{"id":7687,"date":"2021-02-26T09:20:16","date_gmt":"2021-02-26T09:20:16","guid":{"rendered":"https:\/\/zeepedia.com\/?p=7687"},"modified":"2021-05-18T06:47:17","modified_gmt":"2021-05-18T06:47:17","slug":"dovato","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/dovato\/","title":{"rendered":"Dovato &#8211; Dolutegravir &#8211; Lamivudine uses, dose and side effects"},"content":{"rendered":"\n<p> 50 mg \/ 300 mg\u00a0film-coated tablets\u00a0<br><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tivicay\/\">dolutegravir<\/a> \/ <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triumeq\/\">lamivudine<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Dovato is and what it is used for<\/h2>\n\n\n\n<p>Dovato is a medicine containing two active substances used to treat&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;(&nbsp;HIV&nbsp;= human immunodeficiency virus): dolutegravir and lamivudine.&nbsp;Dolutegravir belongs to a group of antiretroviral medicines called&nbsp;<em>integrase inhibitors<\/em>&nbsp;(INI) and lamivudine belongs to a group of antiretroviral medicines called&nbsp;<em>nucleoside analog<\/em> reverse transcriptase inhibitors (NRTIs).<br><\/p>\n\n\n\n<p>Dovato is used to treat&nbsp;HIV&nbsp;in adults and adolescents from the age of 12 weighings at least 40 kg.<br><\/p>\n\n\n\n<p>Dovato not a cure for&nbsp;HIV&nbsp;&#8211;&nbsp;infection, but it keeps the amount of&nbsp;virus&nbsp;in the body at a low level.&nbsp;This helps maintain the number of CD4 cells in the blood.&nbsp;CD4 cells are a type of&nbsp;white blood cell&nbsp;that is important for the body&#8217;s ability to fight&nbsp;infections.<br><\/p>\n\n\n\n<p>Not everyone responds in the same way to treatment with Dovato.&nbsp;Your doctor will check the effect of the treatment on you.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking Dovato<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Dovato<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are&nbsp;<strong>allergic<\/strong>&nbsp;(&nbsp;<em>hypersensitive<\/em>&nbsp;) to dolutegravir or lamivudine or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are taking another medicine called&nbsp;<strong>fampridine<\/strong>&nbsp;(also called dalfampridine; used for&nbsp;multiple sclerosis&nbsp;).<\/li><\/ul>\n\n\n\n<p>\u2192 If you think any of these apply to you,&nbsp;<strong>tell your doctor<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Some people taking Dovato or other combination therapies for&nbsp;HIV are&nbsp;at greater risk of developing serious&nbsp;side effects.&nbsp;You need to know these extra risks:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have moderate or severe liver disease<\/li><li>if you have ever had liver disease, including&nbsp;hepatitis&nbsp;B or C (if you have&nbsp;hepatitis B, do not stop taking Dovato without consulting your doctor, as&nbsp;hepatitis&nbsp;A may recur)<\/li><li>if you have kidney problems.<\/li><\/ul>\n\n\n\n<p>\u2192 If any of these apply to you,&nbsp;<strong>tell your doctor before using Dovato<\/strong>&nbsp;&nbsp;You may need extra checks, including blood tests, while you are taking this medicine.&nbsp;See section 4 for more information.<br><\/p>\n\n\n\n<p><strong>Allergic reactions<\/strong><\/p>\n\n\n\n<p>Dovato contains dolutegravir.&nbsp;Dolutegravir can cause a severe&nbsp;allergic reaction, a so-called&nbsp;hypersensitivity reaction<em>.&nbsp;<\/em>You need to know the important signs and symptoms to be aware of while taking Dovato.<\/p>\n\n\n\n<p>\u2192&nbsp;&nbsp;<strong>Read the information<\/strong>&nbsp;under \u201cAllergic reactions\u201d in section 4 of this leaflet.<br><\/p>\n\n\n\n<p><strong>Pay attention to important symptoms<\/strong><\/p>\n\n\n\n<p>Some people taking medicines for&nbsp;HIV&nbsp;&#8211;&nbsp;infection, other problems can be serious.