Sustiva

This page contains recent news articles, when available, and an overview of Sustiva but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.


Overview:

Sustiva
(when available)

Pharmacology and use:
Efavirenz (dideoxyinosine, ddI) is an oral nucleoside reverse transcriptase inhibitor (NRTI). It is a synthetic purine derivative and, similar to zidovudine, zalcitabine, and stavudine. Efavirenz was originally approved specifically for the treatment of HIV infections in patients who failed therapy with zidovudine. Currently, the CDC recommends that Efavirenz be given as part of a three-drug regimen that includes another nucleoside reverse transcriptase inhibitor (e.g., lamivudine, stavudine, zidovudine) and a protease inhibitor or efavirenz when treating HIV infection. For use in combination treatment of HIV infection (AIDS)

Mechanism Of Action:
Similar to zidovudine, Efavirenz inhibits the activity of viral RNA-directed DNA polymerase (i.e., reverse transcriptase). Antiviral activity of Efavirenz is dependent on intracellular conversion to the active triphosphorylated form. The rate of Efavirenz phosphorylation varies, depending on cell type. It is believed that inhibition of reverse transcriptase interferes with the generation of DNA copies of viral RNA, which, in turn, are necessary for synthesis of new virions. Intracellular enzymes subsequently eliminate the HIV particle that previously had been uncoated, and left unprotected, during entry into the host cell. Thus, reverse transcriptase inhibitors are virustatic and do not eliminate HIV from the body. Even though human DNA polymerase is less susceptible to the pharmacologic effects of triphosphorylated Efavirenz, this action may nevertheless account for some of the drug's toxicity.

News Articles on Efavirenz

Gilead Initiates Phase II Clinical Trial Of Integrase-Based ...  -  20 Apr 2009
Atripla contains the components Truvada (emtricitabine and tenofovir disoproxil fumarate) and Sustiva (efavirenz), co-formulated as a single tablet. Medical News Today (press release)

Gilead initiiert Phase II klinischer Studie zur HIV-Behandlung ...  -  20 Apr 2009
Atripla enthält die Komponenten Truvada (Emtricitabin und Tenofovir-Disoproxil-Fumarat) und Sustiva (Efavirenz) in einer Formulierung als Einzeltablette. Business Wire (press release)

DEALWATCH: Dull Pharma JV May Become Alluring Spin-Off, Sale  -  ‎Apr 16, 2009‎
...(BMY) has two big HIV drugs, Reyataz and Sustiva, which together generated 2008 sales equal to the JV. And importantly, Gilead and Bristol's HIV products Wall Street Journal

Drug to Battle AIDs Abused for Pleasure  -  ‎Apr 7, 2009‎
Efavirenz is a prescription drug with the brand names of Sustiva and Stocrins. It is used as part of an antiviral cocktail for patients with HIV and AIDS. Health Jackal

A Boon For HIV Drugs?  -  ‎Apr 9, 2009‎
Earlier use of antiviral drugs like Viread, Sustiva and Combivir would boost sales for their makers. The biggest winner would likely be Foster City, Calif. Forbes

Bone loss during HIV treatment most associated with protease ...  -  ‎Apr 17, 2009‎
The prescribed NNRTIs were either efavirenz (Sustiva) or nevirapine (Viramune). With the exception of d4T and ddC, all the licensed NRTIs were available for Aidsmap

Gilead Initiates Phase II Clinical Trial of Integrase-Based ...  -  ‎Apr 17, 2009‎
The most significant adverse events observed in patients treated with Sustiva are nervous system symptoms, psychiatric symptoms and rash. PR-Inside.com (Pressemitteilung)

Gilead initie un essai clinique de Phase II avec un régime ...  -  ‎Apr 19, 2009‎
L'Atripla contient les composants Truvada (emtricitabine et fumarate de ténofovir disoproxil) et Sustiva (éfavirenz), en formule commune dans un comprimé Euroinvestor

Bristol Names New President, COO  -  ‎Mar 3, 2009‎
...fourth-quarter earnings in January, attributable to the sale of its ImClone stake and to sales of key drugs, including Plavix, HIV drug Sustiva and Abilify. TheStreet.com

Ardea Biosciences Reports Progress of Clinical Development ...  -  ‎Mar 13, 2009‎
...which can lead to increased side effects in African-Americans, have been documented with efavirenz (Sustiva(R), Bristol-Myers Squibb). StreetInsider.com (subscription)

