Ledipasvir, Sofosbuvir
Brand and Other Names:
Harvoni
Mechanism of Action:
HARVONI is a fixed-dose combination of ledipasvir and sofosbuvir which are directacting antiviral agents against the hepatitis C virus.
Indications:
HARVONI is a fixed-dose combination of ledipasvir, a hepatitis C virus (HCV) NS5A inhibitor, and sofosbuvir, an HCV nucleotide analog
NS5B polymerase inhibitor, and is indicated for the treatment of chronic hepatitis C virus (HCV) genotype 1, 4, 5 or 6 infection.
Route:
Oral
Dose:
• Recommended dosage: One tablet (90 mg of ledipasvir and 400 mg of sofosbuvir) taken orally once daily with or without food
See package insert for complete information.
Adverse Reactions:
The most common adverse reactions (incidence greater than or equal to 10%, all grades) observed with treatment with HARVONI were
fatigue, headache, and asthenia.
Contraindication:
If used in combination with ribavirin, all contraindications to ribavirin also apply to HARVONI combination therapy.
Warnings and Precautions:
• Bradycardia with amiodarone coadministration: Serious symptomatic bradycardia may occur in patients taking amiodarone, particularly in patients also receiving beta-blockers, or those with underlying cardiac comorbidities and/or advanced liver disease. Coadministration of amiodarone with HARVONI is not recommended. In patients without alternative, viable treatment options, cardiac monitoring is recommended.
• Use with other drugs containing sofosbuvir is not recommended.
See package insert for full prescribing information.