(em trye SYE ta been, nel FIN a veer, ten OF oh vir) Brand: AccessPak for HIV PEP Expanded with Viracept
• You must not take this medicine if you have severe liver or kidney malady, or if you are allergic to emtricitabine (Emtriva, Atripla), nelfinavir (Viracept), or tenofovir (Viread). Do not take this medicine with another medicines that also contain emtricitabine or tenofovir (Atripla, Emtriva, Viread), or lamivudine (Combivir, Epivir, Epzicom, or Trizivir).
• There are much another drugs that can reason serious or life threatening medical problems if you take them together with this medicine. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor. Hold a list of all your medicines and show it to any healthcare provider who treats you.
• Some people develop lactic acidosis while taking emtricitabine or tenofovir. Early symptoms may get worse over time and this condition can be fatal. Get abnormal medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cool feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, slow or uneven heart course, dizziness, or feeling very weak or weary.
• Emtricitabine, nelfinavir, and tenofovir are antiviral drugs that prevent HIV (human immunodeficiency virus) cells from multiplying in your body.
• The combination of emtricitabine, nelfinavir, and tenofovir is used to treat HIV, which causes acquired immunodeficiency syndrome (AIDS). This medicine is not a cure for HIV or AIDS.
• Emtricitabine, nelfinavir, and tenofovir may also be used for purposes not listed in this medicine guide.
• You must not take this medicine if you have severe liver or kidney malady, or if you are allergic to emtricitabine (Emtriva, Atripla), nelfinavir (Viracept), or tenofovir (Viread). Do not take this medicine with another medicines that also contain emtricitabine or tenofovir (Atripla, Emtriva, Viread), or lamivudine (Combivir, Epivir, Epzicom, or Trizivir).
• There are much another drugs that can reason serious or life threatening medical problems if you take them together with emtricitabine, nelfinavir, and tenofovir. The next drugs must not be used while you are taking this medication:
· amiodarone (Cordarone, Pacerone);
· quinidine (Quin-G);
· pimozide (Orap);
· midazolam (Versed) or triazolam (Halcion); or
· an ergot medication such as D.H.E. 45, Ergomar, Cafergot, Ergotrate, Methergine, Migergot, or Migranal.
• To create certain you can safely take emtricitabine, nelfinavir, and tenofovir, speak your doctor if you have any of these another conditions:
· diabetes;
· a bleeding or blood-clotting mess such as hemophilia;
· tall cholesterol or triglycerides (a type of thick in the blood);
· liver or kidney disease;
· osteopenia (low bone mineral density); or
· if you also have hepatitis B infection.
• Some people develop a life-threatening condition called lactic acidosis while taking emtricitabine or tenofovir. You may be more likely to develop lactic acidosis if you are overweight or have liver malady, if you are a woman, or if you have taken HIV or AIDS medications for a long time. Conversation with your doctor about your individual risk.
• FDA pregnancy category B. Speak your doctor if you are pregnant or plan to become pregnant during treatment. HIV can be passed to your child if you are not properly treated during pregnancy. Take all of your HIV medicines as directed to control your infection.
• Women with HIV or AIDS must not breast-feed a child. Even if your child is born without HIV, the virus may be passed to the child in your breast milk.
• Do not give this medication to a baby younger than 2 years old without medical advice.
• Take exactly as predesigned by your doctor. Do not take in larger or less amounts or for longer than recommended. Follow the directions on your prescription label.
• This medication works excellent if you take it with food.
• To be certain this medicine is helping your condition and not causing deleterious effects, your blood will need to be tested often. Your kidney and liver function or bone density may also need to be tested. Visit your doctor regularly.
• If you have hepatitis B you may develop liver symptoms after you stop taking emtricitabine, nelfinavir, and tenofovir, even months after stopping. Your doctor may want to check your liver function at regular visits for different months after you stop using the medication. Do not miss any follow-up visits to your doctor.
• HIV/AIDS is generally treated with a combination of drugs. Use all medications as directed by your doctor. Read the medicine manual or patient instructions provided with every medicine. Do not change your doses or medicine schedule without your doctor's advice. Each face with HIV or AIDS must stay under the care of a doctor.
• Store at room temperature away from moisture and heat. Hold the tablets in their original container, along with the packet of moisture-absorbing preservative that comes with this medicine.
• Take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
• If you also take didanosine, take it 1 hour till or 2 hours after you take emtricitabine, nelfinavir, and tenofovir.
• Taking this medicine will not prevent you from passing HIV to another people. Avoid having unprotected sex or sharing razors or toothbrushes. Conversation with your doctor about safety ways to prevent HIV transmission during sex. Sharing drug or medication needles is never safety, even for a healthy person.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• This medicine may reason lactic acidosis (a build-up of lactic acid in the body, which can be fatal). Lactic acidosis can start slowly and get worse over time. Get abnormal medical help if you have even mild symptoms of lactic acidosis, such as: muscle pain or weakness, numb or cool feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, slow or uneven heart course, dizziness, or feeling very weak or weary.
• Call your doctor at once if you have a serious side effect such as:
· nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
· heighten thirst, urinating smaller than normal or not at all;
· light bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
· swelling, rapid weight gain, feeling short of breath; or
· signs of infection such as fever, chills, skin lesions, or cough with yellow or green mucus.
• Smaller serious side effects may include:
· vomiting, diarrhea, bloating;
· headache, weary feeling, dizziness, depressed mood;
· sleep problems (insomnia), strange dreams;
· runny or stuffy nose, cough; or
· changes in the shape or location of body thick (especially in your arms, legs, person, neck, breasts, and waist).
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Emtricitabine, nelfinavir, and tenofovir can harm your kidneys. This effect is heighten when you also use another medicines deleterious to the kidneys. You may need doze adjustments or particular trials if you have recently used:
· lithium (Lithobid);
· methotrexate (Rheumatrex, Trexall);
· pain or arthritis medicines such as aspirin (Anacin, Excedrin), acetaminophen (Tylenol), ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn, Naprelan, Treximet), celecoxib (Celebrex), diclofenac (Arthrotec, Voltaren), indomethacin (Indocin), meloxicam (Mobic), and others;
· medicines used to prevent organ transplant rejection, such as cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune) or tacrolimus (Prograf);
· IV antibiotics such as amphotericin B (Fungizone, AmBisome, Amphotec, Abelcet), amikacin (Amikin), bacitracin (Baci IM), capreomycin (Capastat), gentamicin (Garamycin), kanamycin (Kantrex), streptomycin, or vancomycin (Vancocin, Vancoled);
· antiviral medicines such as adefovir (Hepsera), cidofovir (Vistide), or foscarnet (Foscavir); or
· cancer medication such as aldesleukin (Proleukin), carmustine (BiCNU, Gliadel), cisplatin (Platinol), ifosfamide (Ifex), oxaliplatin (Eloxatin), streptozocin (Zanosar), or tretinoin (Vesanoid).
• You may need doze adjustments or particular trials when taking any of these medications together with emtricitabine, nelfinavir, and tenofovir.
• Many another drugs can interact with emtricitabine, nelfinavir, and tenofovir. Adown is just a partial list:
· antiviral medications for herpes or HIV;
· antifungal medicine;
· cholesterol-lowering medicines;
· heart or blood pressure medications;
· insulin or oral diabetes medication;
· seizure medications; or
· medicines to treat erectile dysfunction.
• This list is not complete and another drugs may interact with emtricitabine, nelfinavir, and tenofovir. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about emtricitabine, nelfinavir, and tenofovir.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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