Prescription Required 
Formulation : 
Description
Indications
Nevirapine is employed in conjunction with other medications for the treatment of human immunodeficiency virus (HIV) infection in adults and children aged 15 days and older. Classified as a non-nucleoside reverse transcriptase inhibitor (NNRTI), nevirapine operates by reducing the amount of HIV in the bloodstream. While nevirapine doesn’t provide a cure for HIV, it can diminish the likelihood of progressing to acquired immunodeficiency syndrome (AIDS) and lower the occurrence of HIV-related complications, such as severe infections or cancer.
Uses and Dosage
Nevirapine is available in tablet, extended-release tablet, and suspension (liquid) forms for oral consumption, with or without food. The typical regimen involves taking the tablet and suspension once a day for the initial 2 weeks, followed by twice a day thereafter. The extended-release tablet is usually taken once a day after at least two weeks of treatment with regular nevirapine tablets or suspension.
Take nevirapine exactly as directed, avoiding deviations such as taking more or less than prescribed, or increasing the frequency without your doctor’s approval.
Swallow nevirapine with liquids like water, milk, or soda. For extended-release tablets, swallow them whole without splitting, chewing, or crushing.
Before each use, gently shake the liquid to ensure an even distribution of the medication. Employ an oral dosing cup or dosing syringe for accurate measurement, especially if your dose is less than 5 mL (1 teaspoon). If using a dosing cup, consume all the measured medication and then fill the cup with water, drinking it to ensure you receive the full dose.
While nevirapine can control HIV, it does not offer a cure. Continue taking nevirapine even if you feel well. Do not discontinue nevirapine or any other HIV or AIDS medications without consulting your doctor. If doses are missed or nevirapine is stopped, your condition may become more challenging to treat.
If you haven’t taken nevirapine for 7 days or longer, consult your doctor before resuming. They will likely initiate a low dose and adjust it after 2 weeks.
Side Effects
Some side effects may occur that usually do not need medical attention:
- difficulty with moving
- pain in the joints
Inform your healthcare provider immediately if you experience any serious side effects:
- decreased appetite
- swelling of the feet or lower legs
- pain, numbness, or tingling of the hands, arms, legs, or feet
- sleepiness or unusual drowsiness
- stomach pain
- tingling, burning, or prickly sensations
Caution
- Before starting nevirapine, inform your doctor or pharmacist about any allergies you may have, as the product might contain inactive ingredients that could lead to allergic reactions or other complications.
- Share your medical history with your doctor or pharmacist before using this medication, especially if you have a history of liver problems (such as hepatitis B or C, cirrhosis), kidney dialysis, or lactose/galactose intolerance.
- Be aware that this medication may rarely induce drowsiness. Alcohol or marijuana can amplify this effect, so it’s advised to avoid activities that require alertness, such as driving or using machinery, until you can do so safely.
- During pregnancy, use this medication only when essential. Treatment can reduce the risk of transmitting HIV infection to your baby, and nevirapine may be part of that treatment. Discuss the potential risks and benefits with your doctor.
- This medication passes into breast milk, and since breast milk may transmit HIV, you should avoid breastfeeding.
Form and Strength
Viramune is available in the following forms and strengths:
- nevirapine tablet:
- 200 mg
FAQ
Can Viramune be taken alone for HIV?
No, Viramune isn’t meant to be taken alone for HIV, but as a part of a combination antiretroviral therapy (ART). Typically, your provider will prescribe two other medications along with Viramune to fight the virus and prevent it from spreading.
Why do I need to start with a lower dose of Viramune?
Your provider will have you begin with a lower starting dose of Viramune for 2 weeks. This is to help minimize your risk for rash, which is a common side effect of this medication.
