Background pattern
Darunavir Sinoptis

Darunavir Sinoptis

About the medicine

How to use Darunavir Sinoptis

Leaflet attached to the packaging: information for the user

Darunavir Synoptis, 75 mg, coated tablets

Darunavir Synoptis, 150 mg, coated tablets

Darunavir Synoptis, 300 mg, coated tablets

Darunavir Synoptis, 600 mg, coated tablets

Darunavir

You should carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.

  • You should keep this leaflet, so that you can read it again if you need to.
  • In case of any doubts, you should consult a doctor, pharmacist, or nurse.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if the symptoms of their illness are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor, pharmacist, or nurse. See section 4.

Table of contents of the leaflet

  • 1. What is Darunavir Synoptis and what is it used for
  • 2. Important information before taking Darunavir Synoptis
  • 3. How to take Darunavir Synoptis
  • 4. Possible side effects
  • 5. How to store Darunavir Synoptis
  • 6. Contents of the packaging and other information

1. What is Darunavir Synoptis and what is it used for

What is Darunavir Synoptis?

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.

What is it used for?

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.

2. Important information before taking Darunavir Synoptis

When not to take Darunavir Synoptis

  • if the patient is allergic to darunavir or any of the other ingredients of this medicine (listed in section 6) or ritonavir,
  • if the patient has severe liver function disorders. In case of doubts about liver disorders and their nature, it is necessary to consult a doctor. It may be necessary to perform some additional tests.

Do not take Darunavir Synoptis with the following medicines

In case of taking any of the medicines listed below, you should consult a doctor about changing the treatment method.

Medicine nameMedicine use
Awanafiltreatment of erectile dysfunction
Astemizole or terfenadinetreatment of allergic symptoms
Triazolam and oral midazolamsedative and/or anxiolytic effects
Cisapridetreatment of certain stomach disorders
Colchicine (in renal and/or hepatic impairment)treatment of gout or familial Mediterranean fever
Lurasidone, pimozide, quetiapine, or sertindoletreatment of mental disorders
Ergot alkaloids such as ergotamine, dihydroergotamine, ergometrine, and methylergonovinetreatment of migraine headaches
Amiodarone, bepridil, dronedarone, ivabradine, quinidine, ranolazinetreatment of certain heart diseases, such as arrhythmias
Lovastatin, simvastatin, and lomitapidetreatment aimed at lowering blood cholesterol levels
Rifampicintreatment of certain types of infections, such as tuberculosis
Combination lopinavir/ritonaviranti-HIV medicine belonging to the same group as Darunavir Synoptis
Elbasvir/grazoprevirtreatment of hepatitis C virus infection
Alfuzosintreatment of prostate enlargement
Sildenafiltreatment of high blood pressure in pulmonary circulation
Dabigatran, ticagrelorprevention of platelet aggregation in patients after a previous heart attack
Naloxegoltreatment of opioid-induced constipation
Dapoxetinetreatment of premature ejaculation
Domperidonetreatment of nausea and vomiting

During therapy with Darunavir Synoptis, you must not take products containing St. John's Wort (Hypericum perforatum).

Warnings and precautions

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.

When to inform your doctor about your health status BEFORE and DURING treatment

After reading the following points, the patient should inform their doctor if any of them apply to them.

