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Drug interactions

Elvitegravir / cobicistat / emtricitabine / tenofovir df + Emtricitabine

Severity: Contraindicated

Elvitegravir / cobicistat / emtricitabine / tenofovir df and Emtricitabine: contraindicated interaction.

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For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

The combination product already contains emtricitabine, so a separate emtricitabine dose is a straightforward duplication. It offers no benefit and exposes the patient to an excess dose.

What this interaction means in plain words

Elvitegravir / cobicistat / emtricitabine / tenofovir df and Emtricitabine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Evidence level: High

Why it happens

Therapeutic duplication of the same active ingredient, leading to excess exposure.

What to do

Do not co-administer; the fixed-dose tablet already supplies emtricitabine. Remove the separate emtricitabine product from the regimen.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Elvitegravir / cobicistat / emtricitabine / tenofovir df with Emtricitabine?

MediHelp rates the interaction as contraindicated. Elvitegravir / cobicistat / emtricitabine / tenofovir df and Emtricitabine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. The combination product already contains emtricitabine, so a separate emtricitabine dose is a straightforward duplication. It offers no benefit and exposes the patient to an excess dose.

How serious is the interaction between Elvitegravir / cobicistat / emtricitabine / tenofovir df and Emtricitabine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not co-administer; the fixed-dose tablet already supplies emtricitabine. Remove the separate emtricitabine product from the regimen.

What other medicines interact with Emtricitabine?

MediHelp also lists interactions of Emtricitabine with, for example, Atidarsagene autotemcel, Betibeglogene autotemcel, Elivaldogene autotemcel. The full list is on the Emtricitabine page.

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