You or someone close to you may have been prescribed a medicine called Maribavir by your doctor. This name may sound a bit new to you. Simply put, this is a special medicine that is given to treat a viral infection called Cytomegalovirus (CMV). There are a few things you need to know when using this medicine. Let's talk about it very simply and in a friendly way today.
The most important things to tell your doctor before starting this medication are:
Before you start using this medicine, it is very important for your doctor to know some things about you. So be sure to tell him/her about the following things.
- Tell us if you have an allergic reaction to Maribavir or any other medicine, food, or preservative .
- Be sure to let us know if you are pregnant or trying to get pregnant .
- If you are a breastfeeding mother, tell us about that too.
Based on this information, it will be easier for the doctor to decide whether this medication is right for you or not.
How to use Maribavir tablets exactly?
It is very important to take this medicine exactly as prescribed by the doctor, at the prescribed time.
- This pill can be taken with or without food. However, if you feel a little upset stomach, it is better to take it after a meal .
- If possible, swallow the tablet whole with water .
- But if you have trouble swallowing pills, you can crush the pills and dissolve them in water . Or you can crush the pills and mix them with water and drink them.
- You should continue to use this medicine until your doctor tells you to stop.
How to make pills by dissolving them in water
If you can't swallow pills, you can make it into a liquid and drink it like this:
1. Take a clean container and put the prescribed number of pills in it.
2. If 2 tablets, add 30 milliliters (30 mL) of water.
3. If 4 tablets, add 60 milliliters (60 mL) of water.
4. If 6 tablets, add 90 milliliters (90 mL) of water.
5. Swirl the container gently to dissolve the tablets in the water. Then drink the mixture immediately. This mixture may have a slightly bitter taste .
6. Then, add about 15 milliliters (15 mL) of water to the same container, stir that too, and drink it. If there is any medicine powder left in the container, do this until it is gone.
Important: This medicine is for you only. Do not share this medicine with anyone else for any reason. It can be dangerous.
If you give this medicine to children
Children over the age of 12 may be prescribed this medicine in some special cases. However, only your doctor can decide on this.
What to do if you miss a dose of medication?
If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take a double dose.
Other drugs that may interact with this medicine (Drug Interactions)
Maribavir is a drug that can interact with some other medications. Therefore, it is essential to tell your doctor about any other medications you are taking, including vitamins, herbal remedies, and supplements.
| Drug category | Examples |
|---|---|
| Medicines for heart disease | Digoxin |
| Some antibiotics | Rifabutin, Rifampin |
| Other antivirals | Ganciclovir, Valganciclovir |
| Medicines for epilepsy (fits) | Carbamazepine, Phenobarbital, Phenytoin |
| Immune-suppressing drugs | Cyclosporine, Everolimus, Sirolimus, Tacrolimus |
| Cholesterol-lowering drugs | Rosuvastatin |
| Herbal supplements | St. John's wort |
This is not a complete list, so tell your doctor about all the medications you are taking.
What are the things to be careful about when taking medication?
- See your doctor regularly to see if your symptoms are improving or worsening.
- If your symptoms do not improve or worsen, tell your doctor immediately.
- If you have any suspicion that you have taken too much medicine, immediately call the National Poisons Information Centre at the Colombo National Hospital or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
Side effects that may occur due to medication
Like any medicine, Maribavir can cause some side effects. Some are serious, while others are common.
| Type of side effect | Description |
|---|---|
| Side effects that you should report to your doctor immediately | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat, difficulty breathing. |
| Side effects that should be reported to the doctor if they persist or are bothersome | |
| Change in taste | Feeling like the taste of food has changed. |
| Diarrhea | Flatulence. |
| Fatigue | Feeling tired. |
| Nausea and Vomiting | Stomach upset and vomiting. |
If you experience any other side effects not listed on this list, please tell your doctor about them as well.
How do you keep your medicine safe?
- Keep out of reach of children and pets .
- Store at room temperature (between 20 and 25 degrees Celsius). Protect from excessive heat and moisture.
- Never use expired medicine .
- When disposing of unused or expired medications, do not release them into the environment. If possible, ask your hospital or doctor if they have a program where you can drop them off. Otherwise, crush the pills, mix them with something like used tea leaves, coffee grounds, or soil, and place them in a tightly sealed bag and throw them in the trash.
Take-Home Message
- Maribavir is a medicine used to treat CMV infection. Always take it exactly as your doctor tells you, and at the right time.
- Tell your doctor about all other medications you are taking (including vitamins and herbal supplements).
- If you experience severe allergic symptoms such as difficulty breathing and facial swelling, seek medical advice immediately.
- If you miss a dose, take it as soon as you remember. But if it's almost time for your next dose, take it at that time. Never take a double dose.
- This medicine is for you only. Do not share it with others.
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