is important that you continue to use Aptivus correctly, as described above.&nbsp;DO NOT STOP using Aptivus unless instructed to do so by your doctor.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>During&nbsp;HIV&nbsp;treatment, weight gain and increased levels of blood fats and blood sugar may occur.&nbsp;This is partly related to restored health and lifestyle, but when it comes to blood fats, there can sometimes be a connection with&nbsp;HIV&nbsp;drugs.&nbsp;The doctor will perform tests to find such changes.<br><\/p>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.&nbsp;It can be difficult to distinguish between:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>side effects&nbsp;are caused by Aptivus<\/li><li>side effects&nbsp;are caused by the other medications you are also using<\/li><li>complications of&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;a<\/li><\/ul>\n\n\n\n<p>For this reason, it is important that you tell your doctor about changes in your state of health.<br><\/p>\n\n\n\n<p><strong>Serious&nbsp;side effects&nbsp;associated with Aptivus:<\/strong><br><\/p>\n\n\n\n<p>Abnormal liver function:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hepatitis&nbsp;and hepatic obesity<\/li><li>liver failure.&nbsp;This can lead to death.<\/li><li>elevated levels of&nbsp;bilirubin&nbsp;in the blood&nbsp;(formed by the breakdown of&nbsp;hemoglobin)<\/li><\/ul>\n\n\n\n<p>You should contact your doctor if you experience:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>reduced appetite<\/li><li>nausea<\/li><li>vomiting and\/or jaundice<\/li><\/ul>\n\n\n\n<p>which may be a sign of abnormal liver function.<br><\/p>\n\n\n\n<p>Bleeding<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>bleeding in the brain.&nbsp;This can lead to permanent disability or death and has been reported by some patients treated with Aptivus in&nbsp;clinical trials.&nbsp;In the majority of these patients, the bleeding may have had other causes.&nbsp;For example, they had other medical conditions or were given other medicines that may have caused the bleeding.<\/li><\/ul>\n\n\n\n<p><strong>Possible side effects:<\/strong><br><\/p>\n\n\n\n<p><strong>Very common:<\/strong>&nbsp;may affect more than 1 in 10 people<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diarrhea<\/li><li>nausea<\/li><\/ul>\n\n\n\n<p><strong>Common:<\/strong>&nbsp;may affect up to 1 in 10 people<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>vomiting<\/li><li>abdominal pain<\/li><li>weather stresses<\/li><li>fatigue<\/li><li>headache<\/li><li>mild skin rash, for example with&nbsp;hives&nbsp;or flat or raised small red spots<\/li><li>increased blood fats<\/li><li>dyspepsia<\/li><\/ul>\n\n\n\n<p><strong>Uncommon:<\/strong>&nbsp;may affect up to 1 in 100 people<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fewer red and&nbsp;white blood cells<\/li><li>fewer&nbsp;platelets<\/li><li>allergic reactions (&nbsp;hypersensitivity reactions&nbsp;)<\/li><li>reduced appetite<\/li><li>diabetes<\/li><li>increased blood sugar<\/li><li>increased level of&nbsp;cholesterol&nbsp;in the blood<\/li><li>insomnia and other sleep disorders<\/li><li>somnolence<\/li><li>dizziness<\/li><li>numbness and\/or pain in feet or hands<\/li><li>breathing difficulties<\/li><li>heartburn<\/li><li>inflammation&nbsp;of the pancreas<\/li><li>dermatitis<\/li><li>itching<\/li><li>muscle cramps<\/li><li>muscle pain<\/li><li>kidney disease<\/li><li>flu-like symptoms&nbsp;(feeling sick)<\/li><li>fever<\/li><li>weight loss<\/li><li>increased levels in the blood of the pancreatic&nbsp;enzyme&nbsp;amylase<\/li><li>increased liver enzyme activity<\/li><li>hepatitis&nbsp;with liver cell damage, caused by a&nbsp;toxin<\/li><\/ul>\n\n\n\n<p><strong>Rare:<\/strong>&nbsp;may affect up to 1 in 1,000 people<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>liver failure (including fatal outcome)<\/li><li>hepatitis<\/li><li>hepatic obesity<\/li><li>increased levels of&nbsp;bilirubin&nbsp;in the blood (a breakdown product of&nbsp;hemoglobin&nbsp;)<\/li><li>dehydration<\/li><li>emaciation of the face<\/li><li>bleeding in the brain * (see above)<\/li><li>an increased level in the blood of the pancreatic&nbsp;enzyme&nbsp;lipase<\/li><\/ul>\n\n\n\n<p><strong>Additional information on possible&nbsp;side effects is&nbsp;related to combined&nbsp;antiretroviral&nbsp;therapy:<\/strong><br><\/p>\n\n\n\n<p><em>Bleeding<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Increased bleeding.