  • The doctor should be informed if the patient has had liver disease in the past, including hepatitis B or C virus infection. The doctor will assess how severe the disease was before deciding whether it is possible to take Darunavir Synoptis.
  • The doctor should be informed if the patient has diabetes. Darunavir Synoptis may increase blood sugar levels.
  • The doctor should be informed immediately if the patient notices signs of infection (e.g., swollen lymph nodes, fever). In some patients with advanced HIV infection and a history of opportunistic infections, subjective and objective symptoms of inflammation related to previous infections may appear immediately after starting antiretroviral therapy. It is believed that the appearance of such symptoms is related to the strengthening of the body's immune response, which allows the body to fight existing asymptomatic infections.
  • In addition to opportunistic infections, autoimmune diseases (diseases that occur when the immune system attacks healthy tissues) may also occur after starting antiretroviral therapy. Autoimmune diseases can occur many months after starting treatment. If symptoms of infection or other symptoms such as muscle weakness, weakness starting from the hands and feet and progressing towards the torso, palpitations, tremors, or hyperactivity occur, you should contact your doctor as soon as possible to start the necessary treatment.
  • The doctor should be informed if the patient has hemophilia. Darunavir Synoptis may increase the risk of bleeding.
  • The doctor should be informed about an allergy to sulfonamides (used, for example, in the treatment of certain infections).
  • The doctor should be informed about musculoskeletal disorders. In some patients taking combined antiretroviral therapy, a bone disease called osteonecrosis (bone death due to insufficient blood supply to the bone tissue) may develop. Risk factors for the development of the disease include: long-term use of combined antiretroviral therapy, use of corticosteroids, alcohol consumption, state of deep immunosuppression, increased body mass index, and others. Symptoms of osteonecrosis include: pain and stiffness of the joints (especially hips, knees, or shoulders) and difficulty moving. The doctor should be informed if any of these symptoms occur.

Elderly people

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.

Children

Darunavir Synoptis should not be used in children under 3 years of age or weighing less than 15 kg.

Darunavir Synoptis and other medicines

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:

  • phenobarbital, phenytoin(antiepileptic drugs);
  • dexamethasone(corticosteroid);
  • efavirenz(HIV-1 infection);
  • boceprevir(hepatitis C virus infection);
  • rifapentine, rifabutin(antituberculosis drugs);
  • saquinavir(HIV-1 infection).

Taking Darunavir Synoptis may affect the effectiveness of other medicines. The doctor should be informed about the use of:

  • amlodipine, diltiazem, disopyramide, carvedilol, felodipine, flecainide, lidocaine, metoprolol, mexiletine, nifedipine, nicardipine, propafenone, timolol, verapamil(heart medicines), due to the possibility of increased therapeutic effect and side effects of these medicines;
  • apixaban, edoxaban, rivaroxaban, warfarin(anticoagulant), due to the possibility of increased therapeutic effect and side effects of these medicines; blood tests may be necessary;
  • hormonal contraceptives and hormone replacement therapy containing estrogens; Darunavir Synoptis may reduce their effectiveness; to avoid pregnancy, it is recommended to use other, non-hormonal methods of birth control;
  • ethinyl estradiol with drospirenone. Darunavir Synoptis may increase the risk of hyperkalemia associated with drospirenone;
  • atorvastatin, pravastatin, rosuvastatin(cholesterol-lowering medicines). There is an increased risk of muscle damage. The doctor will assess which cholesterol-lowering medicine is suitable for the patient in this situation;
  • clarithromycin(antibiotic);
  • cyclosporine, everolimus, tacrolimus, sirolimus(immunosuppressive medicines), due to the possibility of increased therapeutic effect and side effects of these medicines - the doctor may prescribe additional tests;
  • corticosteroids, including betamethasone, budesonide, fluticasone, mometasone, prednisone, triamcinolone. These medicines are used to treat allergies, asthma, inflammatory bowel disease, eye inflammation, joint and muscle inflammation, and other inflammatory conditions. If there are no alternative medicines, their use is possible only after the doctor's assessment and under the doctor's close monitoring of corticosteroid side effects;
  • buprenorphine/naloxone(medicines used to treat opioid addiction);
  • salmeterol(medicine used to treat asthma);
  • artemether/lumefantrine(combined medicine used to treat malaria);
  • dasatinib, everolimus, irinotecan, nilotinib, vinblastine, vincristine(medicines used to treat cancer);
  • sildenafil, tadalafil, vardenafil(medicines used to treat erectile dysfunction or pulmonary arterial hypertension);
  • glecaprevir/pibrentasvir, simeprevir(used to treat hepatitis C virus infection);

Fentanyl, oxycodone, tramadol (painkillers);

  • fezoterodine, solifenacin (used to treat urological disorders).

