Darunavir
Darunavir Accord contains the active substance darunavir. Darunavir Accord is an antiretroviral medicine used to treat HIV infections. The medicine belongs to a group of protease inhibitors. The action of Darunavir Accord is to reduce the amount of HIV virus in the body. This helps the immune system and reduces the risk of developing HIV-related diseases.
Darunavir Accord is used to treat adults and children aged 3 years and older and weighing at least 15 kg with HIV infection who have already been treated with other antiretroviral medicines. Darunavir Accord should be taken in combination with a small dose of ritonavir and other HIV medicines. The best combination of medicines for the patient is determined by the doctor.
Inform your doctor about allmedicines you are taking, including those taken orally, inhaled, injected, or applied to the skin.
If you are taking any of the following medicines, consult your doctor about changing your treatment.
Medicine name | Medicine use |
Awanafil | treatment of erectile dysfunction |
Astemizole or terfenadine | treatment of allergic symptoms |
Triazolam and oral midazolam | sedative and/or anxiolytic effects |
Cisapride | treatment of certain stomach disorders |
Colchicine (in renal and/or hepatic impairment) | treatment of gout or familial Mediterranean fever |
Lurasidone, pimozide, quetiapine, or sertindole | treatment of psychiatric disorders |
Ergot alkaloids such as ergotamine, dihydroergotamine, ergometrine, and methylergonovine | treatment of migraine headaches |
Amiodarone, bepridil, dronedarone, ivabradine, quinidine, ranolazine | treatment of certain heart diseases, such as arrhythmias |
Lovastatin, simvastatin, and limitapide | treatment aimed at lowering blood cholesterol levels |
Rifampicin | treatment of certain types of infections, such as tuberculosis |
Lopinavir/ritonavir combination | anti-HIV medicine belonging to the same group as Darunavir Accord |
Elbasvir/grazoprevir | treatment of hepatitis C virus infection |
Alfuzosin | treatment of prostate enlargement |
Sildenafil | treatment of high blood pressure in pulmonary circulation |
Ticagrelor | prevention of platelet aggregation in patients after a previous heart attack |
Naloxegol | treatment of opioid-induced constipation |
Dapoxetine | treatment of premature ejaculation |
Domperidone | treatment of nausea and vomiting |
During treatment with Darunavir Accord, do not take products containing St. John's Wort (Hypericum perforatum).
Before starting treatment with Darunavir Accord, discuss it with your doctor, pharmacist, or nurse. Darunavir Accord will not cure HIV infection. People taking Darunavir Accord are still at risk of developing infections or other diseases related to the presence of HIV, so they should maintain regular contact with their doctor. In patients taking Darunavir Accord, a skin rash may appear. Rarely, it can be severe or life-threatening. If a rash occurs, consult a doctor. Rash (usually mild or moderate) may occur more frequently in patients taking Darunavir Accord and raltegravir than in patients taking either medicine separately.
After reading the following points, the patient should inform their doctor if any of them apply to them.
Darunavir Accord has been used in only a small number of patients aged 65 or older. If you belong to this age group, you should consult your doctor to discuss the possibility of taking this medicine.
Do not use Darunavir Accord in children under 3 years of age or weighing less than 15 kilograms.
Tell your doctor or pharmacist about all medicines you are currently taking or have recently taken. Some medicines must not be takenwith Darunavir Accord. A list of these medicines is provided in the section "Do not take Darunavir Accord with the following medicines". In most cases, Darunavir Accord can be combined with HIV medicines from another group [e.g., NRTI (nucleoside reverse transcriptase inhibitors), NNRTI (non-nucleoside reverse transcriptase inhibitors), CCR5 antagonists, and fusion inhibitors]. However, studies have not been conducted on the simultaneous use of Darunavir Accord and ritonavir with all protease inhibitors (PI), and it cannot be used in combination with other protease inhibitors. In some cases, it may be necessary to change the dosage of other medicines. Therefore, in each case, inform your doctor about the use of other HIV medicines and strictly follow the doctor's recommendations regarding the simultaneous use of other medicines. The effectiveness of Darunavir Accord may be reduced when taken with one of the following products. Inform your doctor if you are taking:
Taking Darunavir Accord may affect the effectiveness of other medicines, and your doctor may order additional blood tests. Inform your doctor if you are taking:
Concomitant use of other medicines with Darunavir Accord may affect their therapeutic effects and side effects. Therefore, the attending doctor may order additional blood tests, and the dosage of other medicines may need to be changed. Inform your doctor if you are taking:
This is not a complete list of medicines. Inform your doctor about allmedicines you are taking.
