Viramune Suspension

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Viramune Suspension


Generic Name: Nevirapine Oral Suspension (neh-VYE-ra-peen)
Brand Name: Viramune

Life-threatening, sometimes fatal, liver problems and skin reactions have occurred in patients taking Viramune Suspension. Patients with higher CD4 counts and women (including pregnant women) and are at higher risk. Stop using Viramune Suspension and contact your health care provider at once if signs of liver problems (tiredness; general body discomfort; loss of appetite; nausea; yellowing of the skin or eyes; pale stools; liver tenderness) or skin reactions (severe rash with or without fever; general body discomfort; tiredness; muscle or joint aches; blisters; mouth sores; swelling or redness of the eye; swelling of the face) occur. The risk of both skin and liver side effects is highest during the first 18 weeks of therapy, but these side effects can happen at any time. It is important to be frequently monitored by your doctor for the entire time that you are taking Viramune Suspension.


Viramune Suspension is used for:

Treating HIV infection. Viramune Suspension is not a cure for HIV. It must be used in combination with other proven HIV medicines. If Viramune Suspension is taken alone to treat HIV infection, it may stop working. Contact your doctor for more information. It may also be used to treat other conditions as determined by your doctor.

Viramune Suspension is a non-nucleoside reverse transcriptase inhibitor. It works by blocking the growth of HIV.

Do NOT use Viramune Suspension if:

  • you are allergic to any ingredient in Viramune Suspension
  • you have hepatitis or abnormal liver function test results
  • you are taking St. John"s wort or ketoconazole

Contact your doctor or health care provider right away if any of these apply to you.

Before using Viramune Suspension:

Some medical conditions may interact with Viramune Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have joint pain, general body discomfort, fatigue, fever, eye inflammation, fluid retention or swelling of the face, or muscle pain
  • if you have kidney or liver problems, swelling of the abdomen, joint pain, an eye infection, fluid retention in the face, fatigue, a high CD4 count, fever, muscle pain, general body discomfort, mouth sores, or skin sores or rash, or you are on dialysis

Some MEDICINES MAY INTERACT with Viramune Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Rifampin or St. John"s wort because the effectiveness of Viramune Suspension may be decreased
  • Anticoagulants (eg, warfarin), efavirenz, HIV protease inhibitors (eg, indinavir), ketoconazole, oral contraceptives (birth control pills), or narcotic analgesics (eg, morphine) because the effectiveness of these medicines may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Viramune Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Viramune Suspension:

Use Viramune Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Viramune Suspension comes with an additional patient information sheet called a Medication Guide. Read it carefully and reread it each time you get Viramune Suspension refilled.
  • Viramune Suspension may be taken on an empty stomach or with food.
  • Shake gently before taking a dose.
  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
  • If you use a dosing cup, rinse the cup with water and swallow the rinse as well.
  • If your dose is less than 1 teaspoon, use a dosing syringe.
  • Taking Viramune Suspension at the same time(s) each day will help you to remember to take it.
  • Continue to use Viramune Suspension even if you feel well. Do not miss any doses.
  • If you miss a dose of Viramune Suspension, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Viramune Suspension.

Important safety information:

  • Because HIV can quickly become resistant to Viramune Suspension when used alone, Viramune Suspension must be used with at least 1 other HIV medicine. Your doctor may change your treatment plan if Viramune Suspension stops working well.
  • Do not exceed the recommended dose of Viramune Suspension without checking with your doctor. Exceeding the recommended dose of Viramune Suspension may not provide additional benefits, and may increase the risk of side effects.
  • Viramune Suspension is not a cure for HIV infection and patients may continue to acquire illnesses/infections associated with HIV. Remain under the care of your health care provider.
  • When your medicine supply begins to run low, get more from your doctor or pharmacist as soon as possible. This virus may develop resistance to Viramune Suspension if you stop taking it, even for a short period of time, or the virus may become harder to treat.
  • Viramune Suspension offers no protection from the transmission of HIV to others through sexual contact or blood contamination. Use barrier forms of contraception (eg, condoms) if you are infected with HIV.
  • Changes in body fat may occur while you are taking Viramune Suspension (eg, increased fat in the upper back and stomach areas, decreased fat in the arms and legs).
  • LAB TESTS, including liver function tests, heart and blood tests, and CD4 counts, may be done to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
  • Caution is advised when using Viramune Suspension in CHILDREN because they may be more sensitive to its effects.
  • Viramune Suspension may decrease the effectiveness of your birth control pills. To prevent pregnancy, use an additional form of birth control (eg, condoms).
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Viramune Suspension during pregnancy. Viramune Suspension is excreted in breast milk. HIV-infected mothers should not breast-feed their infants because of the risk of transmitting the HIV infection or Viramune Suspension to the baby.

Possible side effects of Viramune Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Breast enlargement; diarrhea; excessive fat accumulation in the face and around the neck; headache; shift in body fat to stomach and upper body; skin and facial wasting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blistering or peeling skin; change in the amount of urine; dark urine; fever; loss of appetite; mouth sores; muscle or joint aches or discomfort; nausea; pale or clay-colored stools; redness, irritation, or discharge of the eye; sore throat; stomach pain; swelling (including swelling of the face); unusual fatigue or tiredness; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include dizziness; fatigue; fever; nausea; rash; swelling of the hands and feet; trouble sleeping; unexplained weight loss; vomiting.

Proper storage of Viramune Suspension:

Store Viramune Suspension at room temperature, 77 degrees F (25 degrees C), in a tightly closed container. Store away from heat, light, and moisture. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Keep Viramune Suspension out of the reach of children and away from pets.

General information:

  • If you have any questions about Viramune Suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Viramune Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Viramune Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006
Database Edition 06.4.1.002
Copyright © 2006 Wolters Kluwer Health, Inc.




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