&nbsp;These are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>symptoms of&nbsp;infection&nbsp;and&nbsp;inflammation<\/li><li>joint pain, stiffness, and skeletal problems.<\/li><\/ul>\n\n\n\n<p>You need to know the important signs and symptoms to be aware of while taking Dovato.<\/p>\n\n\n\n<p>\u2192&nbsp;&nbsp;<strong>Read the<\/strong>&nbsp;&#8221;&nbsp;<strong>Other possible&nbsp;side effect&nbsp;are<\/strong>&nbsp;&#8221;&nbsp;<strong>in section 4<\/strong>&nbsp;of this leaflet.<br><\/p>\n\n\n\n<p><strong>Protect others<\/strong><\/p>\n\n\n\n<p>HIV&nbsp;&#8211;&nbsp;infection&nbsp;is spread by sexual contact with an infected person or by transfer via contaminated blood (such as if the same needles).&nbsp;Although effective&nbsp;antiretroviral therapy reduces the risk, you can still transmit&nbsp;HIV&nbsp;infection while taking this medicine.&nbsp;Discuss with your doctor what steps you need to take to avoid infecting others.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children<\/h2>\n\n\n\n<p>This medicine is not intended for use in children or adolescents under 12 years of age as it has not been adequately studied in these patients.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Dovato<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>Do not take Dovato with the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fampridine (also called dalfampridine), which is used to treat&nbsp;<strong>multiple sclerosis<\/strong>.<\/li><\/ul>\n\n\n\n<p>Some medicines may affect the way Dovato works, or increase the risk of&nbsp;side effects.&nbsp;Dovato may also affect the way some other medicines work.<\/p>\n\n\n\n<p><strong>Tell<\/strong>&nbsp;your&nbsp;<strong>doctor<\/strong>&nbsp;if you are taking any of the medicines listed below:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>metformin, for the treatment of&nbsp;diabetes<\/li><li>drugs called&nbsp;antacids&nbsp;that are used for&nbsp;indigestion&nbsp;and&nbsp;heartburn.&nbsp;Do not take antacids&nbsp;for the next 6 hours before taking Dovato, or for at least 2 hours after taking Dovato (see also section 3, \u201cHow to take Dovato\u201d).<\/li><li>supplements or multivitamins that contain&nbsp;calcium, iron, or&nbsp;magnesium.&nbsp;If you take Dovato with food, you can take supplements or multivitamins that contain&nbsp;calcium, iron, or&nbsp;magnesium&nbsp;while you are taking Dovato.&nbsp;If you are not taking Dovato with food, do not take supplements or multivitamins containing&nbsp;calcium, iron, or&nbsp;magnesium&nbsp;for the next 6 hours before taking Dovato or for at least 2 hours after taking Dovato (see also section 3 &#8220;How to tar Dovato \u201d).<\/li><li>emtricitabine, etravirine, efavirenz, nevirapine or tipranavir \/ ritonavir, for the treatment of&nbsp;HIV&nbsp;&#8211;&nbsp;infection<\/li><li>medicines (usually liquid) containing sorbitol or other sugar alcohols (such as xylitol, mannitol, lactitol, or maltitol) if taken regularly<\/li><li>cladribine, for the treatment of&nbsp;leukemia&nbsp;or&nbsp;multiple sclerosis<\/li><li>rifampicin, for the treatment of&nbsp;tuberculosis&nbsp;and other&nbsp;bacterial infections<\/li><li>phenytoin&nbsp;and phenobarbital, for the treatment of&nbsp;epilepsy<\/li><li>oxcarbazepine and carbamazepine, for the treatment of&nbsp;epilepsy&nbsp;or&nbsp;bipolar disorder<\/li><li>St. John&#8217;s wort&nbsp;(&nbsp;Hypericum perforatum&nbsp;), an herbal remedy for&nbsp;mild depression and mild anxiety.<\/li><\/ul>\n\n\n\n<p>\u2192&nbsp;&nbsp;<strong>Tell your doctor or pharmacist<\/strong>&nbsp;if you are taking any of these medicines.&nbsp;Your doctor may decide that&nbsp;your dose&nbsp;needs to be changed or that you need to go for more check-ups.