Darunavir
Darunavir Synoptis contains the active substance darunavir. Darunavir Synoptis is an antiretroviral medicine used to treat HIV infections. The medicine belongs to a group of protease inhibitors. The action of Darunavir Synoptis is to reduce the amount of HIV virus in the body. This supports the immune system and reduces the risk of diseases associated with HIV infection.
Darunavir Synoptis is used to treat adults and children over 3 years of age and weighing at least 15 kg with HIV infection who have already been treated with other antiretroviral medicines. Darunavir Synoptis should be taken in combination with a low dose of ritonavir and other HIV medicines. The most suitable combination of medicines for the patient is determined by the doctor.
In case of taking any of the medicines listed below, the patient should consult a doctor about changing the treatment method.
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 mental 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 lomitapide | treatment aimed at lowering blood cholesterol levels |
Rifampicin | treatment of certain types of infections, such as tuberculosis |
Combination lopinavir/ritonavir | anti-HIV medicine belonging to the same group as Darunavir Synoptis |
Elbasvir/grazoprevir | treatment of hepatitis C infection |
Alfuzosin | treatment of prostate enlargement |
Sildenafil | treatment of high blood pressure in pulmonary circulation |
Dabigatran, 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 therapy with Darunavir Synoptis, products containing St. John's Wort (Hypericum perforatum) must not be used.
Before starting treatment with Darunavir Synoptis, the patient should discuss it with their doctor, pharmacist, or nurse. Darunavir Synoptis will not cure HIV infection. The patient can still transmit the HIV virus while taking this medicine, despite effective antiretroviral therapy reducing this risk. The patient should discuss with their doctor the precautions necessary to avoid infecting others. People taking Darunavir Synoptis are still at risk of developing infections or other diseases associated with HIV infection, so they should maintain regular contact with their doctor. In patients taking Darunavir Synoptis, a skin rash may occur. Rarely, it can be severe or life-threatening. If a rash occurs, the patient should contact their doctor. Rash (usually mild or moderate) may occur more frequently in patients taking Darunavir Synoptis 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 Synoptis has been used in only a small number of patients aged 65 or older. If the patient belongs to this age group, they should consult their doctor to discuss the possibility of taking this medicine.
Darunavir Synoptis should not be used in children under 3 years of age or weighing less than 15 kg.
The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken. Some medicines must not be taken with Darunavir Synoptis. Their list is provided in the section "Do not take Darunavir Synoptis with the following medicines". In most cases, Darunavir Synoptis 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]. No studies have been conducted on the simultaneous use of Darunavir Synoptis 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, the patient should inform their 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 Synoptis may be reduced when taken with one of the following products. The patient should inform their doctor about taking:
Taking Darunavir Synoptis may affect the effectiveness of other medicines. The patient should inform their doctor about taking:
fentanyl, oxycodone, tramadol(painkillers);
This is not a complete list of medicines. The patient should inform their doctor about allmedicines they are taking.
See section 3 "How to take Darunavir Synoptis".
If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before taking this medicine. Pregnant or breastfeeding women should not take Darunavir Synoptis with ritonavir without special recommendation from their doctor. Pregnant or breastfeeding women should not take Darunavir Synoptis with cobicistat. HIV-infected women should not breastfeed, as the virus can be transmitted to the child through breast milk, and the effects of the medicine on the child are unknown.
The patient should not drive or operate machines if taking Darunavir Synoptis causes dizziness.
This medicine contains lactose. If the patient has been diagnosed with intolerance to some sugars, they should consult their doctor before taking the medicine.
This medicine contains 10.42 mg of propylene glycol (E1520) in each film-coated tablet. If the treated child is less than 4 weeks old, the patient should discuss this with their doctor or pharmacist before giving this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol.
This medicine contains 20.84 mg of propylene glycol (E1520) in each film-coated tablet. If the treated child is less than 4 weeks old, the patient should discuss this with their doctor or pharmacist before giving this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol.
This medicine contains 41.66 mg of propylene glycol (E1520) in each film-coated tablet. If the treated child is less than 4 weeks old, the patient should discuss this with their doctor or pharmacist before giving this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol. Darunavir Synoptis, 300 mg, film-coated tablets also contain orange yellow S (E 110), which may cause allergic reactions.
