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MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET

MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET

Ask a doctor about a prescription for MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET

Introduction

Package Leaflet: Information for the User

Maviret 50mg/20mg coated granules in a sachet

glecaprevir/pibrentasvir

Read the entire package leaflet carefully before your child starts taking this medicine, as it contains important information for your child.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any questions, ask your child's doctor or pharmacist.
  • This medicine has been prescribed to your child only. Do not give it to others, even if they have the same symptoms as your child, as it may harm them.
  • If your child experiences any side effects, consult your child's doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Maviret and what is it used for
  2. What you need to know before your child starts taking Maviret
  3. How to take Maviret
  4. Possible side effects
  5. Storage of Maviret
  6. Package Contents and Additional Information
  7. Instructions for Use

1. What is Maviret and what is it used for

Maviret is an antiviral medicine used to treat children aged 3 years and older with long-term (chronic) hepatitis C. It is an infectious disease that affects the liver, caused by the hepatitis C virus. Maviret contains the active substances glecaprevir and pibrentasvir.

Maviret works by preventing the hepatitis C virus from multiplying and infecting new cells. This eliminates the infection from the body.

2. What you need to know before your child starts taking Maviret

Do not give Maviret if:

  • if your child is allergic to glecaprevir, pibrentasvir, or any of the other ingredients of this medicine (listed in section 6).
  • if your child has severe liver problems other than hepatitis C.
  • if your child is taking the following medicines:
    • atazanavir (for HIV infection)
    • atorvastatin or simvastatin (to lower blood cholesterol)
    • carbamazepine, phenobarbital, phenytoin, primidone (usually used for epilepsy)
    • dabigatran etexilate (to prevent blood clots)
    • medicines containing ethinylestradiol (such as contraceptive medicines, including vaginal rings, transdermal patches, and tablets)
    • rifampicin (for infections)
    • St. John's Wort (Hypericum perforatum), (a herbal medicine used for mild depression).

Do not give Maviret to your child if they are in any of the above situations. If in doubt, consult your child's doctor or pharmacist before administering Maviret.

Warnings and Precautions

Consult your child's doctor if they are in any of the following situations, as the doctor may want to monitor your child more closely:

  • has liver problems other than hepatitis C
  • has or has had a hepatitis B virus infection
  • has diabetes. After starting Maviret, your child may need close monitoring of their blood glucose levels and/or adjustment of their antidiabetic treatment. After starting treatment with medicines like Maviret, some diabetic patients have experienced low blood sugar levels (hypoglycemia).

Blood Tests

Your child's doctor will perform blood tests before, during, and after treatment with Maviret. This will allow the doctor to determine:

  • if your child should take Maviret and for how long
  • if the treatment has worked and your child no longer has the hepatitis C virus.

Children under 3 years

This medicine must not be given to children under 3 years or weighing less than 12 kg. The use of Maviret in children under 3 years or weighing less than 12 kg has not been studied.

Other medicines and Maviret

Tell your child's doctor or pharmacist if your child is taking, has recently taken, or might take any other medicines.

Tell your child's doctor or pharmacistbefore administering Maviret if your child is taking any of the medicines in the following table. The doctor may need to change the dose of these medicines.

Medicines that must be reported to your child's doctor before administering Maviret

Medicine

Purpose of the medicine

ciclosporin, tacrolimus

to reduce the activity of the immune system

darunavir, efavirenz, lopinavir, ritonavir

for HIV infection

digoxin

for heart problems

fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin

to lower blood cholesterol

warfarin and similar medicines*

to prevent blood clots

*Your child's doctor may increase the frequency of blood tests to check the proper functioning of your child's blood clotting process.

If your child is in any of the above situations (or is unsure), consult your child's doctor or pharmacist before administering Maviret.

Maviret contains lactose

If your doctor has told you that your child has an intolerance to certain sugars, consult with them before administering this medicine.

Maviret contains propylene glycol

This medicine contains 4 mg of propylene glycol in each sachet.

Maviret contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per sachet; this is "sodium-free".

