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Ecavir 0.5mg Tablets (Entecavir) Original price was: ₨ 14,987.Current price is: ₨ 4,000.

Epclusa 400/100 mg 28’s Tablets (Sofosbuvir)

Epclusa contains sofosbuvir which is now available in Pakistan at Jasmeds. The price range of the Epclusa tablet is Rs 80,000/- to Rs 100,000/-.

Product Description

Brand: Epclusa
Form: Tablet
Strength: 400/100 mg
Size: 28’s Tablets
Active Ingredient: Sofosbuvir + velpatasvir
Manufacturer: Gilead

Original price was: ₨ 100,000.Current price is: ₨ 90,000.

Description

Uses of the Epclusa 400/100 mg Tablets 

Epclusa 400/100 mg tablets, containing sofosbuvir (400mg) and velpatasvir (100mg), are used to treat chronic hepatitis C virus (HCV) infection in adults and children aged 3 years and older, regardless of HCV genotype.

Primary Uses:

Treatment of Chronic HCV Infection:

Epclusa is effective against all major HCV genotypes (1, 2, 3, 4, 5, and 6).

It works by stopping the virus from multiplying in your body, reducing liver damage and improving liver function.

Treatment for Patients with or without Cirrhosis:

If you have compensated cirrhosis (mild liver scarring), Epclusa is typically used alone.

If you have decompensated cirrhosis (severe liver damage), Epclusa is used in combination with ribavirin.

Additional Details

How Does Epclusa 400 mg Tablet Work? 

Epclusa 400 mg is a combination tablet containing sofosbuvir 400 mg and velpatasvir 100 mg. It works by disrupting the replication of the hepatitis C virus (HCV) in two distinct ways:

Sofosbuvir: This component inhibits the HCV NS5B RNA-dependent RNA polymerase. This enzyme is essential for the virus to replicate its RNA, which is its genetic material. By blocking this enzyme, sofosbuvir directly prevents the virus from making copies of itself. You can think of it as stopping the virus’s ability to photocopy its instructions.

Velpatasvir: This component targets the HCV NS5A protein. This protein is also crucial for viral replication and assembly. It plays a role in forming replication complexes and viral particle assembly. By inhibiting NS5A, velpatasvir interferes with multiple stages of the viral life cycle. This can be seen as disrupting the virus’s ability to organize and build new viral particles.

How Should You Take Epclusa 400 mg Tablet?

Take the tablet at the same time every day to maintain consistent levels of the medication in your body.

Swallow the tablet whole with water. Do not crush, chew, or split the tablet, as this may affect its effectiveness.

Treatment typically lasts 12 weeks, but your doctor may adjust the duration based on your liver condition or coexisting medical issues.

If you have decompensated cirrhosis, your doctor may prescribe Epclusa with ribavirin. Follow the additional instructions carefully.

If you miss a dose, take it as soon as you remember. If it’s close to the next dose, skip the missed dose. Do not take two doses at once.

Do not take antacids within 4 hours of Epclusa, as they can interfere with absorption.

Inform your doctor if you’re taking any medications, especially rifampin, carbamazepine, or St. John’s Wort, as these can reduce Epclusa’s effectiveness.

Warnings and Precautions of Epclusa 400mg Tablets

Hepatitis B Reactivation:

If you have a history of hepatitis B, taking Epclusa can cause the virus to reactivate. Your doctor will test you for hepatitis B before starting treatment and monitor you during and after therapy.

Drug Interactions:

Avoid combining Epclusa with the following medications, as they can reduce its effectiveness or increase side effects:

Rifampin, carbamazepine, phenobarbital, and phenytoin (reduce drug levels).

Amiodarone (risk of severe bradycardia).

St. John’s Wort (reduces drug levels).

Do not take antacids or proton pump inhibitors (e.g., omeprazole) within 4 hours of Epclusa, as they interfere with absorption.

Liver Complications:

If you have decompensated cirrhosis (Child-Pugh B or C), your doctor may combine Epclusa with ribavirin. Ribavirin use carries additional risks, such as anemia, which must be monitored closely.

Pregnancy and Breastfeeding:

Avoid Epclusa with ribavirin during pregnancy, as ribavirin can cause severe birth defects. Women of childbearing age should use effective contraception during treatment and for 6 months after stopping ribavirin.

There is limited data on the use of Epclusa during breastfeeding, so consult your doctor.

Kidney Function:

If you have severe kidney disease or are on dialysis, Epclusa should be used cautiously, as its effects in these conditions are not well-studied.

Allergic Reactions:

Discontinue use immediately and seek medical attention if you experience symptoms such as rash, swelling, or difficulty breathing.

Possible Side Effects of Epclusa 400 mg Tablets

Epclusa may cause side effects, which are generally mild but can vary in severity. Below is a detailed list of common and less common side effects:

Common Side Effects:

Fatigue: You may feel unusually tired during treatment, which occurs in approximately 22% of patients.

Headache: Headaches are reported in about 17% of patients.

Nausea: You might experience mild nausea, affecting around 9% of patients.

Less Common Side Effects:

Irritability: Some people report feeling more irritable during treatment.

Insomnia: Difficulty sleeping has been noted in a smaller percentage of patients.

Rash or Itching: Skin reactions, such as a rash or itching, may occur.

Anemia (if taken with Ribavirin):

If your treatment includes ribavirin, you may develop anemia, characterized by fatigue and shortness of breath.

Serious but Rare Side Effects:

Bradycardia:

If you take Epclusa with amiodarone, it can cause a severe slowing of the heart rate (bradycardia), which may require immediate medical attention.

Allergic Reactions: Symptoms such as swelling, difficulty breathing, or severe rash should be reported immediately.

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