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 helps the immune system and reduces the risk of developing diseases related to HIV infection.
Darunavir Synoptis is used to treat adults and children over 3 years of age and weighing at least 15 kg who are infected with the HIV virus and have already been treated with other antiretroviral medicines. Darunavir Synoptis 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.
In case of taking any of the medicines listed below, you 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 virus 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, you must not take products containing St. John's Wort (Hypericum perforatum).
Before starting treatment with Darunavir Synoptis, you should discuss it with your doctor, pharmacist, or nurse. Darunavir Synoptis will not cure HIV infection. The patient can still transmit the HIV virus while taking this medicine, despite the fact that effective antiretroviral therapy reduces 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 related to the presence of the HIV virus, 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, you should contact your 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 doctor or pharmacist should be told about all medicines the patient is currently taking or has recently taken. Some medicines must not be taken with Darunavir Synoptis. Their list is provided in the "Do not take Darunavir Synoptis with the following medicines" section. 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 IF (fusion inhibitors)]. No studies have been conducted on the simultaneous use of Darunavir Synoptis and ritonavir with all PIs (protease inhibitors), 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 doctor should be informed about the use of other HIV medicines and the doctor's instructions regarding the simultaneous use of other medicines should be strictly followed. The effectiveness of Darunavir Synoptis may be reduced when taken with one of the following products. The doctor should be informed about the use of:
Taking Darunavir Synoptis may affect the effectiveness of other medicines. The doctor should be informed about the use of:
Fentanyl, oxycodone, tramadol (painkillers);
This is not a complete list of medicines. The doctor should be informed about all medicines the patient is 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.
Do not drive or operate machines if taking Darunavir Synoptis causes dizziness.
This medicine contains lactose. If the patient has previously been diagnosed with intolerance to some sugars, they should contact their doctor before taking the medicine.
This medicine contains 10.42 mg of propylene glycol (E1520) in each coated tablet. If the treated child is less than 4 weeks old, the doctor or pharmacist should be consulted before administering 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 coated tablet. If the treated child is less than 4 weeks old, the doctor or pharmacist should be consulted before administering 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 coated tablet. If the treated child is less than 4 weeks old, the doctor or pharmacist should be consulted before administering this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol. Darunavir Synoptis, 300 mg, coated tablets contain orange yellow S (E 110), which may cause allergic reactions.
This medicine contains 83.33 mg of propylene glycol (E1520) in each coated tablet. If the child is less than 4 weeks old, the doctor or pharmacist should be consulted before administering this medicine, especially if the child is taking other medicines containing propylene glycol or alcohol. Darunavir Synoptis, 600 mg, coated tablets 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 doctor, pharmacist, or nurse should be consulted. Even if there is a noticeable improvement, do not stop taking Darunavir Synoptis with ritonavir without consulting the doctor.
The doctor will determine the appropriate dose to be given once a day based on the child's body weight (see the table below). The dose should not exceed the recommended dose for adults, which is 800 mg of Darunavir Synoptis and 100 mg of ritonavir once a day. The doctor will inform the child how much darunavir and ritonavir (in capsules, tablets, or solution) they should take. There are tablets of different strengths, and the doctor may prescribe a combination of tablets 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 |
over 40 kilograms | 800 milligrams | 100 milligrams |
The doctor will determine the appropriate dose based on 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 adults, 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 child how much darunavir and ritonavir (in capsules, tablets, or solution) they should take. There are tablets of different strengths, and the doctor may prescribe a combination of tablets 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 taking 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 taken together 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 taken together once a day. To use the 800 mg scheme, only 400 mg or 800 mg Darunavir Synoptis tablets should be used.
Recommendations for adults:
The plastic bottle is equipped with a child-resistant cap. It should be opened as follows:
The doctor, pharmacist, or nurse should be contacted immediately.
If the missed dose is noticed within 6 hours, the missed tablets should be taken immediately. Each dose should be taken with ritonavir and food. If the missed dose is noticed after 6 hours, the missed dose should be skipped, and the next dose should be taken at the usual time. A double dose should not be taken to make up for the missed dose.
Antiretroviral medicines can make you feel better, but even if you feel better, do not stop taking Darunavir Synoptis with ritonavir without consulting your doctor. If you have any further doubts about taking this medicine, you should consult your 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 prescribe tests for these changes. Like all medicines, Darunavir Synoptis can cause side effects, although not everybody gets them.
Liver problems have been reported, which in rare cases were severe. The doctor will prescribe blood tests before starting Darunavir Synoptis. If the patient has chronic viral hepatitis B or C, the doctor should prescribe blood tests more frequently, as there is an increased risk of liver problems. The doctor should be consulted about the symptoms of liver function disorders. These may include: yellowing of the skin or eyes, dark urine (the color of tea), pale stools (feces), 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. The skin rash can also be a symptom of a rare, severe condition. Therefore, if this symptom occurs, the doctor should be consulted. The doctor will prescribe the appropriate treatment for the symptoms or decide to stop taking Darunavir Synoptis. Other serious side effects were: diabetes (often) and pancreatitis (not very often). The following side effects have been reported:
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 in the same group as Darunavir Synoptis include:
If you experience any side effects, including any side effects not listed in this leaflet, you should tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocides of the Office for Registration of Medicinal Products, Medical Devices, and Biocides, 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, you can help provide more information on the safety of this 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 pharmacist should be asked how to dispose of medicines that are no longer needed. This will help protect the environment.
Each Darunavir Synoptis 150 mg coated tablet contains 150 mg of darunavir (in the form of darunavir with propylene glycol). Each Darunavir Synoptis 300 mg coated tablet contains 300 mg of darunavir (in the form of darunavir with propylene glycol). Each Darunavir Synoptis 600 mg coated tablet contains 600 mg of darunavir (in the form of darunavir with propylene glycol).
Darunavir Synoptis 150 mg coated tablets
Darunavir Synoptis 300 mg coated tablets
Darunavir Synoptis 600 mg coated tablets
Darunavir Synoptis 75 mg coated tablets White, capsule-shaped tablets with the imprint "75" on one side, with dimensions: length 9.4 ± 0.2 mm, width 4.5 ± 0.2 mm, and thickness 3.4 ± 0.3 mm. Darunavir Synoptis 150 mg coated tablets White, oval tablets with the imprint "150" on one side, with dimensions: length 13.8 ± 0.2 mm, width 7.0 ± 0.2 mm, and thickness 3.6 ± 0.3 mm. Darunavir Synoptis 300 mg coated tablets Orange, oval tablets with the imprint "300" on one side, with dimensions: length 16.1 ± 0.2 mm, width 8.1 ± 0.2 mm, and thickness 5.2 ± 0.3 mm. Darunavir Synoptis 600 mg coated tablets Orange, oval tablets with the imprint "600" on one side, with dimensions: length 20.2 ± 0.2 mm, width 10.2 ± 0.2 mm, and thickness 6.8 ± 0.4 mm. Carton box containing a HDPE bottle with a PP cap, with a child-resistant closure and a seal. Pack sizes: Darunavir Synoptis 75 mg coated tablets One bottle containing 480 tablets Darunavir Synoptis 150 mg coated tablets One bottle containing 240 tablets Darunavir Synoptis 300 mg coated tablets One bottle containing 120 tablets Darunavir Synoptis 600 mg 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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