Hello! How are you? Today we are going to talk about a special medicine that is used to treat HIV infection. Its name is Maraviroc. Maybe your doctor has prescribed this medicine to you, or maybe you are interested in knowing about it. So, let's see what kind of medicine Maraviroc is, how to use it, and what are the things to be careful about.
What kind of medicine is Maraviroc?
Simply put, Maraviroc is an antiretroviral drug. That is, a drug that works against the HIV virus. It is not given alone, but in combination with other drugs used in HIV treatment. HIV is a very complex virus, so it is difficult to control with just one drug. That is why doctors prescribe several drugs together.
But one thing to remember. This Maraviroc drug cannot completely cure HIV. But it does control the HIV virus in the body. When the virus is reduced, your immune system gets a little stronger. Also, this drug can reduce the risk of transmitting HIV to others. But it cannot stop it completely. Therefore, it is essential to continue to follow safe methods. This drug is also available in the market under the name Selzentry.
What should I tell the doctor before taking this medicine?
Before you start taking Maraviroc, there are a few things you need to tell your doctor or healthcare provider. Don't hide these things, because they can affect your own health. Think about how much of a problem it would be if another illness you have interfered with this medication.
- Do you have heart disease? Or are you at increased risk for heart disease? (For example, if someone in your family has it, if you have high cholesterol, etc.).
- Do you have Hepatitis B or Hepatitis C? These are diseases that affect the liver, so you need to see how they interact with this medicine.
- Do you have kidney disease? If your kidneys are not working properly, the way your medicine is excreted from your body may change. In that case, the dosage of the medicine may need to be adjusted accordingly.
- Do you have liver disease? The liver is the body's detoxifier, so if you have a liver problem, you should also mention it.
- Do you have low blood pressure? Or do you take medication to lower it?
- Have you ever had an allergic reaction to this medicine, Maraviroc, another medicine, food, dye, or preservative? Tell us, even if it's just a small thing. Sometimes, even a small rash can be the beginning of a big allergy.
- Are you pregnant? Or are you trying to get pregnant?
- Are you a breastfeeding mother?
Once you've got these things right, your doctor can decide if this medication is right for you, if you need to change the dosage, or if there's something else you need to be concerned about. Got it?
How should I use this medicine?
Okay, now let's see how to take this Maraviroc pill. This is an oral pill.
- Take the medicine exactly as your doctor tells you on the prescription label. Read the instructions carefully.
- Do not break, crush, or chew the tablet. Swallow the tablet whole with water. Failure to do so may change the way the medicine works.
- You can take this with or without food. However, if you sometimes feel an upset stomach, take the pill with some food. That may help ease the discomfort.
- Take your medicine at the same time every day, at the same time every day. If your doctor has told you to take it twice a day, stick to those two times exactly. That's when the medicine will work best.
- Do not skip a dose of medication for any reason. Even if you feel better, do not stop taking the medication until your doctor tells you to. If you miss a dose or stop taking it, the HIV virus can become resistant not only to this medication but also to other HIV medications. If that happens, it will be more difficult to treat. Therefore, do not stop taking the medication without your doctor's advice.
Important: When you are given this medicine by the pharmacy, you will be given a special instruction leaflet (MedGuide) . You will receive this each time you get a refill or refill. Please read the information in this leaflet carefully each time. It contains very important information for you.
Can this medicine be given to children?
Yes, sometimes doctors prescribe this medicine to children as young as 2 years old under selected conditions. But there are some things to be careful about. So if you are giving this medicine to your child, talk to your pediatrician about it. When giving medicine to young children, you need to be more careful about the dosage and side effects than adults.
What to do if you take too much medicine?
If you think you have taken too much of this medicine, call a poison control center or emergency room immediately. Don't waste time. Acting quickly can prevent serious harm.
Do not share this medicine with others!
This is very important. This Maraviroc medicine has been prescribed for you only. It is designed to be used for your condition and your body. So never share it with anyone else, even if they also have HIV. It can be dangerous. What works for one person may not work for another.
What do you do if you miss a dose of medicine?
Oh, that's possible, isn't it? Some days you forget. If you miss a dose of Maraviroc, take it as soon as you remember.
However, if it is almost time for your next dose when you remember (for example, it is only a few hours away), then skip the missed dose. Take your next dose at the scheduled time. Never take a double dose or take an extra dose. Doing so increases the risk of side effects.
What other medications may interact with this medicine? (Drug Interactions)
This is also very important. When you take Maraviroc, you should tell your doctor about all the other medicines you are taking. This is because some medicines can interact with Maraviroc. If they do, they may either make Maraviroc less effective or more effective. Or they may increase the risk of side effects.
Maraviroc may interact with the following medications:
- Boceprevir
- Clarithromycin – This is an antibiotic.