3. How to take Maviret

Always follow exactly the administration instructions of this medicine given by your child's doctor or pharmacist. If in doubt, consult your child's doctor or pharmacist. Maviret coated granules are indicated for children from 3 to less than 12 years of age and weighing from 12 kg to less than 45 kg. Maviret tablets are indicated for adults, children 12 years and older, or children weighing 45 kg or more.

Your child's doctor will tell them how long they need to take Maviret.

Amount to be taken

The recommended dose for children from 3 to less than 12 years of age is based on their body weight, as shown in the following table.

Child's weight (kg)

Number of sachets once a day

From 12 to less than 20 kg

3 sachets

From 20 to less than 30 kg

4 sachets

From 30 to less than 45 kg

5 sachets

In the case of children weighing 45 kg or more, consult your child's doctor about the possibility of administering Maviret in tablets.

How to take Maviret

  • Administer Maviret once a day, just before or after taking a snack or main meal.
  • Mix all the granules from the sachet with a small amount of the recommended food and swallow. The granules must not be crushed or chewed (see the instructions for use to consult the list of recommended foods).
  • Do not administer Maviret granules through a feeding tube.

If your child vomits after taking Maviret, the amount of this medicine present in the blood may be affected. In this case, the effectiveness of Maviret may be reduced.

  • If they vomit when less than 3hourshave passed after taking Maviret, administer another dose.
  • If they vomit when more than 3hourshave passed after taking Maviret, it is not necessary to administer another dose until the next scheduled dose.

If your child takes more Maviret than they should

If they accidentally take a higher dose than recommended, consult your child's doctor or go immediately to the nearest hospital. Bring the package of this medicine with you to show the doctor what your child has taken.

If your child misses a dose of Maviret

It is important not to miss doses of this medicine.

If your child does not take a dose, calculate how long it has been since they should have taken Maviret:

  • If you remember less than 18hoursafter the time your child usually takes the dose of Maviret, administer it as soon as possible. Then, administer the next dose at the usual time.
  • If you remember 18hours or moreafter the time your child usually takes the dose of Maviret, wait and administer the next dose at the usual time. Do not administer a double dose (two doses very close together).

If you have any other questions about the use of this medicine, ask your child's doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Tell your child's doctor or pharmacist if you notice any of the following side effects:

Very common:may affect more than 1 in 10 people

  • feeling very tired (fatigue)
  • headache

Common:may affect up to 1 in 10 people

  • feeling sick (nausea)
  • diarrhea
  • feeling weak or lacking energy (asthenia)
  • increase in a laboratory test of liver function (bilirubin)

Uncommon:may affect up to 1 in 100 people

  • swelling of the face, lips, tongue, throat, abdomen, arms, or legs

Frequency not known:cannot be estimated from the available data

  • itching

Reporting of side effects

If your child experiences any side effects, consult your child's doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. You can also report them directly through the national reporting system included in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Maviret

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and sachet after "EXP". The expiry date is the last day of the month stated.

This medicine does not require any special storage conditions.

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.

6. Package Contents and Additional Information

Maviret Composition

  • The active ingredients are glecaprevir and pibrentasvir. Each sachet contains 50 mg of glecaprevir and 20 mg of pibrentasvir.
  • The other excipients are:
  • Copovidone, tocophersolan, propylene glycol monocaprylate, colloidal silicon dioxide, sodium croscarmellose (only in glecaprevir granules), sodium stearyl fumarate, hypromellose (E464), lactose monohydrate, titanium dioxide, macrogol, red iron oxide (E172), yellow iron oxide (E172)

Maviret contains lactose, propylene glycol, and sodium. See section 2.

Appearance of Maviret and Package Contents

Maviret coated granules are supplied in sachets with a polyester/aluminum/polyethylene film, which come in boxes. Each box contains 28 sachets. Each sachet contains pink and yellow granules.

Marketing Authorization Holder

AbbVie Deutschland GmbH & Co. KG

Knollstrasse

67061 Ludwigshafen

Germany

Manufacturer

AbbVie S.r.l.

S.R. 148 Pontina km 52 SNC

04011 Campoverde di Aprilia (LT)

Italy

You can request more information about this medicine by contacting the local representative of the marketing authorization holder:

Belgium/Belgique/Belgien

AbbVie SA

Tel: +32 10 477811

Lithuania

AbbVie UAB

Tel.: +370 5 205 3023

Bulgaria

AbbVie Bulgaria EOOD

Tel.: +359 2 90 30 430

Luxembourg/Luxemburg

AbbVie SA

Belgium/Belgien

Tel: +32 10 477811

Czech Republic

AbbVie s.r.o.