See section 3 "How to take Darunavir Accord".
Inform your doctor immediately if you are pregnant or planning to become pregnant. Pregnant women should not take Darunavir Accord with ritonavir without special recommendation from their doctor. Pregnant women should not take Darunavir Accord with cobicistat. Due to the possibility of side effects in breastfed children, women should not breastfeed while taking Darunavir Accord. It is not recommended for HIV-infected women to breastfeed, as HIV can be transmitted to the child through breast milk. If you are breastfeeding or considering breastfeeding, consult your doctor as soon as possible.
Do not drive or operate machines if taking Darunavir Accord causes dizziness.
This medicine contains lactose. If you have been diagnosed with intolerance to some sugars, consult your doctor before taking the medicine.
This medicine contains 10.42 mg of propylene glycol in each film-coated tablet. If the treated child is less than 4 weeks old, consult the attending doctor or pharmacist before administering this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol.
This medicine contains lactose. If you have been diagnosed with intolerance to some sugars, consult your doctor before taking the medicine.
This medicine contains 20.84 mg of propylene glycol in each film-coated tablet. If the treated child is less than 4 weeks old, consult the attending doctor or pharmacist before administering this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol.
This medicine contains lactose. If you have been diagnosed with intolerance to some sugars, consult your doctor before taking the medicine.
This medicine contains 41.66 mg of propylene glycol in each film-coated tablet. If the treated child is less than 4 weeks old, consult the attending doctor or pharmacist before administering this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol. Darunavir Accord, 300 mg, film-coated tablets contain orange yellow S (E110), which may cause allergic reactions.
This medicine contains lactose. If you have been diagnosed with intolerance to some sugars, consult your doctor before taking the medicine.
This medicine contains 83.33 mg of propylene glycol in each film-coated tablet. If the child is less than 4 weeks old, consult the attending doctor or pharmacist before administering this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol. Darunavir Accord, 600 mg, film-coated tablets contain orange yellow S (E110), which may cause allergic reactions.
Take this medicine always as described in the patient information leaflet or as directed by your doctor, pharmacist, or nurse. If you have any doubts, consult your doctor, pharmacist, or nurse. If you notice significant improvement, do not stop taking Darunavir Accord with ritonavir without consulting your doctor. Do not change the dose, form of the medicine, or stop treatment without your doctor's advice.
The doctor will determine the appropriate dose to be taken once daily based on the child's weight (see the table below). This dose should not exceed the recommended dose for adults, which is 800 mg of Darunavir Accord and 100 mg of ritonavir once daily. The doctor will inform you about the amount of darunavir and ritonavir (in capsules, tablets, or solution) the child should take.
The doctor will determine the appropriate dose based on the child's weight (see the table below). The doctor will assess whether once-daily or twice-daily dosing is suitable for the child. The dose should not exceed the recommended dose for adults, which is 600 mg of darunavir and 100 mg of ritonavir twice daily, or 800 mg of Darunavir Accord and 100 mg of ritonavir once daily. The doctor will inform you about the amount of darunavir tablets and ritonavir (capsules, tablets, or solution) the child should take.
Weight | Single dose of darunavir | Single dose of ritonavir |
15-30 kilograms | 600 milligrams | 100 milligrams |
30-40 kilograms | 675 milligrams | 100 milligrams |
>40 kilograms | 800 milligrams | 100 milligrams |
Darunavir Accord is available in other strengths and the attending doctor may have prescribed a suitable combination to achieve the correct dosing. Darunavir is also available as an oral suspension. The attending doctor will assess whether darunavir tablets or oral suspension are suitable for the child. Twice-daily dosing: The child must take the appropriate dose of Darunavir Accord and ritonavir twice daily. If Darunavir Accord is prescribed twice daily, the child should take one dose in the morning and the second dose in the evening. The doctor will determine the correct dosing schedule for the child.
