Sofosbuvir 400mg + Velpatasvir 100mg

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Mechanism of Action

Sofosbuvir is a nucleotide analog inhibitor of the HCV NS5B polymerase, an enzyme essential for viral RNA replication.
Velpatasvir is an inhibitor of the HCV NS5A protein, which is necessary for viral replication and assembly.
Together, they block multiple steps of the hepatitis C virus life cycle, resulting in potent antiviral activity across all HCV genotypes.

Drug Formulation

Velpanat is available as a fixed-dose combination tablet containing:

Sofosbuvir 400 mg

Velpatasvir 100 mg

Inactive ingredients include: copovidone, croscarmellose sodium, microcrystalline cellulose, lactose monohydrate, magnesium stearate, and colloidal silicon dioxide.
The film coating typically contains polyvinyl alcohol, titanium dioxide, polyethylene glycol, and talc (may vary by manufacturer).

PharmacoKinetics

Absorption: Both components are well absorbed orally. Peak plasma concentrations occur approximately 0.5–4 hours after dosing. Food does not significantly affect exposure.

Distribution: Sofosbuvir has a moderate volume of distribution; Velpatasvir is highly protein-bound (>99%) and widely distributed.

Metabolism: Sofosbuvir is metabolized in the liver to its active triphosphate form and by hydrolysis. Velpatasvir is primarily metabolized by CYP2B6, CYP2C8, and CYP3A4.

Excretion: Sofosbuvir is mainly excreted in the urine as metabolites. Velpatasvir is excreted primarily in the feces.

Side Effects

The most commonly reported side effects include headache, fatigue, nausea, insomnia, irritability, diarrhea, and occasionally mild anemia or skin reactions.

Contraindications

Use of Sofosbuvir + Velpatasvir is contraindicated in patients with known hypersensitivity to either drug or to any component of the tablet.

Precautions

The medicine should be used with caution in patients with severe hepatic impairment, as dosage adjustments or additional therapy may be required. It should not be used with strong P-gp or CYP inducers because these can significantly lower drug levels and reduce effectiveness. Co-administration with amiodarone may result in serious bradycardia and should be avoided unless absolutely necessary under strict monitoring.

Pregnancy

There is limited information about the use of Sofosbuvir + Velpatasvir during pregnancy, and the drug should be used only when the potential benefits outweigh potential risks. If used together with ribavirin, additional precautions apply due to the known fetal risks associated with ribavirin.

Drug InteractionsStrong CYP inducers such as rifampin, carbamazepine, phenytoin, and St. John’s wort may reduce drug concentrations and should be avoided. Acid-reducing agents like proton pump inhibitors and H2 blockers can reduce Velpatasvir absorption. Co-use with amiodarone may cause severe bradycardia. Certain antiretroviral drugs may interact as well, and all concurrent medications should be reviewed with a physician.
Dosage

The recommended dosage is one tablet daily containing Sofosbuvir 400 mg and Velpatasvir 100 mg, taken with or without food. Treatment duration is usually 12 weeks and depends on genotype and the presence or absence of cirrhosis. Patients should follow the exact dosage and regimen prescribed by their physician.

StorageStore at 20-25°C (68-77°F); excursions permitted to 15-30°C (59-86°F).
OverdoseThere is no specific antidote for overdose with Sofosbuvir + Velpatasvir. Management should be supportive, based on the symptoms observed, with appropriate clinical monitoring.

Above mentioned information is for reference only and does not serve as medical advice. Please consult your physician and/or refer to original sources before treatment.

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Sofosbuvir 400mg + Velpatasvir 100mg

Sofosbuvir 400mg + Velpatasvir 100mg

Sofosbuvir + Velpatasvir is a prescription antiviral combination used to treat chronic hepatitis C infection across all major genotypes by reducing viral replication and lowering viral load, ultimately helping the liver recover.

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