&nbsp;If you have&nbsp;type A or B&nbsp;hemophilia, you may experience increased bleeding.&nbsp;Bleeding may occur in the skin or joints.&nbsp;If you suffer from increased bleeding, seek medical attention immediately.<\/li><\/ul>\n\n\n\n<p><em>Muscle diseases<\/em><\/p>\n\n\n\n<p>Muscle pain, tenderness, and weakness have been reported, especially when Aptivus or other&nbsp;protease inhibitors&nbsp;are taken with and&nbsp;nucleoside analogs.&nbsp;In rare cases, these muscle changes have been severe and have involved the breakdown of muscle tissue (&nbsp;rhabdomyolysis&nbsp;).<br><\/p>\n\n\n\n<p><em><strong>Additional&nbsp;side effects&nbsp;are in children and adolescents<\/strong><\/em><\/p>\n\n\n\n<p>Most common&nbsp;side effects&nbsp;were generally similar to those described in adults.&nbsp;Vomiting, rash, and fever were observed more often in children than in adults.<br><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Aptivus<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the bottle after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store in a refrigerator (2&nbsp;<sup>o<\/sup>&nbsp;C to 8&nbsp;<sup>o<\/sup>&nbsp;C).&nbsp;Once opened, the contents must be used within 60 days (do not store above 25 \u00b0 C).&nbsp;Write the date when the bottle was opened on the label and\/or the outer carton.<br><\/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&#8230;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>&#8211; The active substance is tipranavir.&nbsp;Each capsule contains 250 mg tipranavir.<\/p>\n\n\n\n<p>The other ingredients are macrogol glycerol ricinoleate,&nbsp;ethanol&nbsp;(alcohol), mono\/diglycerides of caprylic acid \/ capric acid, propylene glycol, purified water, <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tribonate\/\">trometamol<\/a>, and propyl gallate.&nbsp;The capsule shell contains gelatin, red iron oxide, propylene glycol, purified water, sorbitol-special-glycerin&nbsp;mixture&nbsp;(d-sorbitol, 1,4 sorbitan, mannitol, and glycerin), and titanium dioxide.<\/p>\n\n\n\n<p>The black label contains propylene glycol, black iron oxide, polyvinyl acetate phthalate, macrogol, and ammonium hydroxide.<br><\/p>\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>Aptivus soft capsules are pink, oblong soft gelatin capsules marked TPV 250 in black.&nbsp;Each Aptivus capsule contains 250 mg of the active substance tipranavir.&nbsp;Aptivus is supplied in bottles containing 120 capsules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorization Holder:<\/strong><\/p>\n\n\n\n<p>Boehringer Ingelheim International GmbH<\/p>\n\n\n\n<p>Binger Strasse 173<\/p>\n\n\n\n<p>D-55216 Ingelheim am Rhein<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Boehringer Ingelheim Pharma GmbH &amp; Co.&nbsp;KG<\/p>\n\n\n\n<p>Binger Strasse 173<\/p>\n\n\n\n<p>D-55216 Ingelheim am Rhein<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p>or<br><\/p>\n\n\n\n<p>Boehringer Ingelheim France<\/p>\n\n\n\n<p>100-104 avenue de France<\/p>\n\n\n\n<p>75013 Paris<\/p>\n\n\n\n<p>France<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><th scope=\"col\">Contact the representative of the marketing authorization holder to find out more about this medicine:<\/th><\/tr><\/thead><tbody><tr><td>Belgium \/ Belgique \/ BelgienSCS Boehringer Ingelheim Comm.VTel: +32 2 773 33 11<\/td><td>LithuaniaBoehringer Ingelheim RCV GmbH &amp; Co KGLithuanian branchesTel: +370 5 2595942<\/td><\/tr><tr><td>Bulgaria\u0411\u044c\u043e\u0440\u0438\u043d\u0433\u0435\u0440 \u0418\u043d\u0433\u0435\u043b\u0445\u0430\u0439\u043c \u0420\u0426\u0412 \u0413\u043c\u0431\u0425 \u0438 \u041a\u043e \u041a\u0413 &#8211; clone of BulgariaTel: +359 2 958 79 98<\/td><td>Luxembourg \/ LuxemburgSCS Boehringer Ingelheim Comm.VTel: +32 2 773 33 11<\/td><\/tr><tr><td>Czech RepublicBoehringer Ingelheim spol.