The patient requires a different dose of Darunavir Accord that cannot be administered using these tablets. Other strengths of Darunavir Accord are available.
The dose is:
Discuss with your doctor which dose is suitable for you. Recommendations for adults
Weight | Single dose is |
15-30 kilograms | 375 milligrams of darunavir + 50 milligrams of ritonavir twice daily |
30-40 kilograms | 450 milligrams of darunavir + 60 milligrams of ritonavir twice daily |
>40 kilograms* | 600 milligrams of darunavir + 100 milligrams of ritonavir twice daily |
Weight | Single dose of darunavir | Single dose of ritonavir |
15-30 kilograms | 600 milligrams | 100 milligrams |
30-40 kilograms | 675 milligrams | 100 milligrams |
>40 kilograms | 800 milligrams | 100 milligrams |
The plastic bottle has a child-resistant cap. To open it, follow these steps:
Immediately consult your doctor, pharmacist, or nurse.
If a dose is missed within 6 hours, take the missed tablets as soon as possible. Each dose should be taken with ritonavir and food. If a dose is missed after 6 hours, skip the missed dose and take the next dose at the usual time. Do not take a double dose to make up for the missed dose.
If vomiting occurs within 4 hoursof taking the medicine, take another dose of darunavir and ritonavir as soon as possible with food. If vomiting occurs more than 4 hoursafter taking the medicine, do not take another dose of Darunavir Accord and ritonavir until the next scheduled dose. If in doubtabout what to do in case of a missed dose or vomiting, consult your doctor.
Antiretroviral medicines can make you feel better, but even if you feel better, do not stop taking the medicine without consulting your doctor. If you have any further doubts about taking this medicine, consult your doctor, pharmacist, or nurse.
During HIV treatment, weight gain and increased blood lipid and glucose levels may occur. This is partly related to improved health and lifestyle, and in the case of blood lipid levels, sometimes to the use of antiretroviral medicines themselves. Your doctor will order tests to monitor these changes. As with any medicine, Darunavir Accord can cause side effects, although not everybody gets them.
Liver problems have been reported, which in rare cases were severe. Your doctor will order blood tests before starting Darunavir Accord. If you have chronic hepatitis B or C virus infection, your doctor should order more frequent blood tests, as there is an increased risk of liver problems. Discuss with your doctor the symptoms of liver problems, which may include: yellowing of the skin or eyes, dark urine (tea-colored), pale stools, nausea, vomiting, loss of appetite, or pain or discomfort in the area below the ribs on the right side. Skin rash (occurring more frequently when taking raltegravir), itching. The rash is usually mild to moderate. The rash can also be a symptom of a rare but severe condition. If you experience this symptom, discuss it with your doctor. The doctor will recommend appropriate treatment for the symptoms or decide to stop taking Darunavir Accord. Other serious side effects included: diabetes (often) and pancreatitis (not very often). Very common side effects(may affect more than 1 in 10 people):
Common side effects(may affect up to 1 in 10 people):
Uncommon side effects(may affect up to 1 in 100 people):
Rare side effects(may affect up to 1 in 1000 people):
Side effects typical of HIV medicines in the same group as Darunavir Accord include:
If you experience any side effects, including any side effects not listed in this leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl. Side effects can also be reported to the marketing authorization holder. By reporting side effects, you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date stated on the carton and bottle after "EXP". The expiry date refers to the last day of the month. There are no special storage instructions for Darunavir Accord. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.
Each film-coated tablet of Darunavir Accord, 150 mg, contains 150 mg of darunavir (in the form of darunavir with propylene glycol). Each film-coated tablet of Darunavir Accord, 300 mg, contains 300 mg of darunavir (in the form of darunavir with propylene glycol). Each film-coated tablet of Darunavir Accord, 600 mg, contains 600 mg of darunavir (in the form of darunavir with propylene glycol).