Pharmacist to help fraud prosecution  -  ‎Mar 4, 2009‎
Drugs obtained illegally by Shoemaker and his associates include Sustiva, Norvir, Neupogen, Viramune and Truvada, according to court documents. Gwinnett Daily Post

Endothelial dysfunction in Italian cohort caused by HIV, not ...  -  ‎Mar 8, 2009‎
Eighty-six per cent of the NNRTI group took efavirenz (Sustiva), and 14% nevirapine (Viramune). The researchers found further evidence of the impact of HIV Aidsmap

GSKå½’æ?¥é?­é?‡æŠ—艾严冬市场王者地ä½?ä¸?ä¿?  -  ‎Mar 16, 2009‎
...尽管é?žæ ¸è‹·ç±»é€†è½¬å½•酶抑制剂被认为是HIV感染治疗常用的一线治疗方案,但该类è?¯ç‰©ä¸­ç¬¬ä¸€ä¸ªè¢«æ‰¹å‡†ä¸Šå¸‚çš„è?¯ç‰©ä¾?å?‘韦仑(efavirenz,Sustiva)å?´å·²ç»?出现了è€?è?¯çš„倾å?‘, 中国医药网

La visibilità degli utili fra le biotecnologie rimane notevole  -  ‎Feb 24, 2009‎
L’incremento è stato indotto dalla vendita dei farmaci per il trattamento dell’HIV Truvada e Atripla, una somministrazione unica di Truvada e Sustiva fondionline.it

Bristol-Myers Posts Q4 Profit Reversing Year-ago Loss - Update  -  Jan 27, 2009
The virology portfolio, led by Sustiva and Baraclude also demonstrated consistent growth worldwide, the company said. Global net sales of Plavix for the RTT News,

Gilead Sciences Inc. Q4 2008 Earnings Call Transcript  -  Jan 27, 2009
As Sustiva's one of the preferred third-agents, the combined product of Truvada plus Sustiva, namely Atripla, provides a patient's complete regimen in one Seeking Alpha,

Pharma Earnings In Q4 - Healthy Or Ailing?  -  Jan 25, 2009
Bristol Myers' key products include blood thinner drug Plavix, anti-hypertension drugs Avapro/Avalide, HIV drugs Reyataz and Sustiva, antipsychotic drug Trading Markets (press release),

One-a-day regimens mean better adherence for patients starting HIV ...  -  Jan 29, 2009
...versus twice-daily abacavir/3TC/AZT (Trizivir); and between d4T (stavudine, Zerit)/3TC (lamivudine, Epivir)/efavirenz (Sustiva), and any other regimen. Aidsmap,

US Latinos have more unfavourable metabolic and body fat changes ...  -  Jan 16, 2009
They also controlled for cumulative time on ten antiretroviral drugs: indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), efavirenz (Sustiva), Aidsmap,

Gilead aiming to put four HIV drugs in one pill  -  Jan 14, 2009
...by another of its combination pills Atripla (co-marketed with Bristol-Myers Squibb) which contains tenofovir, emtricitabine and efavirenz (Sustiva). Aidsmap,

å“?牌è?¯é™†ç»­ä¸“利失效医è?¯å·¨å¤´â€œé‡‘å¼¹â€?攻势ä¸?å‡?  -  Feb 3, 2009
...而在这几个领域里,百时美施贵��有相应的�物出售,其中包括全�第二大畅销�物波立维(Plavix)和Coumadin,抗艾滋病�物Atripla和Sustiva ��,

Chat avec Christine Katlama sur Yagg: Le dialogue avec les ...  -  Jan 23, 2009
Mais des amis me disent que le Sustiva rentre dans la composition du comprimé, et peut créer des perturbations d'humeur… Je prends déjà du lithium, yagg.typepad.com,

Gleevec wins new FDA indication; Drug shortage could boost Roche's ...  -  Dec 22, 2008
Report > Aurobindo Pharma won tentative FDA approval to manufacture and market the HIV drug efavirenz, the generic form of branded drugs Sustiva and Stocrin FiercePharma,

The New America  -  Dec 16, 2008
Gilead sells the drug with partner Bristol Myers-Squibb (BMY), which developed Sustiva. Like most drug companies, Gilead's sales come mostly from the US, Investor's Business Daily (subscription)

Gilead sues Teva over HIV drug patent  -  Dec 15, 2008
...s Sustiva. Truvada sales reached $549.1 million during the third quarter, making up 40 percent of the company's revenue during that period. BusinessWeek

