HIV-1 infection

Active Ingredient: Nevirapine

Indication for Nevirapine

Population group: only adolescents (12 years - 18 years old) , adults (18 - 65 years old)

Nevirapine is indicated in combination with other anti-retroviral medicinal products for the treatment of HIV-1 infected adults and adolescents.

For this indication, competent medicine agencies globally authorize below treatments:

200-400 mg in 1-2 divided doses daily

Route of admnistration

Oral

Defined daily dose

200 - 400 mg

Dosage regimen

From 100 To 200 mg 2 time(s) per day every day

Loading dose

200 mg

Maintenance dose

400 mg

Detailed description

Patients 16 years and older

The recommended dose of nevirapine is 200 mg daily for the first 14 days (this lead-in period should be used because it has been found to lessen the frequency of rash), followed by one 200 mg twice daily, in combination with at least two additional antiretroviral agents.

If a dose is recognized as missed within 8 hours of when it was due, the patient should take the missed dose as soon as possible. If a dose is missed and it is more than 8 hours later, the patient should only take the next dose at the usual time.

Dose management considerations

Patients experiencing rash during the 14-day lead-in period of 200 mg/day should not have their Nevirapine Teva dose increased until the rash has resolved. The isolated rash should be closely monitored. The 200 mg once daily dosing regimen should not be continued beyond 28 days at which point in time an alternative treatment should be sought due to the possible risk of underexposure and resistance.

Patients who interrupt nevirapine dosing for more than 7 days should restart the recommended dosing regimen using the two week lead-in period.

There are toxicities that require interruption of nevirapine therapy.

Active ingredient

Nevirapine

Nevirapine is a NNRTI of HIV-1. Nevirapine is a non-competitive inhibitor of the HIV-1 reverse transcriptase, but it does not have a biologically significant inhibitory effect on the HIV-2 reverse transcriptase or on eukaryotic DNA polymerases α, β, γ, or δ.

Read more about Nevirapine

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