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Denumire
Twinvir ? - medicament antiviral combinat.

Compozitie
Un comprimat Twinvir ? con?ine Ledipasvir - 90 mg ?i Sofosbuvir - 400 mg.

Indica?ii pentru utilizare
Combina?ia de Ledipasvir ?i Sofosbuvir este indicata pentru tratamentul hepatitei C de genotip 1, 4, 5 ?i 6 la adul?i.

Continutul ambalajului
28 comprimate filmate.

Doze si mod de administrare
Doza recomandata: se administreaza oral cate o tableta (Ledipasvir 90 mg ?i Sofosbuvir 400 mg) o data pe zi. Durata recomandata a tratamentului pentru pacien?ii fara experien?a de raspuns negativ la tratament: 12 saptamani. Cu experien?a de raspuns negativ la terapie (fara ciroza): 24 saptamani. Cu experien?a de raspuns negativ la terapie (cu ciroza hepatica): 24 saptamani.

Interactiunea cu alte medicamente
Utilizarea medicamentului impreuna cu amidarona poate provoca bradicardie. Inductorii P-gp (rifampicina, rifabutina, sunatoare, carbamazepina, fenobarbital ?i fenitoina) reduc concentra?ia de Ledipasvir ?i Sofosbuvir in sange, scazand astfel eficienta tratamentului.

Utilizarea in timpul sarcinii ?i alaptarii
Nu sunt disponibile date privind efectul medicamentului asupra dezvoltarii fetului ?i alaptarii. In timpul sarcinii ?i alaptarii, medicamentul poate fi prescris doar de catre medicul curant.

Utilizare in pediatrie
Siguran?a ?i eficacitatea a combina?iei de Ledipasvir ?i Sofosbuvir la pacien?ii cu varsta sub 18 ani nu au fost studiate.

Descrierea medicamentului
Twinvir ? este disponibil sub forma de tablete pentru administrare orala. Compozi?ia include doua componente active: Ledipasvir, care este un inhibitor al proteinei virale ?i, de asemenea, Sofosbuvir, un inhibitor al ARN polimerazei.

Atentionari si precautii
Bradicardia poate sa apara la pacien?ii trata?i cu amiodarona, mai ales la cei care administreaza amiodarona concomitent cu alte medicamente care incetinesc ritmul cardiac. Nu se recomanda administrarea concomitenta a amiodaronei ?i combina?ia Ledipasvir si Sofosbuvir. Monitorizarea cardiaca este recomandata pacien?ilor fara op?iuni terapeutice alternative. Pacientilor cu insuficien?a renala severa sau insuficien?a renala in stadiu terminal, doza se calculeaza de catre medicul curant. Utilizarea Twinvir ? cu alte medicamente care con?in Sofosbuvir nu este recomandata.

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