Introduction About EFCURE 600MG TABLET

EFCURE 600MG TABLET contains Efavirenz which belongs to a group of medicines called Non-nucleoside reverse transcriptase inhibitors. EFCURE 600MG TABLET is used with other antiretroviral medicines to manage HIV (Human immunodeficiency virus) infection in adults and children (aged 3 months and above).

EFCURE 600MG TABLET is not recommended for use in patients allergic to Efavirenz. It is also not recommended for use in patients suffering from heart disease (such as changes in heart rate/rhythm, slow heartbeat, severe heart disease), and/or severe liver disease.

Before taking EFCURE 600MG TABLET, inform your doctor if you have a history of convulsion/fits/seizures, kidney problems (such as renal impairment), and/or other liver problems (such as chronic hepatitis B/C).

EFCURE 600MG TABLET is generally not recommended for use during pregnancy and in women planning for pregnancy since the medicine may cause harm to the unborn baby. Women of childbearing potential should effective contraceptive barriers while in management with EFCURE 600MG TABLET to manage accidental pregnancy. The medicine is also not recommended for use in breastfeeding women.

EFCURE 600MG TABLET is not recommended for use in children (aged less than 3 months) and also in children weighing less than 3.5 kg. The medicine is advised to be used with caution in elderly patients (aged 65 years/above) after consulting the doctor.

The most common side effects of taking EFCURE 600MG TABLET are skin rash, abnormal dreams, dizziness, headache, drowsiness, nausea, and/or vomiting.  Consult your doctor if any of these symptoms worsen.

Uses Of EFCURE 600MG TABLET

• Manage HIV infection in adults and children (aged 3 months and above) when combined with other antiretroviral medicines

How EFCURE 600MG TABLET Works

EFCURE 600MG TABLET works by binding directly to the viral reverse transcriptase enzyme (substance used by HIV to make duplicate copies) which results in inhibition of it synthesis thus stopping the virus from producing new copies of virus in affected individuals.  

How to use EFCURE 600MG TABLET

Take EFCURE 600MG TABLET as advised by your physician. Swallow the medicines with a glass of water. Do not crush or chew the medicine. Your physician will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Side Effects Of EFCURE 600MG TABLET

How To Manage Side Effects

Headache:

If EFCURE 600MG TABLET causes headache, then take rest and drink plenty of fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a painkiller. Headaches should usually go away after the first week of taking EFCURE 600MG TABLET. If it lasts more than a week or becomes severe, then consult and inform your doctor.

Nausea and vomiting:

Take EFCURE 600MG TABLET with/just after a meal. Stick to simple meals. Avoid eating oil rich/spicy foods, sugary snacks and drinks. Avoid drinking too much liquid along with your meals, and drink slowly in between meals. Consult your doctor if the condition worsens.

Diarrhea:

Drink plenty of water and stay hydrated. Try to avoid taking any medicine on your own to manage diarrhea. Consult and inform your doctor if the symptom worsens.

Dizziness:

Try to rest and get enough sleep. Try to avoid driving or operating any tools or machines while you feel dizzy. Limit consumption of alcohol, as it can aggravate dizziness. Consult and inform your doctor if the symptom worsens.

Itchy Skin:

Try to pat or tap your skin instead of scratching it. Hold a damp towel to cool your skin. Wear loose clothing and avoid tight clothes, or clothes made from wool or synthetic fabrics. Avoid using perfumed soaps, deodorants or moisturizers and use a skin softener regularly.

Warning & Precautions

Pregnancy

EFCURE 600MG TABLET is generally not recommended for use during pregnancy and in women planning for pregnancy since the medicine may cause harm to the unborn baby. Women of childbearing potential should effective contraceptive barriers while in management with EFCURE 600MG TABLET to manage accidental pregnancy which is also advised to be continued for next 12 months after stopping management with the medicine. Consult your doctor before taking EFCURE 600MG TABLET.

Breastfeeding

EFCURE 600MG TABLET is not recommended for use in breastfeeding women. Consult your doctor before taking the medicine.

Driving and Using Machines

Do not drive or operate machines if you feel dizzy, drowsy, and/or impaired concentration after taking [GBNEYWORD].

Kidney

EFCURE 600MG TABLET should be used with caution in patients with kidney problems such as renal impairment. Contact your doctor before taking the medicine.

Liver

EFCURE 600MG TABLET is not recommended for use in patients suffering from severe liver disease. It should be used with caution in patients with other liver diseases such as chronic hepatitis B or C. Contact your doctor before taking EFCURE 600MG TABLET.

Allergy

Do not take EFCURE 600MG TABLET if you are allergic to Efavirenz, and/or any other ingredients of this medicine.

Heart Disease

EFCURE 600MG TABLET is not recommended for use in patients with heart problems such as changes in heart rate/rhythm, slow heartbeat, and/or severe heart disease. It is also not recommended for use in patients with a family history of heart problems. Consult your doctor before taking the medicine.

