telaprevir

Telaprevir is a man-made antiviral medication that targets hepatitis C virus (HCV). Similar drugs include simeprevir (Olysio) and boceprevir (Victrelis). These drugs are called direct-acting antiviral agents because they act directly on hepatitis C virus. They block the replication of hepatitis C virus in human cells by binding to and inhibiting protease enzymes that HCV use for reproducing. Inhibiting viral replication reduces HCV viral load in the body to undetectable levels in some patients. The FDA approved Telaprevir in August 2011.

Incivek (This drug was discontinued by the manufacturer, but will be available until October 2014)

GENERIC AVAILABLE: No

Yes

Side effects of telaprevir are

• itching,
• rash,
• anal or rectal pain,
• hemorrhoids,
• nausea,
• vomiting,
• diarrhea,
• altered taste senses,
• fatigue,
• and anemia.

Telaprevir can cause serious skin reactions or rash, including Stevens Johnson syndrome (SJS), drug reaction with eosinophilia and systemic symptoms (DRESS), and toxic epidermal necrolysis (TEN). Telaprevir should be discontinued if serious skin reactions or rash occur.

Telaprevir should not be combined with alfuzosin (Uroxatral), sildenafil (Viagra), and tadalafil (Cialis) because it can increase their blood levels, leading to increased side effects from these drugs.

Telaprevir (Incivek) is not combined with carbamazepine (Tegretol), phenobarbital, phenytoin (Dilantin), rifampin, and St. John's wort because they can increase the breakdown of telaprevir and decrease the effectiveness.

Telaprevir should not be combined with lovastatin (Mevacor) and simvastatin (Zocor) due to increased risk of muscle aches, including rhabdomyolysis.

Telaprevir (Incivek) should be combined with midazolam (Versed) and triazolam (Halcion) because of increased risk of sedation and respiratory depression.

Telaprevir (should be used with caution with HIV medications like atazanavir (Reyataz), ritonavir, (Norvir), darunavir (Prezista), fosamprenavir (Lexiva), efavirenz (Sustiva), and lopinavir/ritonavir (Kaletra) because it leads to fluctuating levels of telaprevir and the HIV medications, leading to decreased effectiveness.

Telaprevir should be used with caution with arrhythmia medications because the combination can increase the risk of irregular heart rate and rhythm.

Telaprevir (Incivek) should be used with caution with antifungal medications like ketoconazole (Nizoral), itraconazole (Sporanox), and posaconazole (Noxafil); antibiotics erythromycin (Erythrocin) and clarithromycin (Biaxin); immunosuppressant medications like cyclosporine (Gengraf, Neoral, Sandimmune), tacrolimus (Prograf), and sirolimus (Rapamune). Telaprevir can slow the breakdown of these medications and increase their levels in the body, leading to increased side effects and toxicity.

Telaprevir should be used with caution with warfarin (Coumadin) because telaprevir can increase or decrease warfarin (Coumadin) breakdown, increasing or decreasing the effect of warfarin.

Telaprevir is combined with ribavirin and peginterferon alfa which cause fetal harm and birth defects if used in pregnant mothers or in male partners of women who are pregnant. Female patients of childbearing potential and their male partners as well as male patients and their female partners must use two effective contraceptive methods during treatment and for 6 months after treatment. Female patients should have monthly pregnancy tests during treatment and for 6 months after stopping treatment.

It is not known whether telaprevir enters breast milk; therefore, it is best to be cautious before using it in nursing mothers. To avoid any potential risk to the newborn, a decision must be made to discontinue nursing or to discontinue the drug.

What preparations of telaprevir are available?

Tablets: 375 mg

How should I keep telaprevir stored?

Store telaprevir tablets between temperatures of 15 C 30 C (59 F 86 F).