Viraday Tablet (Emtricitabine 200mg / Tenofovir disoproxil fumarate 300mg / Efavirenz 600mg)

Viraday Tablet is an antiviral medicine that consists of Tenofovir,  Emtricitabine, and Efavirenz. It is used for the treatment of human immunodeficiency virus (HIV) infection (a condition that occurs when the virus attacks the immune system and interferes with your body’s ability to fight infections or diseases).

Viraday Tablet will not cure HIV infection, but it may delay the progression of a chronic, potentially life-threatening condition known as acquired immunodeficiency syndrome (AIDS) and other HIV-related conditions. This medicine works by preventing the virus from multiplying.

Viraday Tablet has some side effects like nausea, vomiting, stomach pain, diarrhoea, headache, confusion, dizziness, trouble sleeping, abnormal dreams, etc. Consult your doctor if they bother you for a long time or become worse. Do not take this medicine if you are allergic to it.

Viraday Tablet is usually taken on an empty stomach, one hour before or two hours after a meal. Take it preferably at bedtime to make some of the side effects less bothersome. Take it in the dose and duration prescribed by your doctor. Do not take more than the recommended dose. Take it every day at the same time to maintain a consistent level of this medicine in your blood. Take this medicine for the recommended duration. Do not discontinue taking this medication without consulting your doctor as it may worsen your condition.

Viraday Tablet may not be suitable for everyone. It is not recommended for use in children weighing less than 40kg. Inform your doctor if you have heart, liver, or kidney problems or any other health conditions. Also, inform your doctor about all your ongoing medications to avoid undesired effects. Viraday Tablet is unsafe for use during pregnancy. Also, consult your doctor if you planning a pregnancy or are breastfeeding.

Major & minor side effects for Viraday Tablet

Nausea and Vomiting

Diarrhoea

Dizziness

Headache

Abdominal pain

Depression

Rash

Confusion

Drowsiness

Abnormal dreams

Trouble sleeping

What is it prescribed for?

HIV infection

HIV infection is caused by the human immunodeficiency virus (HIV). The virus attacks the immune system of your body and affects your body’s disease-fighting ability. It can be transmitted through infected blood, semen, and vaginal fluids. Viraday Tablet is used in the treatment of this condition.

Allergy

Avoid taking Viraday Tablet if you are allergic to it. Serious allergic reactions to this medicine are rare. However, seek immediate medical attention if you notice any symptoms such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulty, etc.

Severe liver disease

Viraday Tablet is not recommended for use if you have severe liver problems, as this medicine may cause liver toxicity and further worsen your condition.

Voriconazole

Voriconazole is an antifungal medicine used to treat fungal infections. Voriconazole may increase the blood concentration of Viraday Tablet, which may increase the risk of frequent and severe side effects. Hence, combined use of Viraday Tablet and Voriconazole is not recommended.

Elbasvir/Grazoprevir

Elbasvir/Grazoprevir are antiviral medicines used in the treatment of hepatitis C (a viral infection that causes swelling of the liver). Viraday Tablet may decrease the blood concentration of Elbasvir/Grazoprevir, resulting in the loss of its therapeutic effect. Hence, the combined use of Viraday Tablet and Elbasvir/Grazoprevir is not recommended.

Warnings for special population

Pregnancy

Viraday Tablet is unsafe for use during pregnancy as it can harm your developing foetus. Hence, consult your doctor if you are pregnant.

Breast-feeding

Viraday Tablet is recommended for use while breastfeeding. Hence, consult your doctor if you are breastfeeding.

General warnings

Immune reconstitution syndrome

Changes in your immune system can occur when you start taking Viraday Tablet. Your immune system may get stronger and begin to fight infections that have been hidden in your body for a long time. It may cause an exaggerated response making the symptoms of infection worse. Inform your doctor if you develop any new symptoms after starting treatment with Viraday Tablet.

Fat redistribution

Viraday Tablet should be used with caution as it may cause redistribution or accumulation of body fat. It may result in central obesity, buffalo hump (excess fat behind the neck), peripheral wasting (difficulty in moving an arm or leg or making any movement), facial wasting (fat loss in the cheeks and temples), breast enlargement, and cushingoid appearance (extra fat build up on the sides of the face and weight gain). Consult your doctor if you have any concerns.

Lactic acidosis

Lactic acidosis is a build-up of lactic acid in the bloodstream. Viraday Tablet should be used with caution due to the increased risk of lactic acidosis. Report any unusual symptoms like muscle cramps, unusual weakness or tiredness, feeling dizzy or lightheaded, fast or abnormal heartbeat, etc., to your doctor immediately.

Decreased bone mineral density

Viraday Tablet should be used with caution as it may cause a decrease in bone mineral density (amount of bone mineral in your bones).

Driving or operating machines

Viraday Tablet may cause dizziness, drowsiness, and impaired concentration. Hence, avoid performing activities that require mental alertness such as driving vehicles or operating machines if you experience such symptoms.

Missed Dose

Take the missed dose of Viraday Tablet as soon as you remember. Skip the missed dose if it is time for your next scheduled dose. Do not use extra medicine to make up for the missed dose.

Overdose

Never take more than the prescribed dose of Viraday Tablet. Seek emergency medical treatment in case of an overdose for further guidance.

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Interaction with Medicine

Citalopram

Fluconazole

Amiodarone

Ciprofloxacin

Azithromycin

Disease interactions

Increase in cholesterol levels

Viraday Tablet should be used with caution as it may cause an increase in cholesterol and triglycerides (a type of fat) levels in the body. Your doctor may suggest blood tests for periodic monitoring of your cholesterol and triglycerides levels while you are taking this medicine.

CNS disorders

Use of Viraday Tablet may cause depression, aggressive behaviour, confusion, suicidal thoughts, etc. Hence this medicine should be used with extreme caution if you have a history of mental problems due to the increased risk of worsening your condition. Inform your doctor if you notice any change in mood and behaviour or develop thoughts of self-harm.

Kidney Disease

Viraday Tablet should be used with caution if you have kidney problems as this medicine may further worsen your condition. Your doctor may adjust the dose based on your clinical condition.

QT Prolongation

QT prolongation is a condition in which your heart muscles take a longer time to recharge between a heartbeat. Viraday Tablet should be used with caution as it may cause QT prolongation. It is not recommended for use if you have any clinical condition or taking any medication known to cause QT prolongation.

Food interactions

Information not available.

Lab interactions

Information not available.

This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

Take Viraday Tablet as instructed by your doctor. Do not take in larger or smaller quantities than recommended.

Avoid the discontinuation of this medicine without consulting your doctor, as it can worsen your condition.

Inform your doctor immediately if you experience any change in mood or behaviour or develop suicidal thoughts.

Your doctor may suggest tests to monitor your liver function and lipid (fats) levels during treatment with this medicine.

Avoid driving vehicles or operating machines, as this medicine can make you feel dizzy or drowsy.

This medicine may cause redistribution and accumulation of body fat in different parts of your body, such as below your neck, upper back, breasts, or around the stomach. It may also cause loss of body fat from your legs, arms, and face. Consult your doctor if you have any concerns.