Drug interactions
Elvitegravir / cobicistat / emtricitabine / tenofovir df + Stavudine
Severity: Contraindicated
Elvitegravir / cobicistat / emtricitabine / tenofovir df and Stavudine: contraindicated interaction.
Last updated
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
This fixed-dose product is a complete HIV regimen and is not intended for use with other antiretrovirals. Adding stavudine duplicates the nucleoside backbone and increases risks of neuropathy, lipoatrophy and lactic acidosis without benefit.
What this interaction means in plain words
Elvitegravir / cobicistat / emtricitabine / tenofovir df and Stavudine 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.
Why it happens
Therapeutic duplication of nucleoside reverse transcriptase inhibitors, with additive mitochondrial toxicity.
What to do
Do not co-administer; stavudine should be stopped if the single-tablet regimen is used.
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?
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Other interactions of Stavudine
- Didanosine + Stavudine Contraindicated
- Hydroxycarbamide + Stavudine Contraindicated
- Stavudine + Zidovudine Contraindicated
- Atidarsagene autotemcel + Stavudine Major
- Betibeglogene autotemcel + Stavudine Major
- Elivaldogene autotemcel + Stavudine Major
Frequently asked questions
Can I take Elvitegravir / cobicistat / emtricitabine / tenofovir df with Stavudine?
MediHelp rates the interaction as contraindicated. Elvitegravir / cobicistat / emtricitabine / tenofovir df and Stavudine 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. This fixed-dose product is a complete HIV regimen and is not intended for use with other antiretrovirals. Adding stavudine duplicates the nucleoside backbone and increases risks of neuropathy, lipoatrophy and lactic acidosis without benefit.
How serious is the interaction between Elvitegravir / cobicistat / emtricitabine / tenofovir df and Stavudine?
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; stavudine should be stopped if the single-tablet regimen is used.
What other medicines interact with Stavudine?
MediHelp also lists interactions of Stavudine with, for example, Didanosine, Hydroxycarbamide, Zidovudine. The full list is on the Stavudine page.
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