Lactose monohydrate, microcrystalline cellulose, povidone K30, crospovidone, colloidal anhydrous silica, magnesium stearate. Coating (white): polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol 3350 (E1521), talc (E553b). Darunavir Accord, 150 mg, film-coated tablets Lactose monohydrate, microcrystalline cellulose, povidone K30, crospovidone, colloidal anhydrous silica, magnesium stearate. Coating (white): polyvinyl alcohol (E1203), titanium dioxide (E171), macrogol 3350 (E1521), talc (E553b). Darunavir Accord, 300 mg, film-coated tablets Lactose monohydrate, microcrystalline cellulose, povidone K30, crospovidone, colloidal anhydrous silica, magnesium stearate. Coating (orange-1): polyvinyl alcohol (E1203), macrogol 3350 (E1521), titanium dioxide (E171), talc (E553b), orange yellow S, aluminum lake (E110). Darunavir Accord, 600 mg, film-coated tablets Lactose monohydrate, microcrystalline cellulose, povidone K30, crospovidone, colloidal anhydrous silica, magnesium stearate. Coating (orange-1): polyvinyl alcohol (E1203), macrogol 3350 (E1521), titanium dioxide (E171), talc (E553b), orange yellow S, aluminum lake (E110).
Darunavir Accord, 75 mg, film-coated tablets White, capsule-shaped tablets with the imprint "75" on one side, measuring: length 9.4 ± 0.2 mm, width 4.5 ± 0.2 mm, and thickness 3.4 ± 0.3 mm. Darunavir Accord, 150 mg, film-coated tablets White, oval tablets with the imprint "150" on one side, measuring: length 13.8 ± 0.2 mm, width 7.0 ± 0.2 mm, and thickness 3.6 ± 0.3 mm. Darunavir Accord, 300 mg, film-coated tablets Orange, oval tablets with the imprint "300" on one side, measuring: length 16.1 ± 0.2 mm, width 8.1 ± 0.2 mm, and thickness 5.2 ± 0.3 mm. Darunavir Accord, 600 mg, film-coated tablets Orange, oval tablets with the imprint "600" on one side, measuring: length 20.2 ± 0.2 mm, width 10.2 ± 0.2 mm, and thickness 6.8 ± 0.4 mm. A cardboard box containing a white, non-transparent bottle made of high-density polyethylene (HDPE) with a polypropylene child-resistant cap and a seal, and a patient information leaflet. Pack sizes: Darunavir Accord, 75 mg, film-coated tablets Pack containing 480 film-coated tablets (one bottle containing 480 film-coated tablets). Darunavir Accord, 150 mg, film-coated tablets Pack containing 240 film-coated tablets (one bottle containing 240 film-coated tablets). Darunavir Accord, 300 mg, film-coated tablets Pack containing 120 film-coated tablets (one bottle containing 120 film-coated tablets). Pack containing 30 film-coated tablets (one bottle containing 30 film-coated tablets). Darunavir Accord, 600 mg, film-coated tablets Pack containing 60 film-coated tablets (one bottle containing 60 film-coated tablets). Pack containing 180 film-coated tablets (three bottles containing 60 film-coated tablets each).
Accord Healthcare Polska Sp. z o.o. ul. Taśmowa 7 02-677 Warsaw Tel: +48 22 577 28 00
Pharmadox Healthcare Ltd. KW20A Kordin Industrial Park Paola, PLA3000 Malta Pharmathen International S.A. 6, Dervenakion street Pallini, Attiki, 153 51 Greece Pharmathen International S.A. Industrial Park Sapes Rodopi Prefecture, Block No 5 Rodopi, 69300 Greece LABORATORI FUNDACIÓ DAU C/ C, 12-14 Pol. Ind. Zona Franca, Barcelona, 08040 Spain
Country name | Medicine name |
Cyprus | Darunavir Accord 600 mg film coated tablet |
Denmark | Darunavir Accord 75 mg film coated tablet |
Darunavir Accord 150 mg film coated tablet | |
Darunavir Accord 300 mg film coated tablet | |
Darunavir Accord 600 mg film coated tablet | |
Spain | Darunavir Accord 600 mg film-coated tablets |
Germany | Darunavir Accord 300 mg film tablets |
Darunavir Accord 600 mg film tablets | |
Poland | Darunavir Accord |
Romania | Darunavir Accord 75 mg film-coated tablets |
Darunavir Accord 150 mg film-coated tablets | |
Darunavir Accord 300 mg film-coated tablets | |
Darunavir Accord 600 mg film-coated tablets |
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