This is not a complete list of medicines. The doctor should be informed about all medicines the patient is taking.

Darunavir Synoptis with food and drink

See section 3 "How to take Darunavir Synoptis".

Pregnancy and breastfeeding

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.

Driving and using machines

Do not drive or operate machines if taking Darunavir Synoptis causes dizziness.

Darunavir Synoptis contains lactose

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.

Darunavir Synoptis, 75 mg, coated tablets contain propylene glycol (E1520).

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.

Darunavir Synoptis, 150 mg, coated tablets contain propylene glycol (E1520).

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.

Darunavir Synoptis, 300 mg, coated tablets contain propylene glycol (E1520).

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.

Darunavir Synoptis, 600 mg, coated tablets contain propylene glycol (E1520).

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.

3. How to take Darunavir Synoptis

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.

Dosing in children over 3 years of age, weighing at least 15 kg, who have not previously taken antiretroviral medicines (determined by 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 weightSingle dose of darunavirSingle dose of ritonavir
from 15 to 30 kilograms600 milligrams100 milligrams
from 30 to 40 kilograms675 milligrams100 milligrams
over 40 kilograms800 milligrams100 milligrams

Dosing in children over 3 years of age, weighing at least 15 kg, who have previously taken antiretroviral medicines (determined by the doctor)

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 child must always take Darunavir Synoptis with ritonavir. Darunavir Synoptis does not work properly without ritonavir.
  • The child must take the appropriate dose of Darunavir Synoptis and ritonavir twice a day or once a day. If Darunavir Synoptis is taken twice a day, 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 child must take Darunavir Synoptis with food. Darunavir Synoptis does not work properly when taken without food. The type of food is not important.
  • The child should swallow the tablets with water or milk.

Dosing in adults who have not previously taken antiretroviral medicines (determined by the doctor)

The patient requires a different dose of Darunavir Synoptis, which cannot be administered using these tablets. Other strengths of Darunavir Synoptis are available.

Dosing in adults who have previously taken antiretroviral medicines (determined by the doctor)

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.

  • The doctor should be consulted to determine which dose is suitable for the patient.

Recommendations for adults:

  • Take Darunavir Synoptis always with ritonavir. Darunavir Synoptis does not work properly without ritonavir.
  • Take 600 mg of darunavir in the morning with 100 mg of ritonavir.
  • Take 600 mg of darunavir in the evening with 100 mg of ritonavir.
  • Take Darunavir Synoptis with food. Darunavir Synoptis does not work properly when taken without food. The type of food is not important.
  • Swallow the tablets with water or milk.
  • Darunavir tablets of different strengths are intended for use in children, but in some cases, they may also be used in adults. An oral suspension is also available.

Opening the child-resistant cap

Hand opening the child-resistant cap on the bottle, arrows indicating the direction of rotation 1 and 2

The plastic bottle is equipped with a child-resistant cap. It should be opened as follows:

  • press the plastic cap and turn it counterclockwise;
  • remove the opened cap.

Taking a higher dose of Darunavir Synoptis than recommended

The doctor, pharmacist, or nurse should be contacted immediately.

Missing a dose of Darunavir Synoptis

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.

Do not stop taking Darunavir Synoptis without consulting your doctor

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.

4. Possible side effects

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.

If you experience any of the following side effects, you should consult your doctor.

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)

  • diarrhea.

Common side effects(may affect up to 1 in 10 people)

  • vomiting, nausea, abdominal pain or bloating, indigestion, bloating;
  • headache, fatigue, dizziness, drowsiness, numbness, tingling, or pain in the hands or feet, weakness, insomnia.