Interactions

A. Drug - Drug interactions:

Before taking EFCURE 600MG TABLET, inform your doctor if you are taking any of the following medicine:

• St. John’s wort (herbal medicines used for depression)
• ginkgo biloba extracts (herbal medicines used for cerebrovascular insufficiency or cognitive disorders)
• medicines used to manage HIV (protease inhibitors like darunavir, ritonavir,  indinavir, lopinavir, atazanavir, nelfinavir, saquinavir and fosamprenavir),
• maraviroc, emtricitabine and tenofovir, raltegravir, lamivudine and zidovudine (medicine used for HIV)
• medicines used to manage hepatitis C infection Ex. boceprevir, telaprevir, elbasvir, grazoprevir, simeprevir, sofosbuvir, velpatasvir, voxilaprevir, glecaprevir, pibrentasvir.
• medicines used to manage bacterial infections like AIDS-related mycobacterium avium complex (Ex. clarithromycin),
• medicines used for tuberculosis (Ex. rifabutin, rifampicin)
• medicines used to manage fungal infections like  voriconazole, itraconazole, posaconazole, fluconazole,  
• medicines used to manage seizures like carbamazepine, phenytoin, phenobarbital
• medicines used to manage malaria (Ex. artemether, lumefantrine, atovaquone, proguanil)
• medicines used to lower blood fats  like atorvastatin, pravastatin, simvastatin
• methadone (medicine used for opiate addiction)
• sertraline (medicine used to manage depression)
• bupropion (medicine used to manage depression or to helps to stop smoking):
• medicines used for high blood pressure or heart problems (Ex. diltiazem, felodipine, nicardipine, nifedipine, verapamil)
• immunosuppressant’s like cyclosporine, sirolimus, or tacrolimus (medicines used to manage organ transplant rejection)
• medicines used to manage pregnancy like Hormonal contraceptive (Ex. medroxyprogesterone acetate, ethinyl estradiol, norgestimate or a contraceptive implant (Ex. etonogestrol implant)
• warfarin, acenocoumarol (medicines used to reduce blood clots),
• metamizole ( medicine used for fever and pain)
• medicines used to manage heart rhythm problems (Ex. flecainide or metoprolol),
• medicines used to manage depression and mental conditions like imipramine, amitriptyline, clomipramine, and pimozide.
• erythromycin, azithromycin, ciprofloxacin, metronidazole (medicines used to manage bacterial or fungal infections)
• aluminium or magnesium hydroxide antacids (medicines used to manage indigestion/ heart burn)
• cetirizine (medicines used to manage allergies)
• famotidine (medicines used for stomach ulcers)
• medicines used to manage anxiety and insomnia (Ex. lorazepam, midazolam, triazolam)
• paroxetine (medicines used to manage depression and mental illness)
• astemizole or terfenadine (medicines used to manage allergy symptoms)
• bepridil (medicines used to manage heart disease)
• cisapride (medicines used to manage heartburn)
• medicines used to manage migraine and cluster headaches such as ergot alkaloids (Ex. ergotamine, dihydroergotamine, ergonovine, and methylergonovine)

B. Drug - Food interaction:

Avoid consuming grapefruit juice while taking EFCURE 600MG TABLET as it may cause undesirable effects.

Overdosage:

If you or anyone else accidentally take too much of EFCURE 600MG TABLET, consult your doctor immediately or visit the nearby hospital to manage overdose symptoms.

Synopsis

More Information

• Keep EFCURE 600MG TABLET out of reach of children.
• Store EFCURE 600MG TABLET at room temperature

FAQs About EFCURE 600MG TABLET

What is EFCURE 600MG TABLET used for?

EFCURE 600MG TABLET is used with other antiretroviral medicines to manage HIV (Human immunodeficiency virus) infection in adults and children (aged 3 months and above).

What are the common side effects of taking EFCURE 600MG TABLET?

The most common side effects of taking EFCURE 600MG TABLET are skin rash, abnormal dreams, dizziness, headache, drowsiness, nausea, and/or vomiting.  Consult your doctor if any of these symptoms worsen.

How EFCURE 600MG TABLET works?

EFCURE 600MG TABLET works by binding directly to the viral reverse transcriptase enzyme (substance used by HIV to make duplicate copies) which results in inhibition of it synthesis thus stopping the virus from producing new copies of virus in affected individuals. 

How EFCURE 600MG TABLET should be taken?

Take EFCURE 600MG TABLET as advised by your physician. Swallow the medicines with a glass of water. Do not crush or chew the medicine. Your physician will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Can EFCURE 600MG TABLET be used in pregnant women?

No, EFCURE 600MG TABLET is generally not recommended for use during pregnancy and in women planning for pregnancy since the medicine may cause harm to the unborn baby. Women of childbearing potential should effective contraceptive barriers while in management with EFCURE 600MG TABLET to manage accidental pregnancy which is also advised to be continued for next 12 months after stopping management with the medicine. Consult your doctor before taking EFCURE 600MG TABLET.

References

1. KD. Tripathi. Antiviral drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page – 809.

2. Jessica Yee; Charles V. Preuss. Efavirenz. NIH National Library of Medicine. National Center for Biotechnology Information. StatPeals [Internet]. NIH National Library of Medicine. National Center for Biotechnology Information. September 2022. [Accessed on 14th December 2022] https://www.ncbi.nlm.nih.gov/books/NBK542316/

3. Milpharm Limited. Electronic Medicines Compendium (EMC). [Revised in July 2022] [Accessed on 14th December 2022] https://www.medicines.org.uk/emc/files/pil.7070.pdf

4. Cipla Limited. EFAVIR Capsules/Tablets. [Revised in April 2019] [Accessed on 14th December 2022] https://www.ciplamed.com/content/efavir-capsulestablets

Useful Diagnostic Tests

• ELISA test