- Approval Id
- a3c83bb9e44f7636
- Drug Name
- TIVICAY TABLET 50MG
- Product Name
- TIVICAY TABLET 50MG
- Approval Number
- SIN14579P
- Approval Date
- 2014-07-31
- Registrant
- GLAXOSMITHKLINE PTE LTD
- Licence Holder
- GLAXOSMITHKLINE PTE LTD
- Drug Type
- Therapeutic
- Forensic Classification
- PRESCRIPTION ONLY MEDICINES
- Dosage Form
- TABLET, FILM COATED
- Dosage
- <p><strong>Dosage and Administration</strong></p>
<p>Pharmaceutical form:</p>
<p>Film-coated tablets.</p>
<p><strong>Posology</strong></p>
<p><em>TIVICAY</em> therapy should be initiated by a physician experienced in the management of HIV infection.</p>
<p><em>TIVICAY</em> is available as film-coated tablets for patients aged at least 6 years and weighing at least 20 kg. <em>TIVICAY</em> is also available as dispersible tablets for patients aged at least 4 weeks and weighing at least 3 kg, or for patients in whom film-coated tablets are not appropriate. The bioavailability of film-coated tablets and dispersible tablets is not comparable therefore they must not be used as direct replacements (see <em>Pharmacokinetics</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>). For example, the recommended adult dose for film-coated tablets is 50 mg versus 30 mg for dispersible tablets. Patients changing between film-coated and dispersible tablets should follow the dosing recommendations that are specific for the formulation.</p>
<p><em>TIVICAY</em> can be taken with or without food.</p>
<p><strong>Method of Administration</strong></p>
<p><strong>Adults</strong></p>
<p><strong>Patients infected with HIV-1 without documented or clinically suspected resistance to the integrase class</strong></p>
<p>The recommended dose of <em>TIVICAY</em> is 50 mg once daily.</p>
<p><em>TIVICAY</em> should be administered twice daily in this population when co-administered with some medicines (e.g. efavirenz, nevirapine, tipranavir/ritonavir, or rifampicin) (see <em>Interactions</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><strong>Patients infected with HIV-1 with resistance to the integrase class (documented or clinically suspected)</strong></p>
<p>The recommended dose of <em>TIVICAY</em> is 50 mg twice daily. The decision to use <em>TIVICAY</em> for such patients should be informed by the integrase resistance pattern (see <em>Clinical Studies</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>Co-administration of <em>TIVICAY</em> with some medicines should be avoided in this population (e.g. efavirenz, nevirapine, tipranavir/ritonavir, or rifampicin) (see <em>Warnings and Precautions</em> and <em>Interactions</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><strong>Adolescents and Children aged at least 6 years and weighing at least 20 kg</strong></p>
<p>In patients who have not previously been treated with an integrase inhibitor (6 to less than 18 years of age and weighing greater than or equal to 20 kg), the recommended dose of <em>TIVICAY</em> is 50 mg once daily.</p>
<p><em>TIVICAY</em> should be administered twice daily in this population when co-administered with some medicines (e.g. efavirenz, nevirapine, tipranavir/ritonavir, or rifampicin) (see <em>Interactions</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>There are insufficient data to recommend a dose for <em>TIVICAY</em> in integrase inhibitor resistant children and adolescents under 18 years of age.</p>
<p>To reduce the risk of choking, do not swallow more than one tablet at a time, and where possible, children weighing 14 to less than 20 kg should preferentially take the dispersible tablet formulation.</p>
<p><em>TIVICAY</em> 50mg Film-Coated Tablet is not recommended for use in children below age 6 or weighing less than 20kg.</p>
<p><strong>Elderly</strong></p>
<p>There are limited data available on the use of <em>TIVICAY</em> in patients aged 65 years and over. However, there is no evidence that elderly patients require a different dose than younger adult patients (see <em>Pharmacokinetics – Special Patient Populations</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><strong>Renal impairment</strong></p>
<p>No dosage adjustment is required in patients with mild, moderate or severe (creatinine clearance (CrCl) <30 mL/min, not on dialysis) renal impairment. Limited data are available in subjects receiving dialysis, although differences in pharmacokinetics are not expected in this population (see <em>Pharmacokinetics – Special Patient Populations</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><strong>Hepatic impairment</strong></p>
<p>No dosage adjustment is required in patients with mild or moderate hepatic impairment (Child-Pugh grade A or B). No data are available in patients with severe hepatic impairment (Child-Pugh grade C) (see <em>Pharmacokinetics – Special Patient Populations</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><strong>Indications</strong></p>
<p><em>TIVICAY</em> film-coated tablets is indicated in combination with other antiretroviral agents for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults and children aged 6 years and older and weighing at least 20 kg (see <em>Warnings and Precautions – Dual regimens</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p>The following should be considered prior to initiating treatment with <em>TIVICAY</em>:</p>
<ul>
<li>Poor virologic response was observed in subjects treated with <em>TIVICAY</em> 50 mg twice daily with an integrase strand transfer inhibitor (INI)-resistance Q148H/K/R substitution plus 2 or more additional INI-resistance substitutions, including, but not limited to L74I, E138A/K/T and G140A/C/S.</li>
</ul>
- Contraindications
- <p><strong>Contraindications</strong></p>
<p><em>TIVICAY</em> must not be administered concurrently with medicinal products with narrow therapeutic windows, that are substrates of organic cation transporter 2 (OCT2), including but not limited to dofetilide, pilsicainide or fampridine (also known as dalfampridine; see <em>Interactions</em> – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><em>TIVICAY</em> is contraindicated in patients with known hypersensitivity to dolutegravir or to any of the excipients.</p>
- Atc Code
- J05AX12
- Atc Item Name
- xj 05 ax 12
- Pharma Manufacturer Name
- GLAXOSMITHKLINE PTE LTD