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tipranavir - Aptivus
|Tipranavir (Aptivus) is almost always used as one component of a multidrug combination to suppress the human immunodeficiency (HIV) viral load.|
|Specifics||Tipranavir is one of the
most potent antiviral drugs against HIV infection. Tipranavir is
always combined with another protease inhibitor called ritonavir.
Tipranavir works by inhibiting the production of HIV's proteins. Tipranavir is classified as a protease inhibitor (PI) combination.
is taken as two (2) 250 mg capsules twice a day with two (2) 100 mg ritonavir (Norvir)
gel caps. Tipranavir and ritonavir are always taken with food. It
is very important to take tipranavir with food to prevent it
from irritating your stomach and bowels.
Tipranavir gel caps may need to be refrigerated for best results if the ambient temperature in your residence exceeds 86 deg Fahrenheit. Keep the bottle in the refrigerator prior to opening the bottle.
For further information and tips on adherence, go to the Adherence section of this site.
|The "all or none" rule
applies to all antiviral medications such as tipranavir: you
should commit yourself to taking every dose, every day OR take none at
all. Missing doses leads to a worsening of HIV infections
(resistance to medications) and makes finding a good antiviral
medication harder to do.
As with any antiviral drug or antibiotic, try not to ever miss a dose. If you miss a dose and notice that you have done so within a few hours of its scheduled time, you may take the dose as usual and take the next dose at its regular time.
You should never change the dose of tipranavir without speaking to your healthcare provider first.
If you miss more than one dose, look at the reasons why you missed them and come up with a plan to avoid it in the future. For example, if you fell asleep too early, take the medicine earlier in the evening, with your later meal, set an alarm, or have someone appointed to wake you up for your medicine.
It is strongly recommended that you consider using weekly pill boxes and arrange all of your doses a week in advance. Buy a small pill box so that you can carry a dose or two of your medicines with you in case you are away from home.
Persons with sulfonamide or
sulfa drug allergies should take tipranavir cautiously as tipranavir
contains a sulfa molecule.
Possible side effects include rash, stomach upset, diarrhea, nausea, liver problems, increased fat (cholesterol and triglycerides) in the blood, turning yellow with jaundice, numbness of the lips or mouth, and possibly diabetes.
Persons with chronic hepatitis B or C or other liver problems should have their liver tests monitored closely.
Usually you will have blood tests done in the first month to look for the beneficial effects of tipranavir and any side effects.
Many minor side effects will either stay constant or get better with time. It is mainly the side effects that are severe or get worse that may cause significant health risks for you.
All drugs of this type can cause or contribute to abnormal fat redistribution characterized by an enlarged belly, a lump on the back of the neck ("buffalo hump"), thinning of the face, arms, or legs. In most cases this would be also accompanied by elevated cholesterol levels, elevated triglyceride levels, and perhaps a tendency to develop diabetes. The first symptoms of diabetes are increased thirst and increased urination.
This refers to the way that tipranavir affects other medications and how other medications affect tipranavir.
Make sure that you tell your healthcare provider about all of your medications including over-the-counter ones.
probably should NOT be taken at all with
Certain drugs should probably be used only very cautiously:
Antacids that contain aluminum and/or
magnesium: Maalox, Mylanta, and many others - always stagger
(separate) dose away from tipranavir/ritonavir by at least 2 hours
|Report to you healthcare provider or go to an Emergency Room if you have severe side effects, skin rash, increasing side effects, shortness of breath, uncontrollable diarrhea, back pain, groin pain, fever, weakness, jaundice (eyes and skin turn yellow,) muscle pain, nausea and vomiting so that you cannot hold down your food and liquids.|
|You can download this handout in PDF format by clicking HERE.|