This medicine contains 83.33 mg of propylene glycol (E1520) in each film-coated tablet. If the child is less than 4 weeks old, the patient should discuss this with their doctor or pharmacist before giving this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol. Darunavir Synoptis, 600 mg, film-coated tablets also contain orange yellow S (E 110), which may cause allergic reactions.
This medicine should always be taken as described in the patient information leaflet or as directed by the doctor, pharmacist, or nurse. In case of doubts, the patient should consult their doctor, pharmacist, or nurse. Even if the patient's condition improves, they should not stop taking Darunavir Synoptis without consulting their doctor. After starting treatment, the patient should not change the dose, form of the medicine, or stop treatment without the doctor's recommendation.
The doctor will determine the appropriate dose to be given once a day based on the child's body weight (see the table below). This dose should not exceed the recommended dose for adult patients, which is 800 mg of Darunavir Synoptis and 100 mg of ritonavir once a day. The doctor will inform the patient about how much darunavir and ritonavir (in capsules, tablets, or solution) the child should take. Tablets of different strengths are available, and the doctor may prescribe a specific combination to achieve the desired dosing regimen. Darunavir is also available as an oral suspension. The doctor will determine whether darunavir tablets or oral suspension are suitable for the child.
Body weight | Single dose of darunavir | Single dose of ritonavir |
from 15 to 30 kilograms | 600 milligrams | 100 milligrams |
from 30 to 40 kilograms | 675 milligrams | 100 milligrams |
from 40 kilograms | 800 milligrams | 100 milligrams |
The doctor will determine the appropriate dose based on the child's body weight (see the table below). The doctor will assess whether the child should take the medicine once or twice a day. The dose should not exceed the recommended dose for adult patients, which is 600 mg of darunavir and 100 mg of ritonavir twice a day, or 800 mg of Darunavir Synoptis and 100 mg of ritonavir once a day. The doctor will inform the patient about how much darunavir and ritonavir (in capsules, tablets, or solution) the child should take. Tablets of different strengths are available, and the doctor may prescribe a specific combination to achieve the desired dosing regimen. Darunavir is also available as an oral suspension. The doctor will determine whether darunavir tablets or oral suspension are suitable for the child. Dosing twice a day Dosing once a day Instructions for using Darunavir Synoptis in children:
The patient requires a different dose of Darunavir Synoptis, which cannot be administered using these tablets. Other strengths of Darunavir Synoptis are available.
The dose is: 600 mg of darunavir and 100 mg of ritonavir twice a day. OR 800 mg of Darunavir Synoptis (2 tablets of 400 mg or 1 tablet of 800 mg) and 100 mg of ritonavir once a day. To use the 800 mg scheme, only 400 mg or 800 mg Darunavir Synoptis tablets should be used.
The plastic bottle is equipped with a child-resistant cap. To open it, follow these steps:
The patient should immediately contact their doctor, pharmacist, or nurse.
If the missed dose is noticed within 6 hours, the patient should take the missed tablets as soon as possible. Each dose should be taken with ritonavir and food. If the missed dose is noticed after 6 hours, the patient should skip the missed dose and take the next dose at the usual time. The patient should not take a double dose to make up for the missed dose.
Antiretroviral medicines can make the patient feel better, but even if their condition improves, they should not stop taking Darunavir Synoptis without consulting their doctor. If the patient has any further doubts about taking this medicine, they should consult their doctor, pharmacist, or nurse.
During HIV treatment, weight gain and increased lipid and glucose levels in the blood may occur. This is partly related to improved health and lifestyle, and in the case of lipid levels in the blood, sometimes to the use of antiretroviral medicines themselves. The doctor will order tests to check these changes. Like all medicines, Darunavir Synoptis can cause side effects, although not everybody gets them.
Liver problems have been reported, which can be severe in rare cases. The doctor will order blood tests before starting Darunavir Synoptis. If the patient has chronic hepatitis B or C, the doctor should order blood tests more frequently, as there is an increased risk of liver problems. The patient should discuss with their doctor the symptoms of liver function disorders. These 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 during simultaneous use of raltegravir), itching. The rash is usually mild to moderate. However, skin rash can also be a symptom of a rare but severe condition. Therefore, if this symptom occurs, the patient should discuss it with their doctor. The doctor will recommend appropriate treatment for the symptoms or decide to stop taking Darunavir Synoptis. Other serious side effects were: 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 1,000 people)
Side effects typical of HIV medicines from the same group as Darunavir Synoptis include:
If the patient experiences any side effects, including any side effects not listed in the leaflet, they should inform their doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, phone: 22 49 21 301, fax: 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, more information can be collected on the safety of the medicine.
