REYDIN Film-coated tablet Ref.[50698] Active ingredients: Dolutegravir Lamivudine Tenofovir disoproxil

Source: Health Products Regulatory Authority (ZA)  Revision Year: 2023  Publisher: CIPLA MEDPRO (PTY) LTD, Building 9, Parc du Cap, Mispel Street, Bellville, 7530, RSA

4.1. Therapeutic indications

REYDIN is indicated for the treatment of HIV-1 infection in adults aged 18 years and older.

4.2. Posology and method of administration

Posology

Therapy should be initiated by a medical practitioner experienced in the management of HIV infection.

Adults

The dose of REYDIN is one tablet taken orally, once daily, without regard to food.

Paediatrics

REYDIN is not recommended for use in patients younger than 18 years of age.

Dose adjustment for renal impairment

Significantly increased exposure occurred when tenofovir, as in REYDIN, was administered to patients with moderate to severe renal impairment (see 4.3 Contraindications).

The pharmacokinetics of tenofovir, as in REYDIN, have not been evaluated in nonhaemodialysis patients with creatinine clearance <50 mL/min; therefore, no dosing recommendations is available for these patients.

REYDIN is not suitable for use in patients with renal impairment with creatinine clearance less than 50 mL/min.

Rifampicin decreases the blood levels of dolutegravir. A supplementary dose of dolutegravir should be given to patients taking REYDIN.

Method of administration

REYDIN tablets are to be taken orally, once daily, without regard to food.

4.9. Overdose

If overdose occurs the patients must be monitored for evidence of toxicity, and standard supportive treatment applied as necessary.

Dolutegravir

Management should be as clinically indicated or as recommended by the national poisons centre, where available.

There is no specific treatment for an overdose of REYDIN. If overdose occurs, the patient should be treated supportively with appropriate monitoring as necessary. As REYDIN is highly bound to plasma proteins, it is unlikely that it will be significantly removed by dialysis.

Lamivudine

Limited data are available on the consequences of ingestion of acute overdose in humans.

If overdosage occurs the patient should be monitored, and palliative supportive treatment applied as required.

Tenofovir disoproxil fumarate

If overdose occurs the patient must be monitored for evidence of toxicity and palliative supportive treatment be applied as necessary.

Tenofovir can be removed by haemodialysis; the median haemodialysis clearance of tenofovir is 134 ml/min. The elimination of tenofovir by peritoneal dialysis has not been studied.

6.3. Shelf life

24 months.

6.4. Special precautions for storage

Store at or below 30°C.

Keep the container tightly closed.

Keep in the original container until required for use.

KEEP OUT OF REACH OF CHILDREN.

6.5. Nature and contents of container

Containers of 28’s: REYDIN is packed in a 85 cc white HDPE bottle with 38 mm Non Child Resistant Cap containing 28 tablets and two silica gel bags of 2 g each, packed in a cardboard carton.

Containers of 30’s: REYDIN is packed in a 85 cc white HDPE bottle with 38 mm Non Child Resistant Cap containing 30 tablets and two silica gel bags of 2 g each, packed in a cardboard carton.

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