Avifanz Tablet
Efavirenz
              600mg  
              
              Beximco Pharmaceuticals Ltd.
                  
              
              | Pack size | 10's pack | 
|---|---|
| Unite Price | 200.00 BDT | 
Indications
Avifanz Tablet is used for: 
 HIV infection
                                              
                        Adult Dose
Oral
HIV infection
Adult: Combined with other antiretrovirals: 600 mg once daily. Dosing at bedtime recommended during 1st 2-4 wk of therapy to improve tolerability.
Hepatic impairment
Mild (Child-Pugh Class A): Dose adjustment not necessary; use caution
Moderate-to-severe (Child Pugh Class B or C): Not recommended
                                              
                        Child Dose
Oral
HIV infection
Child: Combined with other antiretrovirals: >3 yr, 
10-14 kg: 200 mg; 
15-19 kg: 250 mg; 
20-24 kg: 300 mg; 
25-32.4 kg: 350 mg; 
32.5-39 kg: 400 mg; 
>40 kg: 600 mg. 
To be taken once daily.
                                              
                        Renal Dose
Renal impairment: No dosage adjustment needed
                                              
                        Administration
Should be taken on an empty stomach. Take on an empty stomach, preferably at bedtime.
                                              
                        Contra Indications
Severe hepatic impairment; hypersensitivity; lactation.
                                              
                        Precautions
Mild to moderate liver disease; renal impairment. Monitor liver enzymes and cholesterol. Discontinue if severe skin rash or fever develops; known or suspected hepatitis B or infection. History of mental illness or seizures; elderly. Pregnancy. Children.
Lactation: It is not known whether efavirenz is excreted in milk. It should not be administered to nursing mothers. The CDC advises HIV-infected women not to breast-feed to avoid postnatal transmission of HIV.
                                              
                        Pregnancy-Lactation
Pregnancy Category: D
Lactation: Unknown if distributed in human milk; the CDC advises HIV-infected women not to breastfeed to avoid postnatal transmission of HIV
                                              
                        Interactions
Hormonal contraceptives; antibacterial e.g. rifampicin, rifabutin, clarithromycin; enzyme inducers. St. John's wort may decrease serum level. Ethanol (hepatic and CNS adverse effects).
Potentially Fatal: Life-threatening adverse effects when used with terfenadine, astemizole, cisapride, midazolam, triazolam and ergot alkaloids.
                                              
                        Side Effects
Side effects of Efavirenz : 
 >10%
Total cholesterol increased (20-40%), Diarrhea (3-14%,  children up to 39%), HDL increased (25-35%), Dizziness (28.1%), Rash (5-26%), Fever (children 21%), Depression (19%), Insomnia (16.3%), Cough (children 16%), Vomiting (3-12%), Anxiety (2-13%), Nausea (2-12%)
1-10%
Neutropenia (2-10%), Pruitis (9%), Impaired concentration (8.3%), Transaminases increased (2-8%), Somnolence (7.0%), Abnormal dreams (6.2%), Amylase increased (6%), Hyperglycemia (2-5%), Dyspepsia (4%), Abdominal pain (2-3%), Anorexia (2%), Hallucinations (1.2%)
                                              
                        Mode of Action
Efavirenz, a non-nucleoside reverse transcriptase inhibitor with activity against HIV, blocks the RNA-dependent and DNA-dependent polymerase activities including HIV replication.
                                              
                        Note
Avifanz 600mg Tablet generic name is Efavirenz. Avifanz 600mg Tablet is manufactured by Beximco Pharmaceuticals Ltd.Avifanz is availble in all over Bangladesh.
 Mes BD drug index information on Avifanz Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.