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy<\/h2>\n\n\n\n<p>If you are pregnant, become pregnant, or planning to have children:<\/p>\n\n\n\n<p><strong>\u2192 Talk to your doctor<\/strong>&nbsp;about the risks and benefits of taking Dovato.<br><\/p>\n\n\n\n<p>Taking Dovato at the time of conception or during the first six weeks of pregnancy may increase the risk of a malformation called neural tube defects, e.g.&nbsp;spina bifida (spina bifida).<br><\/p>\n\n\n\n<p>If you get pregnant while taking Dovato:<\/p>\n\n\n\n<p><strong>\u2192 Talk to your doctor<\/strong>&nbsp;and discuss whether you need to use contraception, such as condoms or&nbsp;pills.<br><\/p>\n\n\n\n<p>Talk to a doctor immediately if you become pregnant or are planning to become pregnant.&nbsp;Your doctor will review your treatment.&nbsp;Do not stop taking Dovato without consulting a doctor, as this may harm you and the fetus.<br><\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p><strong>Women who are&nbsp;HIV-&nbsp;positive should not breast-feed<\/strong>&nbsp;because&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;can be transmitted to the baby through breast milk.<br><\/p>\n\n\n\n<p>A small amount of the ingredients in Dovato can also pass over to breast milk.<br><\/p>\n\n\n\n<p>If you are breast-feeding or considering starting breastfeeding:<\/p>\n\n\n\n<p><strong>\u2192 Talk to a doctor immediately.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Dovato may make you dizzy and have other&nbsp;side effects&nbsp;that diminish your attention.<\/p>\n\n\n\n<p>\u2192 Do not drive or use machines unless you are sure that the medicine will not affect you in that way.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take Dovato<\/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.<br><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;of Dovato is&nbsp;<strong>one tablet daily<\/strong>.<\/li><\/ul>\n\n\n\n<p>Swallow the tablet with a little liquid.&nbsp;Dovato can be taken with or without food.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for young people<\/h2>\n\n\n\n<p>Young people between the ages of 12 and 17 who weigh at least 40 kg can take the adult dose, ie.&nbsp;one tablet once a day.<br><\/p>\n\n\n\n<p><strong>Antacids<\/strong><\/p>\n\n\n\n<p>Antacids, which are used for indigestion and heartburn, can prevent Dovato from being absorbed by the body and therefore have a worse effect.<\/p>\n\n\n\n<p>Do not take antacids for the next 6 hours before taking Dovato or for at least 2 hours after taking Dovato.&nbsp;You can take other antacids such as ranitidine and omeprazole at the same time as Dovato.<\/p>\n\n\n\n<p>\u2192 Talk to a doctor for more information on taking antacids and Dovato.<br><\/p>\n\n\n\n<p><strong>Dietary supplements or multivitamins that contain&nbsp;calcium, iron, or&nbsp;magnesium<\/strong><\/p>\n\n\n\n<p>Dietary supplements or multivitamins that contain&nbsp;calcium, iron, or&nbsp;magnesium&nbsp;can prevent Dovato from being absorbed by the body and therefore have a worse effect.<\/p>\n\n\n\n<p>If you take Dovato with food, you can take supplements or multivitamins that contain&nbsp;calcium, iron, or&nbsp;magnesium&nbsp;while you are taking Dovato.&nbsp;If you are not taking Dovato with food, do not take supplements or multivitamins containing&nbsp;calcium, iron, or&nbsp;magnesium&nbsp;for the next 6 hours before taking Dovato or at least 2 hours after taking Dovato (see also section 3 &#8220;How to take Dovato \u201d).<\/p>\n\n\n\n<p>\u2192 Talk to your doctor for more information on taking supplements or multivitamins that contain&nbsp;calcium, iron, or&nbsp;magnesium&nbsp;and Dovato.