- Medicines for fungal infections, for example, Ketoconazole, Itraconazole
- Medicines given to treat seizures, e.g. Carbamazepine, Phenobarbital, Phenytoin
- Nefazodone
- Other medications for HIV, such as Darunavir, Delavirdine, Efavirenz, Indinavir, Ritonavir
- Rifampin – This is also a medicine given for tuberculosis.
- St. John's Wort – This is an herb that some people take for mental health.
- Telaprevir
This list is not exhaustive. There may be other medications that may interact. Therefore, tell your doctor about all the medications you are taking (over-the-counter, over-the-counter), herbs, vitamins, and dietary supplements. Also, tell your doctor if you smoke, drink alcohol, or use illegal drugs. These can also interact with your medication.
What are the things to be careful about when taking this medicine?
There are a few things you should be careful about while taking Maraviroc.
- See your doctor regularly for check-ups. Be sure to go on the dates and times your doctor recommends.
- If you develop any new symptoms , talk to your doctor about them, even if they're minor.
- While taking this medicine, you will need to have some important blood tests (blood work). Your doctor will tell you about them. Get them done properly.
- HIV is a disease that can be spread through sexual contact or blood. Talk to your doctor about how to prevent HIV transmission. You should continue to follow safe practices even if you are taking Maraviroc.
- This medicine may make you feel drowsy or dizzy. Therefore, be careful not to drive, operate machinery, or do anything that requires concentration until you know exactly how this medicine affects you.
- Don't stand or sit up suddenly, especially if you're elderly. Doing so can cause dizziness and you could fall. Change positions frequently.
If you keep these things in mind, you can get the most out of this medicine and stay safe.
What are the possible side effects of this medicine?
Like any medicine, Maraviroc can cause side effects in some people. Not everyone gets them, but they can happen. Some side effects are serious and you should tell your doctor as soon as they occur. Some are not so serious and will go away in a few days.
Side effects that should be reported to your doctor or healthcare professional immediately:
- Allergic reactions: Skin rash, itching or hives, swelling of the face, lips, or tongue.
- Breathing problems.
- Chest pain.
- Dark urine.
- Feeling faint or lightheaded, dizziness.
- General ill feeling or flu-like symptoms.
- Light-colored stools.
- Loss of appetite, nausea.
- Right upper belly pain. – This could be a liver problem.
- Tingling, pain or numbness in the hands or feet.
- Trouble passing urine or change in the amount of urine.
- Feeling unusually weak or tired.
- Vomiting.
- Yellowing of the eyes or skin – This is also a liver problem (Jaundice).
You should be especially careful about side effects related to the liver. For example, if your eyes are turning yellow, your urine is dark, you have pain in the right side of your stomach, or you have a loss of appetite, this could be a sign that your liver is being affected. If this happens, see a doctor immediately. This can be a very dangerous condition.
Side effects that usually do not require medical attention (tell your doctor if these persist or are bothersome):
- Aches, pains
- Cough
- Stomach ache/diarrhea
- Dizziness
- Trouble sleeping
This list does not include all possible side effects. If you notice anything else unusual, talk to your doctor about it. You can also report side effects to the FDA (1-800-FDA-1088).
How should I store this medicine?
It is also very important to store your medication properly.
- Keep it out of the reach of children.
- Store at room temperature. This means between 20 and 25 degrees Celsius (20-25°C), or 68 and 77 degrees Fahrenheit (68-77°F). Protect from excessive heat or moisture.
- Do not use expired medications. Throw them away.
This leaflet is a summary only. It may not contain all the information. If you have any further questions about this medicine, ask your doctor, pharmacist or healthcare provider.
The most important things for you to remember (Take-Home Message)
Okay, so let's recap some of the most important things you need to remember from what we've talked about Maraviroc:
- Maraviroc is an antiretroviral drug that treats HIV infection. It does not cure HIV, but it helps control the virus.
- Take your medicine exactly as prescribed by your doctor, at the prescribed time, without skipping any meals. Do not stop taking it until your doctor tells you to, even if you feel better.
- Be sure to tell your doctor about all other medications you take, any other illnesses you have, and any allergies you have.
- Be especially aware of side effects that affect the liver (e.g., yellowing of the eyes, dark urine, pain in the right side of the stomach). If you notice any of these, see a doctor immediately.
- This medicine is for you only. Do not share it with anyone else.
- Always read the special instructions leaflet (MedGuide) given to you by the pharmacy carefully.
- Continue to follow safe practices to prevent HIV transmission.
Remember, living with HIV can be challenging. But if you get the right treatment, follow your doctor's advice, and take care of your health, you too can live a normal, healthy life. You are not alone. There are doctors, nurses, and counselors who can help and advise you. Talk to them, ask them your questions.
` HIV, Maraviroc, Selzentry, Antiretroviral, Medication, Side Effects, HIV Treatment


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