Clinic Roundup  -  Dec 15, 2008
The studies will compare TMC278, given as a once-daily oral tablet, to Sustiva (efavirenz, Bristol-Myers Squibb Co.), when administered with a background TMCnet

Citi Upgrades Bristol-Myers Squibb (BMY) to Buy  -  Dec 10, 2008
Currently marketed drugs in this category would include Abilify for schizophrenia, Reyataz and Sustiva for HIV, Orencia for rheumatoid arthritis, StreetInsider.com (subscription),

12月23æ—¥è¯?券通异动股解密评级å?‚考  -  Dec 22, 2008
...从基本�看,公�主�产�02A是一�环丙基乙炔化�物,该产�是生产特效抗艾滋病�物Sustiva 新浪网,

Gileadå°±HIVè?¯å“?专利起诉Teva  -  Dec 15, 2008
Emtriva与Viread也是三�一的HIV治疗�Atripla,以�百时美施贵�生产的Sustiva 新浪网,

2008-12-11 0:31:58 æ?¥æº?:é?’年人(Qnr.Cn) 作者:Qnr.Cn  -  Dec 10, 2008
They have ____4____ a single pill that combines three drugs currently on the market.3 Bristol-Myers Squibb sells one of them ____5____ the name of Sustiva �年人,

Gileadå°±HIVè—¥å“?專利起訴Teva  -  Dec 15, 2008
Emtriva與Viread也是三�一的HIV治療藥Atripla,以�百時美施貴寶生產的Sustiva 新浪網,

Advierte Ercilia León: Mujeres embarazadas deben hacerse ...  -  Dec 18, 2008
No obstante, algunos de estos fármacos, incluyendo el efavirenz (Sustiva) y la hidroxiurea, suelen estar contraindicados durante el embarazo debido a un Diario el Tiempo (Venezuela),

Celsentri en première intention  -  Dec 16, 2008
La «non-infériorité virologique» de l'anti-VIH maraviroc (Celsentri, des laboratoires Pfizer) comparé à l'éfavirenz (Sustiva, des laboratoires BMS) est TÊTU,

FDA Safety Changes: Viread and Sustiva  -  Nov 5, 2008
On August 18, the FDA approved safety labeling revisions for efavirenz (Sustiva capsules and tablets; Bristol-Myers Squibb Co) to provide updated Medscape (registration)

Gilead sees future in HIV, hepatitis C  -  Nov 19, 2008
N: Quote, Profile, Research, Stock Buzz) Sustiva. Martin reiterated his forecast for Gilead's 2008 sales of about $5 billion. Gilead's drugs have also Reuters

Pfizer HIV Drug Shows Promise  -  Oct 28, 2008
The re-analysis showed that 68 percent of patients in the Selzentry arm and 68 percent of patients in the Sustiva arm had undetectable levels of the virus, FDA news (subscription),

Merck's Antiretroviral Isentress More Efficient in Suppressing HIV ...  -  Oct 28, 2008
In both groups, 68% of patients had the HIV virus reduced to undetectable levels; however, 4.2% of those who got Selzentry and 14.2% taking Sustiva stopped Kaiser network.org,

ICAAC/IDSA Annual Meeting  -  Oct 28, 2008
...showed that the drug increased CD4 cells more than efavirenz (Sustiva/Stocrin, Bristol-Myers Squibb/Merck), with significantly fewer side effects. Therapeutics Daily (press release) (registration),

AIDS-Fighting Gilead Still Looks Golden  -  Nov 11, 2008
Atripla combines Truvada and Sustiva, another type of AIDS drug made by Bristol-Myers Squibb (BMY). Sales of both drugs totaled $2.49 billion in 2007 and Barron's

Ardea Biosciences Announces Progress of Clinical Development ...  -  Nov 13, 2008
...(MHRA) in the United Kingdom to conduct a Phase 2b study comparing RDEA806 to efavirenz (SUSTIVA(R)/Stocrin(R), Bristol-Myers Squibb and Merck & Co. MarketWatch

Gilead HIV Drug Gets Boost From US  -  Nov 3, 2008
...which is a combination of Emtriva, Viread and Bristol-Myers Squibb's(BMY Quote - Cramer on BMY - Stock Picks) Sustiva (also marketed as Stocrin). TheStreet.com