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Dovato then you should<\/h2>\n\n\n\n<p>If you take more Dovato than you should, contact&nbsp;your&nbsp;doctor or pharmacist for advice.&nbsp;Show them the package with Dovato if possible.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Dovato<\/h2>\n\n\n\n<p>If you miss a&nbsp;dose, take it as soon as you remember.&nbsp;If it is time for the next&nbsp;dose within 4 hours, you, skip the&nbsp;dose&nbsp;you missed and take your next&nbsp;dose&nbsp;at the usual time.&nbsp;Then continue with your treatment as before.<\/p>\n\n\n\n<p>\u2192&nbsp;<strong>Do not take a double&nbsp;dose<\/strong>&nbsp;to make up for a forgotten&nbsp;dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do not stop taking Dovato without talking to a doctor<\/h2>\n\n\n\n<p>Take Dovato for as long as your doctor prescribes it.&nbsp;Do not stop unless your doctor tells you to.&nbsp;If you stop taking Dovato, it may affect your health and how future treatment works.<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>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.&nbsp;It is therefore very important that you talk to your doctor about any changes in your health.<br><\/p>\n\n\n\n<p><strong>Allergic reactions<\/strong><\/p>\n\n\n\n<p>Dovato contains dolutegravir.&nbsp;Dolutegravir can cause a severe&nbsp;allergic reaction, a so-called&nbsp;hypersensitivity reaction<em>.&nbsp;<\/em>This is a less common reaction (which may affect up to 1 in 100 people) in people taking dolutegravir.&nbsp;If you get any of the following symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rash<\/li><li>high temperature (&nbsp;<em>fever<\/em>&nbsp;)<\/li><li>lack of energy (&nbsp;<em>fatigue<\/em>&nbsp;)<\/li><li>swelling, sometimes in the face and mouth (&nbsp;<em>angioedema<\/em>&nbsp;), which causes difficulty breathing<\/li><li>muscle or joint pain.<\/li><\/ul>\n\n\n\n<p><strong>\u2192 Seek medical attention immediately.&nbsp;<\/strong>Your doctor may decide to take samples of your liver, kidneys, or blood and you may want to stop taking Dovato.<br><\/p>\n\n\n\n<p><strong>Very common&nbsp;side effects&nbsp;are<\/strong>&nbsp;<\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>more than 1 in 10<\/strong>&nbsp;people:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>diarrhea<\/li><li>nausea.<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;are<\/strong>&nbsp;<\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 10<\/strong>&nbsp;people:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>depression (deep sadness and feelings of inferiority)<\/li><li>rash<\/li><li>itching&nbsp;(&nbsp;<em>pruritus<\/em>&nbsp;)<\/li><li>vomiting<\/li><li>pain or discomfort from the stomach (&nbsp;<em>abdomen<\/em>&nbsp;)<\/li><li>gas production (&nbsp;<em>flatulence<\/em>&nbsp;)<\/li><li>dizziness<\/li><li>drowsiness<\/li><li>difficulty sleeping (&nbsp;<em>insomnia<\/em>&nbsp;)<\/li><li>abnormal dreams<\/li><li>lack of energy (&nbsp;<em>fatigue<\/em>&nbsp;)<\/li><li>hair loss<\/li><li>anxiety<\/li><li>joint pain<\/li><li>muscle pain.<\/li><\/ul>\n\n\n\n<p>Common&nbsp;side effects&nbsp;that can show up in blood tests are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated liver enzyme values \u200b\u200b(&nbsp;<em>aminotransferases<\/em>&nbsp;)<\/li><li>the increased amount of&nbsp;enzymes&nbsp;produced in the muscles (&nbsp;<em>creatine phosphokinase<\/em>).<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 100<\/strong>&nbsp;people:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>inflammation&nbsp;of the liver (&nbsp;<em>hepatitis<\/em>&nbsp;)<\/li><li>suicide attempts (especially in patients who have previously had depression or mental health problems)<\/li><li>suicidal ideation (especially in patients with a history of depression or mental health problems).