Sofosbuvir
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
Hepatitis C Virus Nucleotide Analog NS5B Polymerase Inhibitor
Controlled Drug Substance
No

sofosbuvir
Summary
Sofosbuvir is used to treat hepatitis C, which is a viral infection affecting the liver. It helps reduce the amount of the virus in the body, potentially leading to a cure. Sofosbuvir is often combined with other medications to enhance its effectiveness.
Sofosbuvir works by blocking the hepatitis C virus from multiplying, which means it stops the virus from making more copies of itself. This helps reduce the amount of virus in the body, improving liver health and potentially curing the infection.
The usual dose of Sofosbuvir for adults is 400 mg taken once daily. It can be taken with or without food. It's important to follow your doctor's instructions on how to take it and for how long, usually between 12 to 24 weeks.
Common side effects of Sofosbuvir include fatigue, which means feeling very tired, headache, and nausea, which is a feeling of sickness in the stomach. These effects are usually mild and temporary.
Sofosbuvir should not be used if you are allergic to it or with certain medications that can slow the heart rate. It's important to inform your doctor about all medications you are taking to avoid interactions. It's not recommended during pregnancy or breastfeeding due to limited safety data.
Indications and Purpose
How does Sofosbuvir work?
Sofosbuvir works by inhibiting the replication of the hepatitis C virus. It blocks a specific protein the virus needs to multiply. Think of it like stopping a copy machine from making more copies. By preventing the virus from multiplying, Sofosbuvir helps reduce the amount of virus in your body, leading to improved liver health and potentially curing the infection.
Is Sofosbuvir effective?
Sofosbuvir is effective in treating hepatitis C, a viral infection that affects the liver. It works by blocking the virus from multiplying in your body. Clinical studies show that Sofosbuvir, often used with other medications, can cure hepatitis C in many patients. The effectiveness depends on the specific type of hepatitis C virus and other factors. Your doctor will monitor your progress with blood tests to ensure the treatment is working.
What is Sofosbuvir?
Sofosbuvir is an antiviral medication used to treat hepatitis C, a viral infection that affects the liver. It works by blocking the virus from multiplying in your body. Sofosbuvir is often used in combination with other medications to increase its effectiveness. It helps reduce the amount of hepatitis C virus in your body, which can lead to a cure.
Directions for Use
For how long do I take Sofosbuvir?
Sofosbuvir is usually taken for a short-term period to treat hepatitis C, often for 12 to 24 weeks, depending on the specific type of virus and other factors. Your doctor will determine the exact duration based on your condition and response to treatment. Always follow your doctor's instructions and complete the full course of medication.
How do I dispose of Sofosbuvir?
Dispose of unused Sofosbuvir 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, take it out of its original container, mix it with something undesirable like used coffee grounds, seal the mixture in a plastic bag, and throw it away.
How do I take Sofosbuvir?
Take Sofosbuvir as prescribed by your doctor, usually once daily. You can take it with or without food. Do not crush or chew the tablet. If you miss a dose, take it as soon as you remember unless it's almost time for your next dose. In that case, skip the missed dose and continue your regular schedule. Do not take two doses at once. Always follow your doctor's specific instructions.
How long does it take for Sofosbuvir to start working?
Sofosbuvir starts working in your body shortly after you take it, but it may take several weeks to see significant results. For hepatitis C, you might notice improvements in your blood tests within a few weeks, but the full therapeutic effect can take 12 to 24 weeks, depending on the treatment plan. Follow your doctor's instructions for the best results.
How should I store Sofosbuvir?
Store Sofosbuvir at room temperature, away from moisture and light. Keep it in its original container, tightly closed, and out of reach of children. Do not store it in the bathroom, where humidity can affect the medication. Check the expiration date regularly and properly dispose of any unused or expired medication.
What is the usual dose of Sofosbuvir?
The usual dose of Sofosbuvir for adults is 400 mg once daily. It is important to follow your doctor's instructions regarding the dose and duration of treatment. Dose adjustments may be necessary for special populations, such as those with kidney or liver problems. Always consult your doctor for personalized dosing instructions.