&nbsp;s roTel: +420 234 655 111<\/td><td>HungaryBoehringer Ingelheim RCV GmbH &amp; Co KG Magyarorsz\u00e1gi Fi\u00f3ktelepeTel: +36 1 299 8900<\/td><\/tr><tr><td>DenmarkBoehringer Ingelheim Danmark A \/ STel: +45 39 15 88 88<\/td><td>MaltaBoehringer Ingelheim Ltd.Tel: +44 1344 424 600<\/td><\/tr><tr><td>GermanyBoehringer Ingelheim Pharma GmbH &amp; Co.&nbsp;KGTel: +49 800 77 90 900<\/td><td>The NetherlandsBoehringer Ingelheim bvTel: +31 (0) 800 22 55 88 9<\/td><\/tr><tr><td>EestiBoehringer Ingelheim RCV GmbH &amp; Co.&nbsp;KGEesti subsidiaryTel: +372 61 28 000<\/td><td>NorwayBoehringer Ingelheim Norway KSTel: +47 66 76 13 00<\/td><\/tr><tr><td>GreeceBoehringer Ingelheim Ellas AET\u03b7\u03bb: +30 2 10 89 06 300<\/td><td>AustriaBoehringer Ingelheim RCV GmbH &amp; Co KGTel: +43 1 80 105 7870<\/td><\/tr><tr><td>SpainBoehringer Ingelheim Espa\u00f1a, SATel: +34 93 404 51 00<\/td><td>PolandBoehringer Ingelheim Sp.zo.o.Tel: +48 22 699 0 699<\/td><\/tr><tr><td>FranceBoehringer Ingelheim France SASTel: +33 3 26 50 45 33<\/td><td>PortugalBoehringer Ingelheim, Unipessoal.&nbsp;Lda.Tel: +351 21 313 53 00<\/td><\/tr><tr><td>CroatiaBoehringer Ingelheim Zagreb dooTel: +385 1 2444 600<\/td><td>RomaniaBoehringer Ingelheim RCV GmbH &amp; Co KGVienna &#8211; Sucursala BucharestTel: +40 21 302 28 00<\/td><\/tr><tr><td>IrelandBoehringer Ingelheim Ireland Ltd.Tel: +353 1 295 9620<\/td><td>SloveniaBoehringer Ingelheim RCV GmbH &amp; Co KGPodru\u017enica LjubljanaTel: +386 1 586 40 00<\/td><\/tr><tr><td>IcelandVistor hf.Phone: +354 535 7000<\/td><td>Slovak RepublicBoehringer Ingelheim RCV GmbH &amp; Co KGorganizing serviceTel: +421 2 5810 1211<\/td><\/tr><tr><td>ItalyBoehringer Ingelheim Italia SpATel: +39 02 5355 1<\/td><td>Finland \/ FinlandBoehringer Ingelheim Finland KyPuh \/ Tel: +358 10 3102 800<\/td><\/tr><tr><td>\u039a\u03cd\u03c0\u03c1\u03bf\u03c2Boehringer Ingelheim Ellas AET\u03b7\u03bb: +30 2 10 89 06 300<\/td><td><\/td><\/tr><tr><td>LatviaBoehringer Ingelheim RCV GmbH &amp; Co KGLatvian branchTel: +371 67 240 011<\/td><td>United KingdomBoehringer Ingelheim Ltd.Tel: +44 1344 424 600<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Aptivus contains the active substance tipranavir. It belongs to a group of medicines called protease inhibitors and is used in the treatment of infections caused by the Human Immunodeficiency Virus ( HIV ). It inhibits an enzyme called protease that is involved in the multiplication of HIV. When the enzyme is inhibited, the virus does not multiply as normal, which slows down the infection. You must take Aptivus with:<\/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":[2201,2200],"tags":[10167,10170,10171,10166,10162,10165,10169,10168,10163,10164],"class_list":["post-5533","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-aptivus","tag-aptivus-capsule","tag-aptivus-side-effecs","tag-side-effects-of-tipranavir","tag-tipranavir","tag-tipranavir-capsule","tag-what-aptivus-is-used-for","tag-what-is-aptivus","tag-what-is-tipranavir","tag-what-tipranavir-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5533","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=5533"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5533\/revisions"}],"predecessor-version":[{"id":12530,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/5533\/revisions\/12530"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=5533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=5533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=5533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}