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Drugs reference index «Aptivus»

Aptivus

Generic Name: tipranavir (Oral route)

tye-PRAN-a-vir

Oral routeCapsule, Liquid Filled
  • Hepatotoxicity:
    • Clinical hepatitis and hepatic decompensation, including some fatalities, have been reported. Extra vigilance is warranted in patients with chronic hepatitis B or hepatitis C coinfection, as these patients have an increased risk of hepatotoxicity.
  • Intracranial Hemorrhage:
    • Both fatal and nonfatal intracranial hemorrhage have been reported .

Clinical hepatitis and hepatic decompensation, including some fatalities, have been reported. Extra vigilance is warranted in patients with chronic hepatitis B or hepatitis C coinfection. Fatal and nonfatal intracranial hemorrhage have also been reported .

Commonly used brand name(s):

In the U.S.

  • Aptivus

Available Dosage Forms:

  • Solution
  • Capsule, Liquid Filled

Therapeutic Class: Antiviral

Pharmacologic Class: Protease Inhibitor

Uses For Aptivus

Tipranavir is used in combination with ritonavir (e.g., Norvir®) to treat an infection caused by the human immunodeficiency virus (HIV). HIV is the virus that causes acquired immune deficiency syndrome (AIDS). This medicine is usually given to patients who have received HIV treatment in the past .

Tipranavir will not cure or prevent HIV infection or AIDS; however, it helps keep HIV from reproducing and appears to slow down the destruction of the immune system. This may help delay the development of problems usually related to AIDS or HIV disease. Tipranavir will not keep you from spreading HIV to other people. People who receive this medicine may continue to have the problems usually related to AIDS or HIV disease .

This medicine is available only with your doctor's prescription .

Before Using Aptivus

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of tipranavir in children less than 2 years of age. Safety and efficacy have not been established .

Geriatric

Although appropriate studies on the relationship of age to the effects of tipranavir have not been performed in the geriatric population, no geriatric-specific problems have been documented to date. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution in patients receiving tipranavir .

Pregnancy

Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Amiodarone
  • Astemizole
  • Bepridil
  • Cisapride
  • Dihydroergotamine
  • Ergonovine
  • Ergotamine
  • Flecainide
  • Lovastatin
  • Methylergonovine
  • Midazolam
  • Pimozide
  • Propafenone
  • Quinidine
  • Rifampin
  • Sildenafil
  • Simvastatin
  • St John's Wort
  • Terfenadine
  • Triazolam

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Atazanavir
  • Atorvastatin
  • Etravirine
  • Fluticasone
  • Fosamprenavir
  • Garlic
  • Indinavir
  • Lopinavir
  • Nelfinavir
  • Rifabutin
  • Saquinavir

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abacavir
  • Aluminum Carbonate, Basic
  • Aluminum Hydroxide
  • Aluminum Phosphate
  • Bupropion
  • Calcium Carbonate
  • Clarithromycin
  • Conjugated Estrogens
  • Dihydroxyaluminum Aminoacetate
  • Dihydroxyaluminum Sodium Carbonate
  • Enfuvirtide
  • Esterified Estrogens
  • Estradiol
  • Estriol
  • Estrone
  • Estropipate
  • Ethinyl Estradiol
  • Fluconazole
  • Magaldrate
  • Magnesium Carbonate
  • Magnesium Hydroxide
  • Magnesium Oxide
  • Magnesium Trisilicate
  • Methadone
  • Omeprazole
  • Phenobarbital
  • Tadalafil
  • Tenofovir
  • Trazodone
  • Zidovudine

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Bleeding problems (e.g., hemophilia)—Use with caution. Tipranavir may increase the chance of bleeding .
  • Diabetes mellitus or
  • Hyperglycemia (high blood sugar)—This medicine may increase the amount of sugar in your blood .
  • Hyperlipidemia or
  • Liver problems, mild (including hepatitis B or C infection)—Use with caution. Tipranavir may make these conditions worse .
  • Liver disease, moderate or severe—This medicine should not be used in patients with this condition .
  • Sulfa allergy, known or suspected—Use with caution. This medicine is very similar to sulfonamides .

Proper Use of Aptivus

Take this medicine exactly as directed by your doctor. Do not change the dose or stop using this medicine without checking with your doctor first. When your supply of this medicine is running low, contact your doctor or pharmacist ahead of time. Do not allow yourself to run out of this medicine .

Tipranavir is always taken with ritonavir (Norvir®). Take these two medicines at the same time, unless your doctor tells you otherwise .

You may take this medicine with or without food .

Swallow the capsule whole. Do not crush, break, or chew it .