Tel.: +420 233 098 111

Hungary

AbbVie Kft.

Tel.: +36 1 455 8600

Denmark

AbbVie A/S

Tlf: +45 72 30-20-28

Malta

V.J.Salomone Pharma Limited

Tel.: +356 22983201

Germany

AbbVie Deutschland GmbH & Co. KG

Tel.: 00800 222843 33 (free of charge)

Tel.: +49 (0) 611 / 1720-0

Netherlands

AbbVie B.V.

Tel.: +31 (0)88 322 2843

Estonia

AbbVie OÜ

Tel.: +372 623 1011

Norway

AbbVie AS

Tlf: +47 67 81 80 00

Greece

AbbVie ΦΑΡΜΑΚΕΥΤΙΚΗ Α.Ε.

Tel: +30 214 4165 555

Austria

AbbVie GmbH

Tel.: +43 1 20589-0

Spain

AbbVie Spain, S.L.U.

Tel.: +34 91 384 09 10

Poland

AbbVie Polska Sp. z o.o.

Tel.: +48 22 372 78 00

France

AbbVie

Tél: +33 (0)1 45 60 13 00

Portugal

AbbVie, Lda.

Tel.: +351 (0)21 1908400

Croatia

AbbVie d.o.o.

Tel.: +385 (0)1 5625 501

Romania

AbbVie S.R.L.

Tel.: +40 21 529 30 35

Ireland

AbbVie Limited

Tel.: +353 (0)1 4287900

Slovenia

AbbVie Biofarmacevtska družba d.o.o.

Tel.: +386 (1)32 08 060

Iceland

Vistor hf.

Sími: +354 535 7000

Slovakia

AbbVie s.r.o.

Tel.: +421 2 5050 0777

Italy

AbbVie S.r.l.

Tel.: +39 06 928921

Finland

AbbVie Oy

Puh/Tel: +358 (0)10 2411 200

Cyprus

Lifepharma (Z.A.M.) Ltd

Tel: +357 22 34 74 40

Sweden

AbbVie AB

Tel.: +46 (0)8 684 44 600

Latvia

AbbVie SIA

Tel.: +371 67605000

United Kingdom (Northern Ireland)

AbbVie Deutschland GmbH & Co. KG

Tel.: +44 (0)1628 561090

Date of Last Revision of this Leaflet 05/2022

Other Sources of Information

Detailed information on this medicine is available on the European Medicines Agency website: http://www.ema.europa.eu.

To request a copy of this leaflet in large print, contact the local representative of the marketing authorization holder.

  1. Instructions for Use

Read the entire section 7 before using the granules in Maviret sachets.

Step 1. Take the number of sachets recommended by your child's doctor

Child's weight (kg)

Number of sachets once daily

Amount of food (approximate)

From 12 to less than 20 kg

3 sachets

Approximately 1-2 teaspoons (5-10 ml) of one of the recommended foods listed in step 2

From 20 to less than 30 kg

4 sachets

From 30 to less than 45 kg

5 sachets

In the case of children who weigh 45 kg or more, consult your child's doctor about the possibility of administering Maviret in tablets.

Do not administer more than 5 sachets.

Step 2. Choose a suitable food to mix with Maviret granules

Metal spoon with a red, viscous substance inside

If the food is suitable, it should be able to be picked up with the spoon without falling off. It should be soft, have a low water content, and can be swallowed without needing to chew.

Examples of recommended foods:

  • Greek yogurt
  • Soft cheese/cream cheese
  • Peanut butter
  • Chocolate-hazelnut spread
  • Thick jam
  • Other foods that can be picked up with a spoon without falling off

Note: In addition to the food used to mix with the granules, Maviret should be taken at the same time or immediately after a main meal or snack. The food used to mix with the granules does not replace the main meal or snack that should be taken with Maviret.

Syringe with red liquid and a drop hanging, showing a cross over an area below the plunger

Do notuse foods that drip from the spoon, as the medicine may dissolve quickly, have a bitter taste, and be less effective. Do notuse foods that your child is allergic to.