HIV guidelines spotlight Gilead drug  -  Nov 4, 2008
...boosted sales of another combo pill recently launched in Europe--Atripla--which combines Emtriva and Viread with the Bristol-Myers Squibb drug Sustiva. FiercePharma,

Kivexa downgraded to alternative status in revised US HIV ...  -  Nov 5, 2008
Efavirenz (Stocrin in the US, Sustiva in the UK and Europe), is the preferred NNRTI. The recommended boosted protease inhibitors are atazanavir (Reyataz), Aidsmap,

US HHS Names Gilead´s Truvada Preferred Product for Untreated HIV ...  -  Nov 4, 2008
...could be aiding the European launch of Atripla, which is a combination of Emtriva, Viread and Bristol-Myers Squibb's Sustiva (also marketed as Stocrin). Network Médica,

Third of patients in Botswana have a gene that slows efavirenz ...  -  Nov 3, 2008
Efavirenz (Sustiva) is a non-nucleoside reverse transcriptase inhibitor (NNRTI) that is recommended for first-line antiretroviral therapy by treatment Aidsmap,

Ardea Biosciences Presents Additional Phase 2a And Preclinical ...  -  Oct 28, 2008
RDEA806 to efavirenz (SUSTIVA®/Stocrin®, Bristol-Myers Squibb/Merck) in anti-retroviral treatment of naïve patients without transmitted resistance, Medical News Today (press release),

Studies: Merck, Pfizer HIV drugs work in untreated patients  -  Oct 27, 2008
...s Isentress and Pfizer's Selzentry worked as well as Sustiva, a standard HIV treatment from Bristol-Myers Squibb Co., in previously untreated individuals. SmartBrief,

[强势点评]中科å?ˆè‡£:银根放æ?¾ç»?è?¥æ”¹å–„  -  Nov 4, 2008
1ã€?抗艾题æ??:公å?¸ä¸»è¦?产å“?02A是一ç§?环丙基乙炔化å?ˆç‰©ï¼Œè¯¥äº§å“?是生产特效抗艾滋病è?¯ç‰©Sustiva 网易,

Isentress demonstra resultados positivos para pacientes com VIH ...  -  Oct 29, 2008
...actuou ligeiramente melhor do que o fármaco para o VIH mais antigo, o efavirenz (Stocrin, Sustiva), na supressão dos níveis do vírus da SIDA. Farmacia,

Elton John Composing The Most Hilarious AIDS Musical Ever For Ben ...  -  Oct 14, 2008
...numbers featuring the supporting harmonies of Rescriptor, Sustiva, and Virmanune— a backup trio of doo-wopping pills-on-legs, better known as The Meds. Defamer.com,

Province to pay for three-in-one HIV pill  -  Sep 24, 2008
Atripla is one pill that combines the drugs Sustiva and Truvada. Truvada itself is a combination of Viread and Emtriva. David Fletcher, a doctor at Xtra.ca,

Ten Highest Yielding Pharma Stocks  -  Oct 20, 2008
...(BMY) - Its drugs include PLAVIX, AVAPRO/AVALIDE, PRAVACHOL, COUMADIN, REYATAZ, SUSTIVA, BARACLUDE, ERBITUX, TAXOL, SPRYCEL, IXEMPRA, ABILIFY, ORENCIA, Seeking Alpha,

Ardea Biosciences Awarded Composition of Matter Patent Covering ...  -  Oct 20, 2008
These include the potential for potent antiviral activity against a wide range of HIV viral isolates, including those that are resistant to Sustiva Business Wire (press release),

Gilead Sciences 3rd-quarter profit rises 27 pct  -  Oct 16, 2008
Sales of the newer Atripla, which combines Truvada with Bristol Myers Squibb Co's Sustiva into a single pill, rose 77 percent to $427.6 million. guardian.co.uk,

Analysts forecast strong 3Q HIV drug sales  -  Oct 15, 2008
...s Sustiva. Somaiya said IMS data indicates that third-quarter sales of Atripla could range from $354 million to $362 million, topping his estimate of $356 Forbes,

Lucky is as Lucky does  -  Oct 17, 2008
SANTANA WAS ONE OF THE FIRST HIV-positive people in Atlanta to go from taking Truvada and Sustiva, which each attack the virus at different stages, Southern Voice,

HIV infection and AIDS 2: transmission and diagnosis  -  Oct 14, 2008
Current UK guidelines recommend the preferential use of efavirenz (Sustiva) with either tenofovir disoproxil with emtricitabine (Truvada) or abacavir with Nursing Times,