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For treatment of HIV infection:
    • For oral dosage forms (capsules and oral solution):
      • Adults—500 milligrams (mg) two times a day. The dose is taken together with 200 mg of ritonavir (Norvir®) two times a day.
      • Children 2 years of age and older—Dose is based on body weight and must be determined by your doctor. The usual dose is 14 milligrams (mg) per kilogram (kg) of body weight two times a day. The dose is taken together with ritonavir (Norvir®) 6 mg per kg of body weight two times a day.
      • Children below 2 years of age—Use and dose must be determined by your doctor .

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the capsules in the refrigerator until you are ready to open the bottle. Once you have opened the medicine bottle, you may store it at room temperature, away from heat, light, or moisture. The medicine is good for up to 60 days after you open the bottle. After 60 days, throw away any unused capsules and get a new bottle of medicine .

Store the oral solution at room temperature. Do not refrigerate or freeze it. The solution must be used within 60 days after you open the bottle .

Precautions While Using Aptivus

It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly. Blood tests will be needed to check for unwanted effects .

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (e.g., St. John's wort) or vitamin supplements .

You should not use any of the following medicines while you are taking tipranavir:

  • Amiodarone (e.g., Pacenone®).
  • Bepridil (e.g., Vascor®).
  • Cisapride (e.g., Propulsid®).
  • Dihydroergotamine (e.g., Migranal®).
  • Ergonovine (e.g., Ergotrate®).
  • Ergotamine (e.g., Ergomar®).
  • Flecainide (e.g., Tambocor®)
  • Lovastatin (e.g., Mevacor®).
  • Methylergonovine.
  • Midazolam (e.g., Versed®).
  • Pimozide (e.g., Orap®).
  • Propafenone (e.g., Rythmol®).
  • Quinidine (e.g., Quinaglute dura®).
  • Rifampin (e.g., Rifadin®).
  • Simvastatin (e.g., Zocor®).
  • Triazolam (e.g., Halcion®) .

This medicine may decrease the effects of some oral contraceptives (birth control pills). To avoid unwanted pregnancy, use additional contraceptive measures while being treated with tipranavir .

This medicine may cause intracranial hemorrhage (bleeding in the brain). Make sure your doctor knows if you have a bleeding disorder, or any medical condition that increases your chance of bleeding. Tell your doctor immediately if you have any unusual or unexplained bleeding .

Check with your doctor immediately if you experience signs and symptoms of hepatitis, such as pain in the upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, and yellow eyes or skin .

When you start taking HIV medicines, your immune system may get stronger. If you have certain infections that are hidden in your body, such as pneumonia or tuberculosis, you may notice new symptoms when your body tries to fight them. If this occurs, tell your doctor right away .

You should not breastfeed if you have HIV or AIDS, because you may give the infection to your baby through your breast milk .

This medicine will not keep you from giving HIV to your partner during sex. Make sure you understand and practice safe sex, even if your partner also has HIV. Do not share needles with anyone .

Serious skin reactions can occur with this medicine. Check with your doctor right away if you have more than one of the following symptoms while taking this medicine: blistering, peeling, or loosening of the skin; itching; joint or muscle pain; rash; red skin lesions; sore throat; or sores, ulcers, or white spots in the mouth or on the lips .

This medicine may cause you to have excess body fat. Tell your doctor if you notice changes in your body shape, such as an increased amount of fat in the upper back and neck, or around the chest and stomach area; or a loss of fat from the legs, arms, and face .

Aptivus Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common
  • Bleeding gums
  • confusion
  • cough producing mucus
  • coughing up blood
  • difficulty in breathing or swallowing
  • dizziness
  • fever
  • general feeling of tiredness or weakness
  • headache
  • increased menstrual flow or vaginal bleeding
  • loss of appetite
  • nausea and vomiting
  • nosebleeds
  • paralysis
  • prolonged bleeding from cuts
  • red or black, tarry, or light-colored stools
  • red or dark brown urine
  • shortness of breath
  • sudden severe weakness
  • tightness in chest
  • unusual bleeding
  • upper right abdominal pain
  • wheezing
  • yellow eyes and skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common
  • Diarrhea
Less common
  • Abdominal pain
  • cough
  • discouragement
  • fat redistribution
  • feeling sad or empty
  • irritability
  • lack of appetite
  • lack or loss of strength
  • loss of interest or pleasure
  • rash
  • sleeplessness
  • trouble concentrating
  • trouble sleeping
  • unable to sleep

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

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  • Aptivus Prescribing Information (FDA)
  • Aptivus Consumer Overview
  • Aptivus Detailed Consumer Information (PDR)
  • Aptivus MedFacts Consumer Leaflet (Wolters Kluwer)
  • Tipranavir Professional Patient Advice (Wolters Kluwer)

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