Efavirenz – Dose, Frequency, Indications, Interactions & more

Dose and Dosage: The typical adult dose of Efavirenz for the treatment of HIV infection is 600 mg once daily, administered orally.

Frequency: It is usually taken once daily, preferably on an empty stomach, at bedtime.

Route of Administration (ROA): Efavirenz is taken orally in the form of tablets.

Mechanism of Action (MOA): Efavirenz is a non-nucleoside reverse transcriptase inhibitor (NNRTI) that inhibits HIV-1 reverse transcriptase, an enzyme essential for viral replication.

Pharmacokinetics (PK): Efavirenz is well-absorbed after oral administration, with peak plasma concentrations reached within 3 to 5 hours. It has a long elimination half-life of approximately 40 to 55 hours.

Pharmacodynamics (PD): Efavirenz works by preventing the replication of HIV-1 virus in the body, thereby reducing viral load and slowing down disease progression.

Pathophysiology: HIV infection leads to the progressive weakening of the immune system, making the body vulnerable to opportunistic infections and other complications. Efavirenz helps control the replication of the virus, thereby slowing down the progression of HIV disease.

Indications: Efavirenz is indicated for the treatment of HIV-1 infection in combination with other antiretroviral agents.

Contraindications: Efavirenz is contraindicated in patients with known hypersensitivity to the drug or its components. It should also be avoided in patients with severe hepatic impairment.

Drug Interactions: Efavirenz may interact with a wide range of medications, including other antiretroviral agents, certain antibiotics, antifungals, antidepressants, anticonvulsants, and herbal supplements. It is essential to review all medications with a healthcare provider to avoid potential interactions.

Precautions: Efavirenz may cause central nervous system side effects, including dizziness, insomnia, vivid dreams, and impaired concentration. Patients should be cautioned against driving or operating machinery until they know how the medication affects them. Efavirenz may also cause hepatotoxicity and should be used with caution in patients with pre-existing liver disease.

Monitoring and Laboratory Tests: Patients taking Efavirenz should be regularly monitored for viral load, CD4 cell count, liver function tests, and other relevant laboratory parameters to assess treatment response and monitor for adverse effects.

Medication Information and Guidelines

Purpose: Efavirenz is prescribed to treat HIV-1 infection. It helps reduce viral load and slows down the progression of HIV disease.

Usage Instructions: Take Efavirenz orally once daily, preferably on an empty stomach, at bedtime. Follow the dosage instructions provided by your healthcare provider.

Other Uses: Efavirenz may be used in combination with other antiretroviral medications as part of HIV treatment regimens.

Special Precautions: Be cautious of potential central nervous system side effects, such as dizziness and impaired concentration. Avoid driving or operating machinery until you know how the medication affects you. Additionally, Efavirenz may cause hepatotoxicity, so it should be used cautiously in patients with liver disease.

Dietary Changes: There are no specific dietary restrictions associated with Efavirenz, but maintaining a healthy diet is important for overall health and well-being.

Missed Dose: If you forget to take a dose of Efavirenz, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Possible Side Effects: Common side effects of Efavirenz include dizziness, headache, insomnia, vivid dreams, nausea, diarrhea, and rash. Contact your healthcare provider if you experience severe or persistent side effects.

Storage and Disposal: Store Efavirenz tablets at room temperature away from moisture and heat. Keep them in the original container with the lid tightly closed. Dispose of any unused medication properly according to local regulations or guidelines.

Emergency Situation: In case of an overdose or emergency situation, seek immediate medical attention or contact a poison control center. Be prepared to provide information about the medication you have taken and the dosage.