BMS’s Pharmaceutical Development Center of Excellence Wins ...  -  Oct 15, 2008
Its pharmaceutical product offerings include cardiovascular agents, such as Plavix, Pravachol, and Coumadin; virology products Reyataz, Sustiva, Pharmaceutical Processing,

US Food & Drug Administration Approved the use of REYATAZ(R ...  -  Oct 1, 2008
Advair ® (fluticasone propionate and salmeterol inhalation powder), Flonase ® or Flovent ® (fluticasone propionate), or Sustiva ® (efavirenz). WELT ONLINE,

Battle for HIV drug market share getting fiercer  -  Oct 13, 2008
Despite Reyataz's success, BMS's overall franchise success is also at risk, as Sustiva's patent expiry falls in 2013 and the company has no visible PipelineReview.com (press release),

Gilead Sciences shares rise on Citi's 3Q outlook  -  Sep 24, 2008
...(nyse: BMY - news - people )'s Sustiva. "Gilead's stock has been under pressure over concerns as to whether the HIV franchise has reached a plateau of its Forbes,

FDA Grants sNDA for Bristol-Myers Squibb´s Reyataz  -  Oct 2, 2008
Bristol Myers has two other HIV drugs on the market, Sustiva and Baraclude. Ritonavir is Abbott´s Norvir, and one of the ingredients in the same company´s Network Médica,

RDEA: Issued US Patent for Covering RDEA806 for Treatment of HIV  -  Oct 20, 2008
These include the potential for potent antiviral activity against a wide range of HIV viral isolates, including those that are resistant to Sustiva(R) Trading Markets (press release),

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...리야타즈� 성공�� 불구하고 BMS� 전체 프랜차�즈 성공� 2013년 '수스티바(Sustiva)' 특허 만료 등 위험� �사리고 있다. BMS는 부족� 메꿀 후� 약물 개발� 헬스코리아뉴스,

HIV치료제 시장, 성장 중 ê²½ìŸ?격화  -  Sep 25, 2008
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Brand Names/Synonyms:
Sustiva is also known by the following brand names and/or synonymsDMP 266; DMP-266; EFV; Efavirenz; Stocrin; Sustiva

Drug Category:
Sustiva is categorized under the following by the FDA: Anti-HIV Agents; Nonnucleoside Reverse Transcriptase Inhibitors; ATC:J05AG03

Dosage Forms:
TABLET, CAPSULE

Absorption:
Not Available

Interactions:
-->Interactions for Efavirenz:

Efavirenz has been shown in vivo to induce CYP3A4. Other compounds that are substrates of CYP3A4 may have decreased plasma concentrations when coadministered with SUSTIVA (efavirenz). In vitro studies have demonstrated that efavirenz inhibits 2C9, 2C19, and 3A4 isozymes in the range of observed efavirenz plasma concentrations. Coadministration of efavirenz with drugs primarily metabolized by these isozymes may result in altered plasma concentrations of the coadministered drug. Therefore, appropriate dose adjustments may be necessary for these drugs.

Drugs which induce CYP3A4 activity (eg, phenobarbital, rifampin, rifabutin) would be expected to increase the clearance of efavirenz resulting in lowered plasma concentrations. Drug interactions with SUSTIVA are summarized in Table 5.

Table 5a: Drugs That Should Not Be Coadministered With SUSTIVA

Drug Class

Drugs Within Class Not To Be Coadministered With SUSTIVA

Antihistamines Benzodiazepines GI Motility Agents Anti-Migraine Antifungal

astemizole midazolam, triazolam

cisapride ergot derivatives voriconazole

Established Drug Interactions

 

Drug Name

Effect

Clinical Comment

Atazanavir

¯atazanavir

When coadministered with SUSTIVA in treatment-naive patients, the recommended dose of atazanavir is 300 mg with ritonavir 100 mg and SUSTIVA 600 mg (all once daily). Dosing recommendations for SUSTIVA and atazanavir in treatment-experienced patients have not been established.

Established Drug Interactions (continued)

Drug Name

Effect

Clinical Comment

Clarithromycin

¯clarithromycin concentration

Plasma concentrations decreased by SUSTIVA; clinical significance unknown. In uninfected volunteers, 46% developed rash while receiving SUSTIVA and clarithromycin. No dose adjustment of SUSTIVA is recommended when given with clarithromycin. Alternatives to clarithromycin, such as azithromycin, should be considered. Other macrolide antibiotics, such as erythromycin, have not been studied in combination with SUSTIVA.