Uncommon side effects(may affect up to 1 in 100 people)

  • chest pain, changes in the ECG, rapid heart rate;
  • disorders or weakening of skin sensation, numbness, concentration disorders, memory loss, balance disorders;
  • breathing difficulties, cough, nosebleeds, throat irritation;
  • stomach or mouth inflammation, heartburn, vomiting, dry mouth, unpleasant abdominal sensations, constipation, belching;
  • kidney failure, kidney stones, difficulty urinating, too frequent or too abundant urination, sometimes at night;
  • hives, severe skin and tissue swelling (most often around the lips or eyes), rash, excessive sweating, night sweats, hair loss, acne, scaly skin, nail discoloration;
  • muscle pain, muscle cramps or weakness, limb pain, osteoporosis;
  • slowed thyroid function, which can be detected by blood tests;
  • high blood pressure, sudden flushing of the face;
  • redness or dryness of the eyes;
  • fever, swelling of the lower limbs due to fluid retention, feeling unwell, pain;
  • infection symptoms, herpes;
  • erectile dysfunction, breast enlargement in men;
  • sleep disorders, drowsiness, depression, anxiety, strange dreams, decreased libido.

Rare side effects(may affect up to 1 in 1,000 people)

  • DRESS syndrome [severe rash, which may be accompanied by fever, fatigue, facial or lymph node swelling, increased eosinophil count (a type of white blood cell), liver, kidney, or lung symptoms];
  • heart attack, slow heart rate, palpitations;
  • vision disorders;
  • chills, malaise;
  • feeling disoriented or lost, mood changes, restlessness;
  • fainting, seizures, changes or loss of taste;
  • mouth pain, bloody vomiting, mouth inflammation, dry mouth, unpleasant oral sensations;
  • runny nose;
  • skin diseases, dry skin;
  • muscle stiffness or joint pain, joint pain with or without inflammation;
  • blood cell count and biochemical test result disorders. Changes can be observed in blood or urine test results. The doctor will provide detailed explanations about this. For example, an increase in the number of a certain type of white blood cell.

Side effects typical of HIV medicines in the same group as Darunavir Synoptis include:

  • muscle pain, pain, or weakness. In rare cases, these disorders can be severe.

Reporting side effects

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.

5. How to store Darunavir Synoptis

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.

6. Contents of the packaging and other information

What does Darunavir Synoptis contain?

  • The active substance of the medicine is darunavir. Each Darunavir Synoptis 75 mg coated tablet contains 75 mg of darunavir (in the form of darunavir with propylene glycol).

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).

  • Other ingredients are: Darunavir Synoptis 75 mg coated tablets
  • microcelac 100 consisting of: lactose monohydrate, microcrystalline cellulose
  • povidone K30
  • crospovidone
  • silica colloidal anhydrous
  • magnesium stearate Coating (White): polyvinyl alcohol, titanium dioxide (E 171), macrogol 3350, talc

Darunavir Synoptis 150 mg coated tablets

  • microcelac 100 consisting of: lactose monohydrate, microcrystalline cellulose
  • povidone K30
  • crospovidone
  • silica colloidal anhydrous
  • magnesium stearate Coating (White): polyvinyl alcohol, titanium dioxide (E 171), macrogol 3350, talc

Darunavir Synoptis 300 mg coated tablets

  • microcelac 100 consisting of: lactose monohydrate, microcrystalline cellulose
  • povidone K30
  • crospovidone
  • silica colloidal anhydrous
  • magnesium stearate Coating (Orange-1): polyvinyl alcohol, titanium dioxide (E 171), macrogol 3350, talc, orange yellow S (E 110)

Darunavir Synoptis 600 mg coated tablets

  • microcelac 100 consisting of: lactose monohydrate, microcrystalline cellulose
  • povidone K30
  • crospovidone
  • silica colloidal anhydrous
  • magnesium stearate Coating (Orange-1): polyvinyl alcohol, titanium dioxide (E 171), macrogol 3350, talc, orange yellow S (E 110)

What does Darunavir Synoptis look like and what does the pack contain?

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

Marketing authorization holder and manufacturer:

Marketing authorization holder

Synoptis Pharma Sp. z o.o. ul. Krakowiaków 65 02-255 Warsaw

Manufacturer:

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

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

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

Date of last revision of the leaflet: 04/2020

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  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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5.0(4)
Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

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