Cobicistat
HIV Infections
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
Cytochrome P450 3A Inhibitor
Controlled Drug Substance
No

cobicistat
Summary
Cobicistat is used to enhance the effectiveness of certain HIV medications. It helps maintain higher levels of these drugs in the body, improving their ability to manage the virus.
Cobicistat works by inhibiting liver enzymes, which are proteins that break down medications. This allows higher levels of HIV drugs to stay in the body longer, boosting their effectiveness.
The usual dose of Cobicistat for adults is 150 mg once daily, taken with food to improve absorption. Always follow your doctor's specific instructions for taking this medication.
Common side effects of Cobicistat include nausea, diarrhea, and tiredness. These effects vary among individuals and may not occur in everyone taking the medication.
Cobicistat should not be used in people with severe liver problems, as it can worsen these conditions. It can also interact with other medications, increasing their levels and side effects. Always inform your doctor about all medications you take.
Indications and Purpose
How does Cobicistat work?
Cobicistat works by inhibiting liver enzymes that break down certain HIV medications. This allows higher levels of these drugs to remain in your body, enhancing their effectiveness. Think of it like a traffic controller, slowing down the breakdown process so the medication can work longer. This helps manage HIV more effectively.
Is Cobicistat effective?
Cobicistat is effective as a pharmacokinetic enhancer, which means it boosts the effectiveness of certain HIV medications by slowing their breakdown in the body. This helps maintain higher levels of the medication in your system, improving their effectiveness. Clinical studies support its use in combination with other HIV treatments to manage the virus effectively.
What is Cobicistat?
Cobicistat is a medication used to boost the effectiveness of certain HIV drugs. It belongs to a class called pharmacokinetic enhancers, which help increase the levels of other medications in your body. Cobicistat itself doesn't treat HIV but supports other drugs in managing the virus. It's often used in combination with other HIV treatments.
Directions for Use
For how long do I take Cobicistat?
Cobicistat is usually taken long-term as part of an HIV treatment regimen. It's used to enhance the effectiveness of other medications. The duration of use depends on your health condition and how well you respond to treatment. Always follow your doctor's instructions and discuss any concerns about your treatment plan.
How do I dispose of Cobicistat?
Dispose of Cobicistat by taking it to a drug take-back program or collection site at a pharmacy or hospital. If you can't find a take-back program, you can throw it in the trash at home. First, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and throw it away.
How do I take Cobicistat?
Take Cobicistat once daily with food to enhance absorption. Swallow the tablet whole; do not crush or chew it. If you miss a dose, take it as soon as you remember unless it's close to your next dose. In that case, skip the missed dose and continue your regular schedule. Do not take two doses at once. Follow your doctor's specific instructions for taking Cobicistat.
How long does it take for Cobicistat to start working?
Cobicistat begins working shortly after you take it, enhancing the levels of other HIV medications in your body. However, you may not notice immediate effects. The full benefits depend on the other medications you're taking and your overall health. Regular check-ups with your doctor will help monitor your progress and adjust treatment as needed.
How should I store Cobicistat?
Store Cobicistat at room temperature, away from moisture and light. Keep it in a tightly closed container. Avoid storing it in humid places like bathrooms. If your pills came in packaging that isn't child-resistant, transfer them to a container that children can't easily open. Always store Cobicistat out of children's reach.
What is the usual dose of Cobicistat?
The usual dose of Cobicistat for adults is 150 mg once daily, taken with food. This helps improve the absorption of the medication. Always follow your doctor's specific dosing instructions, as they may adjust your dose based on your health needs. Cobicistat is not typically used in children or the elderly without specific medical advice.
Warnings and Precautions
Can Cobicistat be taken safely while breastfeeding?
Cobicistat is not recommended while breastfeeding. We don't have much information about whether it passes into human breast milk. If you're taking Cobicistat and want to breastfeed, talk with your doctor about safer medication options that would allow you to nurse your baby safely.
Can Cobicistat be taken safely while pregnant?
Cobicistat is not recommended during pregnancy due to limited safety data. It may affect the effectiveness of other medications, which can impact your health and the baby's development. If you're pregnant or planning to become pregnant, talk with your doctor about the safest treatment options for managing your health condition.
Can I take Cobicistat with other prescription drugs?
Cobicistat can interact with several medications, especially those metabolized by the liver. It can increase the levels of certain drugs, leading to more side effects. Medications like certain statins, sedatives, and blood thinners may require dose adjustments. Always inform your doctor about all medications you take to avoid harmful interactions.
Does Cobicistat have adverse effects?
Adverse effects are unwanted reactions to a medication. Common adverse effects of Cobicistat include nausea and diarrhea. Serious side effects can include liver problems and kidney issues. If you notice any new or worsening symptoms, contact your doctor immediately. They can help determine if these symptoms are related to Cobicistat and advise on the best course of action.
Does Cobicistat have any safety warnings?
Yes, Cobicistat has important safety warnings. It can affect how other medications work, especially those metabolized by the liver. This can lead to increased side effects or reduced effectiveness of other drugs. Always inform your doctor about all medications you take. Not adhering to these warnings can lead to serious health issues.
Is Cobicistat addictive?
Cobicistat is not addictive or habit-forming. It doesn't cause dependency or withdrawal symptoms when you stop taking it. Cobicistat works by boosting the effectiveness of other medications, not by affecting brain chemistry. You won't experience cravings for this medication or feel compelled to take more than prescribed.
Is Cobicistat safe for the elderly?
Elderly individuals may be more vulnerable to the side effects of Cobicistat, such as liver and kidney issues. It's important for older adults to be closely monitored by their healthcare provider while taking this medication. Regular check-ups can help manage any potential risks and ensure the treatment remains safe and effective.
Is it safe to drink alcohol while taking Cobicistat?
It's best to avoid alcohol while taking Cobicistat. Alcohol can affect liver function, which is important for processing Cobicistat. This may increase the risk of side effects. If you choose to drink occasionally, limit your alcohol intake and discuss it with your doctor to get personalized advice based on your health situation.
Is it safe to exercise while taking Cobicistat?
You can exercise while taking Cobicistat, but be mindful of your body's response. This medication can cause tiredness, which might affect your exercise capacity. To exercise safely, stay hydrated and watch for signs of fatigue. If you notice unusual symptoms, slow down or stop exercising and rest. Consult your doctor if you have concerns.
Is it safe to stop Cobicistat?
Stopping Cobicistat suddenly can affect the effectiveness of other medications it boosts. Always talk with your doctor before stopping Cobicistat. They might suggest gradually reducing your dose or switching to a different medication to keep your condition under control. Your doctor will help you make any medication changes safely to protect your health.
What are the most common side effects of Cobicistat?
Side effects are unwanted reactions to a medication. Common side effects of Cobicistat include nausea, diarrhea, and tiredness. These effects vary from person to person. If you notice new symptoms after starting Cobicistat, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.
Who should avoid taking Cobicistat?
Cobicistat should not be used if you have severe liver problems, which can worsen with this medication. It's also contraindicated with certain medications that rely on liver enzymes for breakdown, as Cobicistat can increase their levels, leading to serious side effects. Always consult your doctor about any medications you're taking to avoid harmful interactions.