Thursday, 22 January 2009

Raltegravir


Pronunciation: ral-TEG-ra-vir
Generic Name: Raltegravir
Brand Name: Isentress


Raltegravir is used for:

Treating certain patients who have HIV infection. It is used along with other HIV medicines.


Raltegravir is an HIV-1 integrase strand transfer inhibitor. It works by blocking HIV-1 integrase, an enzyme needed for the HIV virus to replicate.


Do NOT use Raltegravir if:


  • you are allergic to any ingredient in Raltegravir

Contact your doctor or health care provider right away if any of these apply to you.



Before using Raltegravir:


Some medical conditions may interact with Raltegravir. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substance

  • if you have a history of liver problems or hepatitis B or C infection

  • if you have a history of muscle problems or weakness (eg, myopathy, rhabdomyolysis), mental or mood problems (eg, depression), or suicidal thoughts or attempts

  • if you are on dialysis

Some MEDICINES MAY INTERACT with Raltegravir. Tell your health care provider if you are taking any other medicines, especially any of the following:


  • HMG-CoA reductase inhibitors (eg, simvastatin) because the risk of muscle problems may be increased

  • Darunavir because it may increase the risk of rash

  • Medicines that may harm the liver (eg, acetaminophen, methotrexate, ketoconazole, isoniazid, certain medicines for HIV infection) because the risk of liver side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the liver

  • Phenobarbital, phenytoin, or rifamycins (eg, rifampin) because they may decrease Raltegravir's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Raltegravir may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Raltegravir:


Use Raltegravir as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • An extra patient leaflet is available with Raltegravir. Talk to your pharmacist if you have questions about this information.

  • Take Raltegravir by mouth with or without food.

  • Take Raltegravir on a regular schedule to get the most benefit from it. Taking Raltegravir at the same time each day will help you remember to take it.

  • Continue to take Raltegravir even if you feel well. Do not miss any doses.

  • If you miss a dose of Raltegravir, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Raltegravir.



Important safety information:


  • Raltegravir may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Raltegravir with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

  • Raltegravir may improve immune system function. This may reveal hidden infections in some patients. Tell your doctor right away if you notice symptoms of infection (eg, fever, sore throat, weakness, cough, shortness of breath) after you start Raltegravir.

  • Raltegravir is not a cure for HIV infection. Patients may still get illnesses and infections associated with HIV. Remain under the care of your doctor.

  • Do not change your dose or stop taking Raltegravir or any other medicine for HIV without checking with your doctor.

  • When your medicine supply is low, get more from your doctor or pharmacist as soon as you can. Do not stop taking Raltegravir, even for a short period of time. If you do, the virus may grow resistant to the medicine and become harder to treat.

  • Raltegravir does not stop the spread of HIV to others through blood or sexual contact. Use barrier methods of birth control (eg, condoms) if you have HIV infection. Do not share needles, injection supplies, or items like toothbrushes or razors.

  • Lab tests, including complete blood cell counts and liver function, may be performed while you take Raltegravir. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

  • Raltegravir should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Raltegravir while you are pregnant. It is not known if Raltegravir is found in breast milk. Mothers infected with HIV should not breast-feed. There is a risk of passing the HIV infection or Raltegravir to the baby.


Possible side effects of Raltegravir:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Diarrhea; dizziness; headache; nausea; tiredness; trouble sleeping; weakness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); change in the amount of urine produced; clumsiness; decreased coordination; eye inflammation; fever, chills, or sore throat; general feeling of being unwell; joint aches; mental or mood changes (eg, anxiety, paranoia, depression); mouth sores; muscle aches, pain, tenderness, or weakness; red, swollen, blistered, or peeling skin; severe or persistent dizziness; severe or persistent tiredness or weakness; shortness of breath; suicidal thoughts or actions; symptoms of liver problems (eg, dark urine, loss of appetite, pale stools, severe or persistent nausea or vomiting, stomach pain, yellowing of the skin or eyes); unusual bruising or bleeding.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Raltegravir side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.


Proper storage of Raltegravir:

Store Raltegravir at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Raltegravir out of the reach of children and away from pets.


General information:


  • If you have any questions about Raltegravir, please talk with your doctor, pharmacist, or other health care provider.

  • Raltegravir is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Raltegravir. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Raltegravir resources


  • Raltegravir Side Effects (in more detail)
  • Raltegravir Use in Pregnancy & Breastfeeding
  • Raltegravir Drug Interactions
  • Raltegravir Support Group
  • 5 Reviews for Raltegravir - Add your own review/rating


  • Raltegravir Professional Patient Advice (Wolters Kluwer)

  • raltegravir Advanced Consumer (Micromedex) - Includes Dosage Information

  • Isentress Prescribing Information (FDA)

  • Isentress Monograph (AHFS DI)

  • Isentress Consumer Overview



Compare Raltegravir with other medications


  • HIV Infection

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