Tenvir (Tenofovir Disoproxil Fumarate)

Tenvir
Indications:
chronic hepatitis B infection HIV
In the UK market, Tenvir is less familiar than Viread, although both contain tenofovir disoproxil fumarate. Save time with mail-order delivery of Tenvir and order online today at a great price.

Dosages

Tenvir 300 mg

Quantity Price per tablet Total price
30 £1.28 £38.52
60 £1.20 £71.86
90 £1.15 £103.71

Payment & Delivery

Package Example

Your order is carefully packed and is dispatched within 24 hours. Here is what a typical package looks like.

Sized like a regular personal letter (approximately 24x11x0.7 cm), with no indication of what is inside.

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Front View
Side View
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Back View
Back View
Delivery Times
Delivery MethodEstimated delivery
Express Free for orders over £222.24Estimated delivery to the UK: 4-7 days
Standard Free for orders over £148.16Estimated delivery to the UK: 14-21 days
Payment Methods
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Brand Names

Also known as (by country):
CountryBrand Names
Australia
Viread
Canada
Viread
France
Viread
Germany
Viread
Italy
Viread
Netherlands
Viread
Philippines
Viread
Poland
Viread
Portugal
Viread
South Africa
Viread
Spain
Viread
Sweden
Viread
Thailand
Forvic Ricovir
United States
Viread
ManufacturerBrand Names
Cipla Limited-
Cipla Ltd-

Description

Note: Images in the description are provided for informational purposes and may differ from the actual appearance of the product. Please refer to the product name, strength, active ingredients, and pharmaceutical form.

TDF and CHB

The World Health Organization (WHO) estimates that around 254 million people were living with chronic hepatitis B (CHB) in 2022. Chronic HBV infection can lead to long-term complications such as cirrhosis, liver failure and a higher risk of hepatocellular carcinoma (HCC). Over the last decade, HBV management has improved, and effective antiviral treatment options include tenofovir disoproxil fumarate (TDF).

TDF is an oral prodrug of tenofovir, a nucleotide reverse transcriptase inhibitor that works against both hepatitis B virus (HBV) and HIV-1. For HIV-1, TDF is used only in combination with other antiretroviral medicines. For chronic hepatitis B, TDF is used as an antiviral treatment option; in the UK, patients should be tested for HIV-1 before starting TDF for HBV.

Tenofovir Disoproxil Fumarate

Clinical trial data show that TDF can help suppress HBV DNA in many patients during long-term treatment. In adult trials, ongoing follow-up included treatment for up to 384 weeks in extension phases. In the treatment of chronic hepatitis B, the optimal duration of treatment is unknown.

A researcher in the United Kingdom who has studied tenofovir disoproxil fumarate is Professor Chloe Orkin, MBChB, FRCP, MD, Professor of Infection and Inequalities, Queen Mary University of London.

Important safety note: severe acute worsening of hepatitis B has been reported after stopping anti-hepatitis B treatment, including TDF. In the United Kingdom, liver function should be monitored with clinical and laboratory follow-up for at least several months after stopping treatment; if appropriate, restarting treatment may be considered.

Indications

VIREAD (tenofovir disoproxil fumarate, TDF) is indicated for the treatment of chronic hepatitis B virus (HBV) in adults and children aged 2 years and older who weigh at least 10 kg.

Drug interactions

TDF is mainly eliminated by the kidneys. Taking it with medicines that are eliminated by active tubular secretion may increase concentrations of tenofovir and/or the other medicine; medicines that reduce kidney function may increase tenofovir concentrations. In the treatment of chronic hepatitis B, TDF should not be used in combination with adefovir dipivoxil.

  • Coadministration decreases atazanavir concentrations. When used with TDF, atazanavir should be given with ritonavir. Certain HIV-1 protease inhibitors (including lopinavir/ritonavir) and some HCV regimens can increase tenofovir concentrations-monitor for signs of tenofovir toxicity, including kidney-related side effects.
  • TDF increases didanosine concentrations. Dose reduction and close monitoring for didanosine toxicity are warranted.
  • Examples of medicines eliminated by active tubular secretion include aciclovir, cidofovir, ganciclovir, valaciclovir, valganciclovir, aminoglycosides (for example, gentamicin), and high-dose or multiple NSAIDs. If used together, monitor kidney function as clinically appropriate.

Possible side effects

As well as its intended effects, this medicine may cause side effects. Assessment of side effects in CHB with compensated liver disease is based on controlled clinical trials in 641 people who received treatment during a 48-week double-blind period.

In these trials, the most common side effect (all grades) was nausea (9%). Other treatment-emergent side effects reported in more than 5% of participants included abdominal pain, diarrhoea, headache, dizziness, fatigue, nasopharyngitis, back pain and skin rash.

In the United Kingdom, tenofovir disoproxil fumarate is regulated and approved by the Medicines and Healthcare products Regulatory Agency.

It is important to note that stopping treatment can lead to a flare-up (worsening) of hepatitis B. During follow-up after stopping treatment, monitor liver function with clinical and laboratory tests for at least several months. If appropriate, restarting treatment may be advisable.

Storage

Store TDF tablets at 25°C (77°F); excursions are permitted to 15-30°C (59-86°F). Keep the bottle tightly closed and dispense only in the original container. Do not use if the seal over the bottle opening is broken or missing. Keep out of the sight and reach of children.

Doctors in Britain recommend storing tenofovir disoproxil fumarate in line with the storage instructions.
Reviewed by
Brian Holtry
MD, infectious diseases specialist and medical writer

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