Sofosbuvir

Products Sofosbuvir is commercially available in the form of film-coated tablets (Sovaldi). It was approved in the United States and EU in 2013 and in many countries in 2014. The very high price of the drug has been a source of debate. Sofosbuvir is also combined fixed with ledipasvir (Harvoni). Cheaper generics are available in … Sofosbuvir

Hepatitis C Symptoms, Causes and Treatment

Symptoms Most patients have no symptoms. The disease may manifest as fatigue, nausea, loss of appetite, muscle and joint pain, and weight loss. Potential longer-term dangerous complications of chronic infection that can develop over years include cirrhosis and liver cancer. This eventually often makes liver transplantation necessary. Causes The cause of the symptoms is infection … Hepatitis C Symptoms, Causes and Treatment

Combination Products

Definition Drugs today usually contain a defined active pharmaceutical ingredient. However, numerous drugs with two or more active substances also exist. These are called combination drugs or fixed combinations. For example, Aspirin C contains both acetylsalicylic acid and vitamin C. Many blood pressure medications are combination preparations, for example perindopril + indapamide or candesartan + … Combination Products

Velpatasvir

Products Velpatasvir was approved in 2016 in fixed combination with the HCV polymerase inhibitor sofosbuvir in film-coated tablet form (Epclusa, Gilead). Another fixed combination is Vosevi with sofosbuvir and voxilaprevir. Structure and properties Velpatasvir (C49H54N8O8, Mr = 883.0 g/mol) Effects Velpatasvir has antiviral properties. The effects are due to binding to the viral protein NS5A … Velpatasvir

Daclatasvir

Products Daclatasvir was approved in the EU in 2014 and in many countries in 2015 in film-coated tablet form (Daklinza, Bristol-Myers Squibb). Structure and properties Daclatasvir (C40H50N8O6, Mr = 738.9 g/mol) is present in the drug product as daclatasvir dihydrochloride. Effects Daclatasvir (ATC J05AX14) has antiviral properties. The effects are due to binding to the … Daclatasvir

Voxilaprevir

Products Voxilaprevir is commercially available as film-coated tablets in fixed combination with sofosbuvir and velpatasvir (Vosevi). It was approved in the United States, many countries, and the EU in 2017. Structure and properties Voxilaprevir (C40H52F4N6O9S, Mr = 868.9 g/mol) Effects Voxilaprevir has antiviral properties. The effects are due to noncovalent and reversible inhibition of the … Voxilaprevir

Ledipasvir

Products Ledipasvir is approved as a fixed combination with sofosbuvir in the form of film-coated tablets (Harvoni). It was released in many countries in 2014. The high price of the drug is controversial (see Sofosbuvir). Cheaper generics are available in India: MyHep LVIR. Structure and properties Ledipasvir (C49H54F2N8O6, Mr = 888.9 g/mol) is practically insoluble … Ledipasvir

Medicines for hepatitis C

What drugs are used for hepatitis C? Until 2014, hepatitis C was treated mainly with interferon and drugs that inhibit the multiplication of the virus. In most cases, interferon-α was administered in combination with ribavirin. Since 2015, new drugs that directly attack the virus have been approved. NS5-A inhibitors (Ledipasvir, Daclatasvir, Ombitasvir), NS5-B inhibitors (Sofosbuvir, … Medicines for hepatitis C

Ribavirin | Medicines for hepatitis C

Ribavirin Rivavirin is a drug used to treat certain viral infections, a so-called antiviral drug. In chronic hepatitis C, ribavirin is administered in combination with interferon-α to prevent the hepatitis C-induced form of liver inflammation from worsening and to prevent progressive functional impairment of the liver. The active ingredient ribavirin inhibits the multiplication of viruses … Ribavirin | Medicines for hepatitis C

Costs | Medicines for hepatitis C

Costs Agents that end in -buvir have been available in Germany since 2014, whereby one tablet costs around €488. This corresponds to therapy costs of 43. 500€ for a person over 12 weeks. A pack for a four-week therapy with the drug Simeprevir costs about 9. 360€. Therapy with new drugs that end on -asvir, … Costs | Medicines for hepatitis C