<\/li><\/ul>\n\n\n\n<p>Uncommon&nbsp;side effects&nbsp;that may show up in blood tests are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>decreased number of cells involved in blood&nbsp;coagulation&nbsp;(&nbsp;<em>thrombocytopenia<\/em>&nbsp;)<\/li><li>a small number of&nbsp;red blood cells&nbsp;(&nbsp;anemia&nbsp;) or a small number of&nbsp;white blood cells&nbsp;<em>(&nbsp;neutropenia<\/em>&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;side effects&nbsp;are<\/strong>&nbsp;<\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 1,000<\/strong>&nbsp;people:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>liver failure (signs may be yellowing of the skin and whites of the eyes or abnormally dark urine)<\/li><li>swelling, sometimes in the face or mouth (&nbsp;<em>angioedema<\/em>&nbsp;), which causes difficulty breathing<\/li><li>inflammation&nbsp;of the pancreas (&nbsp;<em>pancreatitis<\/em>&nbsp;)<\/li><li>degradation of muscle tissue.<\/li><\/ul>\n\n\n\n<p>Rare&nbsp;side effects&nbsp;that may show up in blood tests are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>elevated levels of an&nbsp;enzyme&nbsp;called&nbsp;<em>amylase<\/em>.<\/li><\/ul>\n\n\n\n<p><strong>Very rare&nbsp;side effect&nbsp;s<\/strong><\/p>\n\n\n\n<p>These can occur in&nbsp;<strong>up to 1 in 10,000<\/strong>&nbsp;people:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>lactic acidosis (excess&nbsp;lactic acid&nbsp;in the blood)<\/li><li>numbness and tingling in the skin<\/li><li>the feeling of weakness in arms and legs.<\/li><\/ul>\n\n\n\n<p>Very rare&nbsp;side effects&nbsp;that may show up in blood tests are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>the inability of&nbsp;bone marrow&nbsp;to form new&nbsp;red blood cells&nbsp;(&nbsp;pure erythrocyte plasma&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Other possible&nbsp;side effects&nbsp;are<\/strong><\/p>\n\n\n\n<p>People taking combination drugs for&nbsp;HIV&nbsp;may experience other&nbsp;side effects.<br><\/p>\n\n\n\n<p><strong>Symptoms of&nbsp;infection&nbsp;you and&nbsp;inflammation&nbsp;you<\/strong><\/p>\n\n\n\n<p>People with advanced&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;(&nbsp;AIDS&nbsp;) have weak immune systems, and the risk is greater than they develop a serious&nbsp;infection&nbsp;(opportunistic&nbsp;infection&nbsp;s).&nbsp;Such&nbsp;infections&nbsp;may have been &#8220;silent&#8221; and not detected by the weak immune system before starting treatment.&nbsp;Once treatment has begun, the immune system becomes stronger and can attack the&nbsp;infections, which can cause symptoms of&nbsp;infection&nbsp;or&nbsp;inflammation.&nbsp;The symptoms usually consist of fever plus some of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>gripe<\/li><li>breathing difficulties.<\/li><\/ul>\n\n\n\n<p>When the immune system becomes stronger, it can also in rare cases attack healthy body tissue (&nbsp;<em>autoimmune diseases<\/em>&nbsp;).&nbsp;The symptoms of autoimmune diseases may develop several months after you start your treatment against&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;a.&nbsp;The symptoms can be:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>palpitations (rapid or irregular heartbeat) or tremors<\/li><li>hyperactivity (excessive restlessness and excessive movement)<\/li><li>weakness that begins in the hands and feet and moves upwards towards the torso.<\/li><\/ul>\n\n\n\n<p><strong>If you get symptoms of&nbsp;infection<\/strong>&nbsp;or if you notice any of the symptoms mentioned above:<\/p>\n\n\n\n<p><strong>\u2192 Tell your doctor immediately<\/strong>.&nbsp;Do not take other medicines for&nbsp;infection&nbsp;without your doctor&#8217;s recommendation.