Examples of foods that should notbe used:

? Liquids or watery foods

? Apple sauce

? Foods or liquids that have been heated or frozen

? Bread or other foods that require chewing

? Non-Greek yogurt

? Baby food

? Foods that drip from the spoon

To request more information about suitable foods, consult your child's doctor or pharmacist.

Open box with blister packs of Maviret tablets, bottle with red substance, small plate, scissors, and metal spoon

Step 3. Prepare the necessary materials

On a clean surface, place the following:

  • Sachet box
  • Soft food
  • Mixing bowl
  • Small spoon
  • Scissors

Administration of the medicine in a container with a syringe and needle, a hand pointing to the process

Step 4. Measure the amount of food

  • Place a small amount (1-2 teaspoons or 5-10 ml) of soft food into the bowl.
  • The granules inside the sachets are very small, so placing the food in the bowl first will help to mix them well.

Hand holding a white cartridge with Maviret label and arrow indicating direction of insertion

Step 5. Prepare the sachet

  • Find the dotted line on the sachet to locate the top.
  • Hold the sachet upright and tap the top of the sachet. Continue tapping until all the granules have fallen to the bottom.
  • Check the top of the sachet carefully to make sure all the granules are at the bottom.

Hand holding a transparent vial with liquid and a small scissors near the top

Step 6. Cut the top of the sachet

  • Hold the sachet by the center, pressing above where the granules are inside.
  • Use scissors to cut off the top of the sachet completely.

Be careful: The granules are very small and can fall out easily.

Hand opening a sachet of granules over a glass container with red powder and green arrow indicating direction

Step 7. Empty the sachet

  • Make sure the sachet is completely open.
  • Carefully empty the sachet, allowing all the granules (pink and yellow) to fall into the food bowl.
  • Tap the sachet to make sure all the granules fall out.
  • Repeat the same step with each sachet needed for your child's daily dose.

Hand holding a vaginal applicator with the applicator partially inserted into a white and gray ovule

Step 8. Check the sachet

Look inside each sachet to make sure there are no granules left inside.

Do notleave granules inside the sachet, as the effectiveness of the medicine may be reduced if the full dose is not taken.

Hand pouring red powder into a white container with red liquid, forming a thick mixture

Step 9. Mix

  • Use the small spoon to gently stir and incorporate the granules into the food.
  • Do notcrush the granules. If the granules are crushed, they will have a bitter taste.
  • Do notstore the mixture, administer it to your child immediately.

If not administered within 5 minutes, the mixture may have a bitter taste.

If not administered within 15 minutes, the medicine may be less effective. Discard it and start again.

Child with mouth open receiving liquid medicine from a silver spoon with gray background

Step 10. Administer the medicine

  • Take a small amount of the mixture with the spoon.
  • Make sure your child swallows the mixture without chewing.
  • Repeat until your child has taken the entire mixture.
  • If there are any granules left, add more food and mix. Then, finish the dose.
  • Make sure your child takes the full dose of the medicine.

? If your child misses a dose, consult section 3 "How to take Maviret" for more information.

Calendar with checkmark on open box with Maviret blister packs labeled

Step 11. Confirm the dose for the next day

Check that there are enough sachets for the next dose of Maviret for your child.

To refill the sachets or renew the prescription, contact your child's doctor or pharmacist.

Alternatives to MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET in Ucrania

Dosage form: tabletas, 100 mg/40 mg
Active substance: glecaprevir and pibrentasvir
Prescription required
Dosage form: gránulos, 50 mg/20 mg
Active substance: glecaprevir and pibrentasvir

Online doctors for MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for MAVIRET 50 mg/20 mg GRANULES, COATED, IN SACHET – subject to medical assessment and local rules.

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Doctor

Svetlana Kovalenko

Family medicine14 years of experience

Dr Svetlana Kovalenko is a family medicine doctor with over 14 years of experience and a medical degree from Kharkiv National Medical University. She offers online consultations for adults, supporting patients with both acute and chronic conditions, preventive care, and personalised medical advice.

What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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€55
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Doctor

Tomasz Grzelewski

Dermatology20 years of experience

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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€80
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