The medicine should be stored out of sight and reach of children. Do not use this medicine after the expiry date stated on the carton after "Expiry date" and on the bottle after "EXP". The expiry date refers to the last day of the month stated. There are no special precautions for storing Darunavir Synoptis. Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
Each film-coated tablet of Darunavir Synoptis, 150 mg, contains 150 mg of darunavir (in the form of darunavir with propylene glycol). Each film-coated tablet of Darunavir Synoptis, 300 mg, contains 300 mg of darunavir (in the form of darunavir with propylene glycol). Each film-coated tablet of Darunavir Synoptis, 600 mg, contains 600 mg of darunavir (in the form of darunavir with propylene glycol).
Darunavir Synoptis, 150 mg, film-coated tablets
Darunavir Synoptis, 300 mg, film-coated tablets
Darunavir Synoptis, 600 mg, film-coated tablets
Darunavir Synoptis, 75 mg, film-coated tablets White, capsule-shaped tablets with the inscription "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 Synoptis, 150 mg, film-coated tablets White, oval tablets with the inscription "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 Synoptis, 300 mg, film-coated tablets Orange, oval tablets with the inscription "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 Synoptis, 600 mg, film-coated tablets Orange, oval tablets with the inscription "600" on one side, measuring: length 20.2 ± 0.2 mm, width 10.2 ± 0.2 mm, and thickness 6.8 ± 0.4 mm. Carton containing a bottle with HDPE and a PP cap, with a child-resistant closure and a tamper-evident seal. Package sizes: Darunavir Synoptis, 75 mg, film-coated tablets One bottle containing 480 tablets Darunavir Synoptis, 150 mg, film-coated tablets One bottle containing 240 tablets Darunavir Synoptis, 300 mg, film-coated tablets One bottle containing 120 tablets Darunavir Synoptis, 600 mg, film-coated tablets One bottle containing 60 tablets
Synoptis Pharma Sp. z o.o. ul. Krakowiaków 65 02-255 Warsaw
Pharmathen S.A. Dervenakion 6 15351 Pallini Attiki Greece Pharmathen International S.A. Industrial Park Sapes Rodopi Prefecture, Block No 5 69300 Rodopi Greece Pharmadox Healthcare Ltd. KW20A Kordin Industrial Park Paola, PLA 3000 Malta Hormosan Pharma GmbH Hanauer Landstraße 139-143 60314 Frankfurt am Main Germany
Denmark DAVARINO Germany Darunavir Hormosan 75 mg/150 mg/300 mg/400 mg/600 mg/800 mg film-coated tablets Spain Darunavir Kern Pharma 75/150/300/600 mg film-coated tablets United Kingdom Darunavir 600mg/800mg film-coated tablets Poland Darunavir Synoptis Greece DAVARINO Cyprus DAVARINO Romania Darunavir Flomi 400 mg/600 mg/800 mg film-coated tablets Austria Darunavir Accord 75mg/150mg/400mg/600mg/800mg film-coated tablets Czech Republic Darunavir Accord Slovenia Darunavir Accord 75mg/150mg/300mg/400mg/600mg/800mg film-coated tablets Netherlands Darunavir Accord 75mg/150mg/300mg/400mg/600mg/800mg film-coated tablets Norway Darunavir Accord 600mg/800mg film-coated tablets Italy Darunavir Accord 600mg/800mg film-coated tablets Ireland Malta Darunavir Accord 600mg/800mg film-coated tablets Darunavir Accord 600mg film-coated tablets Bulgaria Darunavir Accord 800mg film-coated tablets Croatia Darunavir Accord 800mg film-coated tablets Finland Darunavir Accord 400mg/600mg/800mg film-coated tablets Sweden Darunavir Accord 400mg/600mg/800mg film-coated tablets Portugal Darunavir Accord 400mg/600mg/800mg film-coated tablets France Darunavir Accord 75mg/150mg/300mg/400mg/600mg/800mg film-coated tablets
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