­14-OH metabolite concentration

Indinavir

¯indinavir concentration

The optimal dose of indinavir, when given in combination with SUSTIVA, is not known. Increasing the indinavir dose to 1000 mg every 8 hours does not compensate for the increased indinavir metabolism due to SUSTIVA. When indinavir at an increased dose (1000 mg every 8 hours) was given with SUSTIVA (600 mg once daily), the indinavir AUC and Cmin were decreased on average by 33-46% and 39-57%, respectively, compared to when indinavir (800 mg every 8 hours) was given alone.

Lopinavir/ritonavir

¯lopinavir concentration

A dose increase of lopinavir/ritonavir to 533/133 mg (4 capsules or 6.5 mL) twice daily taken with food is recommended when used in combination with SUSTIVA.

Methadone

¯methadone concentration

Coadministration in HIV-infected individuals with a history of injection drug use resulted in decreased plasma levels of methadone and signs of opiate withdrawal. Methadone dose was increased by a mean of 22% to alleviate withdrawal symptoms. Patients should be monitored for signs of withdrawal and their methadone dose increased as required to alleviate withdrawal symptoms.

Ethinyl estradiol

­ethinyl estradiol concentration

Plasma concentrations increased by SUSTIVA (efavirenz); clinical significance unknown. Because the potential interaction of efavirenz with oral contraceptives has not been fully characterized, a reliable method of barrier contraception should be used in addition to oral contraceptives.

Rifabutin

¯rifabutin concentration

Increase daily dose of rifabutin by 50%. Consider doubling the rifabutin dose in regimens where rifabutin is given 2 or 3 times a week.

Rifampin

¯efavirenz concentration

Clinical significance of reduced efavirenz concentrations unknown.

Ritonavir

­ritonavir concentration

Combination was associated with a higher frequency of adverse clinical experiences (eg, dizziness, nausea, paresthesia) and laboratory abnormalities (elevated liver enzymes). Monitoring of liver enzymes is recommended when SUSTIVA is used in combination with ritonavir.

­efavirenz concentration

Saquinavir

¯saquinavir

concentration

Should not be used as sole protease inhibitor in combination with SUSTIVA.

Sertraline

¯sertraline concentration

Increases in sertraline dose should be guided by clinical response.

Other Potentially Clinically Significant Drug or Herbal Product Interactions With SUSTIVAb

Anticoagulants: Warfarin

Plasma concentrations and effects potentially increased or decreased by SUSTIVA.

Anticonvulsants: Phenytoin Phenobarbital Carbamazepine

Potential for reduction in anticonvulsant and/or efavirenz plasma levels; periodic monitoring of anticonvulsant plasma levels should be conducted.

Antifungals: Itraconazole Ketoconazole

Drug interaction studies with SUSTIVA and these imidazole and triazole antifungals have not been conducted. SUSTIVA has the potential to decrease plasma concentrations of itraconazole and ketoconazole.

Anti-HIV protease inhibitors: Saquinavir/ritonavir combination

No pharmacokinetic data are available.

Amprenavir

SUSTIVAhas the potential to decrease serum concentrations of amprenavir.

Non-nucleoside reverse transcriptase inhibitors

No studies have been performed with other NNRTIs.

St. Johnís wort (Hypericum perforatum)

Expected to substantially decrease plasma levels of efavirenz;has not been studied in combination with SUSTIVA.

a See Tables 1 and 2.

b This table is not all-inclusive.

Other Drugs: Based on the results of drug interaction studies, no dosage adjustment is recommended when SUSTIVA (efavirenz) is given with the following: aluminum/magnesium hydroxide antacids, azithromycin, cetirizine, famotidine, fluconazole, lamivudine, lorazepam, nelfinavir, paroxetine, and zidovudine.

Specific drug interaction studies have not been performed with SUSTIVA and NRTIs other than lamivudine and zidovudine. Clinically significant interactions would not be expected since the NRTIs are metabolized via a different route than efavirenz and would be unlikely to compete for the same metabolic enzymes and elimination pathways.





Chemical IUPAC Name:
8-chloro-5-(2-cyclopropylethynyl)-5-(trifluoromethyl)-4-oxa-2-azabicyclo[4.4.0]deca-7,9,11-trien-3-one

:
 
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