<br><\/p>\n\n\n\n<p><strong>Joint pain, stiffness, and skeletal problems<\/strong><br><\/p>\n\n\n\n<p>Some people who take combination drugs for&nbsp;HIV&nbsp;suffer from&nbsp;<em>osteonecrosis<\/em>.&nbsp;Osteonecrosis&nbsp;means that parts of the skeletal tissue are permanently damaged because the blood supply to the skeleton decreases.&nbsp;The risk of suffering from this increases in people who:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have been treated for a long time with combination drugs<\/li><li>also taking anti-inflammatory medicines called&nbsp;corticosteroids&nbsp;s<\/li><li>drinking alcohol<\/li><li>has a very weak immune system<\/li><li>are overweight.<\/li><\/ul>\n\n\n\n<p><strong>Signs of&nbsp;osteonecrosis&nbsp;are:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>stiffness in the joints<\/li><li>aches and pains (especially in the hips, knees, or shoulders)<\/li><li>difficulty moving.<\/li><\/ul>\n\n\n\n<p>If you get any of these symptoms:<\/p>\n\n\n\n<p><strong>\u2192 Tell your doctor.<\/strong><br><\/p>\n\n\n\n<p><strong>Effects on weight and blood fats and blood sugar:<\/strong><\/p>\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;Your doctor will&nbsp;prescribe&nbsp;tests to find such changes.<br><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Dovato<\/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 carton and can after \u201cEXP\u201d or \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>No special storage instructions.<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.<\/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<ul class=\"wp-block-list\"><li>The active substances are dolutegravir and lamivudine.&nbsp;Each film-coated tablet contains dolutegravir sodium equivalent to 50 mg dolutegravir and 300 mg lamivudine.<\/li><li>The other ingredients are microcrystalline cellulose, sodium starch glycolate, magnesium stearate, mannitol (E421), povidone (K29 \/ 32), sodium stearyl fumarate, hypromellose (E464), macrogol, titanium dioxide (E171).<\/li><li>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per tablet, ie essentially &#8216;sodium-free&#8217;.<\/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>Dovato film-coated tablets are oval, biconvex, white tablets debossed with \u201cSV 137\u201d on one side.<br><\/p>\n\n\n\n<p>The film-coated tablets are available in jars that are closed with a child-resistant lid.<br><\/p>\n\n\n\n<p>Each jar contains 30 film-coated tablets.<br><\/p>\n\n\n\n<p>There are also multiple packs of 90 film-coated tablets (3 packs of 30 film-coated tablets).<br><\/p>\n\n\n\n<p>Not all pack sizes may be available in your country.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>ViiV Healthcare BV<\/p>\n\n\n\n<p>Van Asch van Wijckstraat 55H<\/p>\n\n\n\n<p>3811 LP Amersfoort<\/p>\n\n\n\n<p>Netherlands<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Glaxo Wellcome, SA&nbsp;<br>Avda.&nbsp;Extremadura, 3&nbsp;<br>09400 Aranda De Duero&nbsp;<br>Burgos&nbsp;<br>Spain<br><\/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<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong>ViiV Healthcare srl \/ bv&nbsp;Tel: + 32 (0) 10 85 65 00<\/td><td><strong>Lithuania<\/strong>GlaxoSmithKline Lithuania UABTel: + 370 5 264 90 00info.lt@gsk.com<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>The GlaxoSmithKlein \u0415\u041e\u041e\u0414Tel .: + 359 2 953 10 34<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>ViiV Healthcare srl \/ bv&nbsp;Belgium \/ BelgiumTel: + 32 (0) 10 85 65 00<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>GlaxoSmithKline, sroTel: + 420 222 001 111cz.info@gsk.com<\/td><td><strong>Hungary<\/strong>GlaxoSmithKline Kft.Tel .: + 36 1 225 5300<\/td><\/tr><tr><td><strong>Denmark<\/strong>GlaxoSmithKline