raltegravir Treatment Report

Category: Prescription Drugs

Most Popular Types: Isentress

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What is raltegravir?

An example of raltegravir

Raltegravir is an integrase transfer inhibitor antiretroviral agent used in the treatment of HIV-1 infection in combination with other antiretroviral agents.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
129 31 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none Efficacy_cant_tell
5 2 Efficacy_major Efficacy_moderate
2 2 Efficacy_none Efficacy_cant_tell
1 0
1 0
1 1 Efficacy_major

See all 145 patients currently taking raltegravir

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
3
Mild
5
None
28

Commonly reported side effects, conditions, and hospitalizations associated with raltegravir

3
2
1
1
1
1
See all 11 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking raltegravir. See all 12 dosages

  daily 2 daily 2 other daily 2 mg daily 400 mg weekly 300 mg daily 400 mcg daily 400 mg daily 800 mg daily 1,200 mg daily
  2 Number of Patients: 2 1 Number of Patients: 1 1 Number of Patients: 1 2 Number of Patients: 2 1 Number of Patients: 1 1 Number of Patients: 1 2 Number of Patients: 2 27 Number of Patients: 27 105 Number of Patients: 105 2 Number of Patients: 2  

Reported Stop Reasons

Why Patients Stopped Taking raltegravir (multiple reasons could be selected)
Reason # Patients Percentage of patients
Doctor's advice 8   Doctor's advice: 62%
Course of treatment ended 3   Course of treatment ended: 23%
Side effects too severe 1   Side effects too severe: 8%
Other 1   Other: 8%
Change in health plan coverage 1   Change in health plan coverage: 8%

See all 13 patients who’ve stopped taking raltegravir

Currently Taking raltegravir

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking raltegravir

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of raltegravir

Always
30 83%
Usually
6 17%
Sometimes
0 0%
Never
0 0%

Burden

Difficulty being on treatment

Burden of raltegravir

Very
0 0%
Somewhat
0 0%
A little
14 39%
Not at all
22 61%

Cost

Paid out of pocket

Cost of raltegravir

$200+
2 9%
$100-199
0 0%
$50-99
4 17%
$25-49
5 22%
< $25
12 52%

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5 patient evaluations for raltegravir

Purpose: HIV (Human Immunodeficiency Virus) (Started Jun 17, 2010)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Aug 08, 2012 800 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Jun 28, 2010 800 mg Daily ?Can't tell ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Headaches, Chills
Date
Jun 28, 2010
Advice & Tips
At the beginning I did not feel any strong secondary reactions. But by the end of the first week I started to feel more headaches and bone pain. Felt like getting a bad cold but it didn't really settle in. Second week, discomfort is lower and energy levels coming back again.
Cost
$25-49 monthly
  • Icon_thumb_off 0 helpful marks
Purpose: HIV (Human Immunodeficiency Virus) (Started Sep 15, 2008)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 02, 2012 800 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually A littleA littleA littleA littleA little
Date
Jan 02, 2012
Advice & Tips
Worst part is being twice a day if your sleep schedule differs. Keep an eye out for the "quad pill". It's Truvada with a drug like Isentress and a booster. Researchers are hoping it can be approved as a once a day regimine.
  • Icon_thumb_off 0 helpful marks
Purpose: HIV (Human Immunodeficiency Virus) (Started Aug 01, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Nov 01, 2011 800 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
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What is raltegravir?

Raltegravir is an antiviral medication that prevents human immunodeficiency virus (HIV) cells from multiplying in your body.

Raltegravir is used to treat HIV, which causes acquired immunodeficiency syndrome (AIDS). This medication is usually given to people who have a strain of the virus that is resistant to other antiviral medications. Raltegravir is not a cure for HIV or AIDS.

Raltegravir may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to raltegravir.

If you have certain conditions, you may need a dose adjustment or special tests to safely take this medication. Before you take raltegravir, tell your doctor if you have:

  • a muscle disorder;
  • kidney disease;
  • liver disease;
  • a history of mental illness or depression.

FDA pregnancy category C. It is not known whether raltegravir is harmful to an unborn baby. HIV can be passed to the baby if the mother is not properly treated during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Take all of your HIV medicines as directed to control your infection while you are pregnant.

Your name may need to be listed on an antiviral pregnancy registry if you become pregnant while you are taking this medication. The purpose of this registry is to track the outcome of the pregnancy and delivery to evaluate whether raltegravir had any effect on the baby.

You should not breast-feed while you are using raltegravir. Women with HIV or AIDS should not breast-feed at all. Even if your baby is born without HIV, you may still pass the virus to the baby in your breast milk.

Avoid having unprotected sex or sharing needles, razors, or toothbrushes. Taking this medication will not prevent you from passing HIV to other people. Talk with your doctor about safe methods of preventing HIV transmission during sex, such as using a condom and spermicide. Sharing drug or medicine needles is never safe, even for a healthy person.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of a raltegravir overdose are not known.

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have a serious side effect such as:

  • pale skin, easy bruising or bleeding;
  • signs of a new infection, such as fever or chills, cough, or flu symptoms;
  • sore throat and headache with a severe blistering, peeling, and red skin rash;
  • drowsiness, confusion, increased thirst, lower back pain, urinating less than usual or not at all;
  • depressed mood, unusual thoughts about hurting yourself;
  • nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
  • muscle pain, tenderness, or weakness with fever or flu symptoms and dark colored urine.

Less serious side effects may include:

  • nausea, vomiting, diarrhea, stomach pain;
  • headache;
  • tired feeling;
  • dizziness; or
  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and trunk).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

The following drugs can interact with raltegravir. Tell your doctor if you are using any of these:

  • rifampin (Rifadin, Rifamate, Rimactane);
  • phenobarbital (Solfoton); or
  • cholesterol medications such as atorvastatin (Lipitor), fluvastatin (Lescol), pravastatin (Pravachol), rosuvastatin (Crestor), simvastatin (Zocor), and others.

This list is not complete and there may be other drugs that can interact with raltegravir. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Other Names

Isentress and raltegravir

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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