Sustiva - Generic Name: Efavirenz

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What is/are Sustiva Tablets?

EFAVIRENZ is an antiretroviral drug. It is used with other medicines to treat HIV. This medicine is not a cure for HIV. It will not stop the spread of HIV to others. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

history of a drug or alcohol abuse problem history of depression or other mental illness liver disease seizures taking any other medicines an unusual or allergic reaction to efavirenz, other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 30 minutes before or 2 hours after food. Do not take with food. Take your dose at bedtime. Take your medicine at regular intervals. Do not take your medicine more often than directed. For your anti-HIV therapy to work as well as possible, take each dose exactly as prescribed. Do not skip doses or stop your medicine even if you feel better. Skipping doses may make the HIV virus resistant to this medicine and other medicines. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 3 years old for selected conditions, precautions do apply.

A patient information sheet for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:

cerviastatin cisapride disopyramide medicines for headaches like dihydroergotamine, ergonovine, ergotamine, methylergonovine midazolam pimozide rifapentine St. John's Wort triazolam voriconazole

This medicine may also interact with the following:

amiodarone clarithromycin female hormones, like estrogens or progestins and birth control pills, patches, rings, or injections medicines for blood pressure like diltiazem, nifedipine, verapamil medicines for cholesterol like simvastatin medicines for depression, anxiety, or psychotic disturbances medicines for fungal infections like ketoconazole and itraconazole medicines for seizures like carbamazepine, phenobarbital, phenytoin medicines for sleep methadone other medicines for HIV red yeast rice rifabutin rifampin sirolimus tacrolimus warfarin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue changes in behavior like severe depression, strange thoughts, thoughts of suicide, or angry behavior hallucinations

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

diarrhea difficulty sleeping, strange dreams dizziness trouble concentrating unusually tired upset stomach, vomiting weight gain around waist, back, or thinning of face, arms, legs

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular check ups. Discuss any new symptoms with your doctor. You will need to have important blood work done while on this medicine.

HIV is spread to others through sexual or blood contact. Talk to your doctor about how to stop the spread of HIV.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Avoid alcohol and mood altering (street) drugs while taking this medicine because they can make these side effects worse.

Birth control pills may not work properly while you are taking this medicine. Talk to your doctor about using an extra method of birth control. Women who can still have children must use a reliable form of barrier contraception, like a condom or diaphragm.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

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