Pharma A \/ STel: + 45 36 35 91 00dk-info@gsk.com<\/td><td><strong>Malta<\/strong>GlaxoSmithKline (Malta) LimitedTel: + 356 21 238131<\/td><\/tr><tr><td><strong>Germany<\/strong>ViiV Healthcare GmbHTel .: + 49 (0) 89 203 0038-10viiv.med.info@viivhealthcare.com<\/td><td><strong>The Netherlands<\/strong>ViiV Healthcare BV&nbsp;Tel: + 31 (0) 33 2081199<\/td><\/tr><tr><td><strong>Eesti<\/strong>GlaxoSmithKline Eesti O\u00dcTel: + 372 6676 900estonia@gsk.com<\/td><td><strong>Norway<\/strong>GlaxoSmithKline ASTel: + 47 22 70 20 00<\/td><\/tr><tr><td><strong>Greece<\/strong>GlaxoSmithKline A\u03bf\u03bd\u03bf\u03c0\u03c1\u03cc\u03c3\u03c9\u03c0\u03b7 AEBE:\u0397\u03bb: + 30 210 68 82 100<\/td><td><strong>Austria<\/strong>GlaxoSmithKline Pharma GmbHTel: + 43 (0) 1 97075 0at.info@gsk.com<\/td><\/tr><tr><td><strong>Spain<\/strong>Laboratories ViiV Healthcare, SLTel: + 34 900 923 501&nbsp;es-ci@viivhealthcare.com<\/td><td><strong>Poland<\/strong>GSK Services Sp.&nbsp;z ooTel .: + 48 (0) 22 576 9000<\/td><\/tr><tr><td><strong>France<\/strong>ViiV Healthcare SASTel .: + 33 (0) 1 39 17 69 69Infomed@viivhealthcare.com<\/td><td><strong>Portugal<\/strong>VIIVHIV HEALTHCARE, UNIPESSOAL, LDATel: + 351 21 094 08 01viiv.fi.pt@viivhealthcare.com<\/td><\/tr><tr><td><strong>Croatia<\/strong>GlaxoSmithKline dooTel: + 385 16051 999<\/td><td><strong>Romania<\/strong>GlaxoSmithKline (GSK) SRLTel: + 4021 3028 208<\/td><\/tr><tr><td><strong>Ireland<\/strong>GlaxoSmithKline (Ireland) LimitedTel: + 353 (0) 1 4955000<\/td><td><strong>Slovenia<\/strong>GlaxoSmithKline dooTel: + 386 (0) 1 280 25 00medical.x.si@gsk.com<\/td><\/tr><tr><td><strong>Iceland<\/strong>Vistor hf.Phone: +354 535 7000<\/td><td><strong>Slovak Republic<\/strong>GlaxoSmithKline Slovakia sroTel: + 421 (0) 2 48 26 11 11recepcia.sk@gsk.com<\/td><\/tr><tr><td><strong>Italy<\/strong>ViiV Healthcare Srl&nbsp;Tel: + 39 (0) 45 9212611<\/td><td><strong>Finland \/ Finland<\/strong>GlaxoSmithKline OyPuh \/ Tel: + 358 (0) 10 30 30 30Finland.tuoteinfo@gsk.com<\/td><\/tr><tr><td><strong>Latvia<\/strong>GlaxoSmithKline Latvia SIATel: + 371 67312687lv-epasts@gsk.com<\/td><td><strong>United Kingdom<\/strong>ViiV Healthcare UK LimitedTel: + 44 (0) 800 221441customercontactuk@gsk.com<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Dovato is a medicine containing two active substances used to treat HIV &#8211; infection ( HIV = human immunodeficiency virus): dolutegravir and lamivudine. Dolutegravir belongs to a group of antiretroviral medicines called integrase inhibitors (INI) and lamivudine belongs to a group of antiretroviral medicines called nucleoside analog reverse transcriptase inhibitors (NRTIs).<\/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":[2204,2200],"tags":[5221,5223,5224,5217,5219,5220,4015,4017,5225,2212,5222,5218,4016],"class_list":["post-7687","post","type-post","status-publish","format-standard","hentry","category-d","category-medicines","tag-dolutegravir","tag-dolutegravir-side-effects","tag-dolutegravir-tablet","tag-dovato","tag-dovato-side-effects","tag-dovato-tablet","tag-lamivudine","tag-lamivudine-side-effects","tag-lamivudine-tablet","tag-medicine","tag-what-is-dolutegravir","tag-what-is-dovato","tag-what-is-lamivudine"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7687","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=7687"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7687\/revisions"}],"predecessor-version":[{"id":10892,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/7687\/revisions\/10892"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=7687"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=7687"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=7687"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}