Warnings and Precautions
Can I take Sofosbuvir with other prescription drugs?
Sofosbuvir can interact with certain medications, such as amiodarone, which can cause a slow heart rate. It may also interact with some anticonvulsants and antibiotics, reducing its effectiveness. Always inform your doctor about all the medications you are taking to avoid potential interactions. Your doctor can adjust your treatment plan to ensure safety and effectiveness.
Can Sofosbuvir be taken safely while breastfeeding?
Sofosbuvir is not recommended while breastfeeding due to limited information on whether it passes into human breast milk. While specific reports of harm to breastfed babies are not available, potential risks cannot be ruled out. If you're taking Sofosbuvir and want to breastfeed, talk with your doctor about safer medication options that would allow you to nurse your baby safely.
Can Sofosbuvir be taken safely while pregnant?
Sofosbuvir is not recommended during pregnancy due to limited evidence on its safety. Animal studies suggest potential risks, but human data is lacking. If you're pregnant or planning to become pregnant, talk with your doctor about the safest way to manage your hepatitis C. Your doctor can help create a treatment plan that protects both you and your baby.
Does Sofosbuvir have adverse effects?
Adverse effects are unwanted reactions to a medication. Common adverse effects of Sofosbuvir include fatigue, headache, and nausea. These effects are usually mild. Serious adverse effects are rare but can include liver problems and slow heart rate. If you notice any new or worsening symptoms, contact your doctor. They can help determine if these symptoms are related to Sofosbuvir and suggest appropriate actions.
Does Sofosbuvir have any safety warnings?
Sofosbuvir has important safety warnings. It can cause serious liver problems, especially in people with hepatitis B. If you experience symptoms like yellowing of the skin or eyes, dark urine, or severe stomach pain, seek medical help immediately. Sofosbuvir can also cause a slow heart rate when taken with certain medications. Always inform your doctor about all the medicines you are taking to avoid potential interactions.
Is it safe to drink alcohol while taking Sofosbuvir?
It's best to avoid alcohol while taking Sofosbuvir. Alcohol can worsen liver damage, which is a concern for people with hepatitis C. Drinking alcohol may also interfere with the effectiveness of the medication. If you do choose to drink, 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 Sofosbuvir?
You can exercise while taking Sofosbuvir. This medication does not typically limit exercise capacity. However, if you feel unusually tired or experience any symptoms during physical activity, such as dizziness or fatigue, slow down or stop exercising and rest. Most people can maintain their regular exercise routine while taking Sofosbuvir, but check with your doctor if you have concerns.
Is it safe to stop Sofosbuvir?
Stopping Sofosbuvir suddenly can affect your treatment for hepatitis C. It's important to complete the full course as prescribed to effectively clear the virus. Stopping early may lead to the virus not being fully treated. Always talk with your doctor before stopping Sofosbuvir. They can guide you on how to safely discontinue the medication if needed.
Is Sofosbuvir addictive?
Sofosbuvir is not addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. Sofosbuvir works by inhibiting the replication of the hepatitis C virus and does not affect brain chemistry in ways that could lead to addiction. You won't experience cravings for this medication or feel compelled to take more than prescribed.
Is Sofosbuvir safe for the elderly?
Sofosbuvir is generally safe for the elderly, but they may be more vulnerable to side effects due to age-related changes in liver and kidney function. It's important for elderly patients to be closely monitored by their doctor while taking Sofosbuvir. Any unusual symptoms or side effects should be reported to a healthcare provider promptly.
What are the most common side effects of Sofosbuvir?
Side effects are unwanted reactions that can happen when taking a medication. Common side effects of Sofosbuvir include fatigue, headache, and nausea. These effects vary from person to person and are usually mild. If you notice new symptoms after starting Sofosbuvir, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.
Who should avoid taking Sofosbuvir?
Do not take Sofosbuvir if you are allergic to it or any of its ingredients. It should not be used with certain medications that can cause a slow heart rate. People with severe liver problems should use it cautiously. Always inform your doctor about your medical history and all medications you are taking to avoid potential interactions and contraindications.