Why is this medication prescribed?

Isentress (generic name: raltegravir) is a prescription medication primarily used to treat HIV-1 infection in adults and children who weigh at least 4.4 pounds (2 kilograms). It belongs to a class of antiretroviral drugs known as integrase strand transfer inhibitors (INSTIs). Isentress helps to inhibit the activity of the integrase enzyme, which is necessary for the replication of the HIV virus within human cells.

Isentress is typically prescribed as part of a combination therapy regimen for HIV treatment. It is often used in combination with other antiretroviral drugs to reduce the viral load, slow down the progression of HIV infection, and improve immune function. It is important to note that Isentress is not a cure for HIV, but it can help manage the virus and prevent it from multiplying.

How should this medicine be used?

Isentress (raltegravir) is available in different formulations, including tablets and chewable tablets. Here are the general guidelines for how Isentress should be used:

• Follow your healthcare provider’s instructions: It’s important to carefully follow the instructions given by your healthcare provider regarding the use of Isentress. They will determine the appropriate dosage and duration of treatment based on your individual needs.
• Take Isentress as prescribed: Take the medication exactly as prescribed by your healthcare provider. Do not change the dosage or stop taking it without consulting your healthcare provider first.
• Dosage and frequency: The recommended dosage of Isentress for adults and children who weigh at least 4.4 pounds (2 kilograms) is typically 400 mg twice daily for the tablet formulation or 6 mg/kg twice daily for the chewable tablet formulation. However, dosages may vary based on factors such as age, weight, renal function, and concomitant medications. Your healthcare provider will determine the appropriate dosage for you.
• Take with or without food: Isentress can be taken with or without food. You can choose to take it with a meal or on an empty stomach based on your preference or as advised by your healthcare provider.
• Swallow or chew tablets: If you are taking the tablet formulation, swallow the tablets whole with water. If you are taking the chewable tablet formulation, chew the tablets thoroughly before swallowing. Do not crush or break the tablets unless instructed by your healthcare provider.
• Stay consistent: To get the most benefit from Isentress, it’s important to take it consistently and at the same times each day. Set a routine to help you remember when to take your medication.
• Do not miss doses: Try not to miss any doses of Isentress. If you accidentally miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

It’s important to note that these are general guidelines, and individual instructions may vary. Always consult with your healthcare provider for specific dosing instructions and any concerns you may have about using Isentress.

Other uses for this medicine

It is primarily used for the treatment of HIV (human immunodeficiency virus) infection in combination with other antiretroviral medications. However, Isentress may also have other uses that are not listed in this response. It’s important to consult with a healthcare professional or pharmacist for specific information about the uses of Isentress.

What special precautions should I follow?

When taking Isentress, it is important to follow certain precautions. Here are some general guidelines:

• Take Isentress exactly as prescribed by your healthcare provider. Do not change the dose or stop taking the medication without consulting them.
• Isentress is usually taken orally, either with or without food. Follow your healthcare provider’s instructions regarding the timing and administration of the medication.
• Inform your healthcare provider about all other medications, supplements, or herbal products you are taking. Some drugs may interact with Isentress and affect its effectiveness or increase the risk of side effects.
• If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule.
• It is important to continue taking Isentress and your other antiretroviral medications as prescribed, even if you feel well. Skipping doses or stopping treatment can lead to the development of drug-resistant HIV.

What special dietary instructions should I follow?

Regarding dietary instructions, Isentress does not have any specific dietary restrictions. However, maintaining a healthy diet is important for overall well-being, especially when managing HIV infection. It is advisable to follow a balanced diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. Staying hydrated and avoiding excessive alcohol consumption is also beneficial.

What should I do if I forget a dose?

If you forget to take a dose of Isentress (raltegravir), it’s important to take it as soon as you remember. However, if it is close to the time for your next scheduled dose, it’s advisable to skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

What side effects can this medication cause?

Isentress (raltegravir) is an antiretroviral medication used to treat human immunodeficiency virus (HIV) infection. Like any medication, Isentress can potentially cause side effects. The following is a list of possible side effects associated with Isentress:

1. Common side effects:
   • Headache
   • Nausea
   • Diarrhea
   • Fatigue (feeling tired)
   • Dizziness
   • Insomnia (difficulty sleeping)
   • Abdominal pain
   • Rash
2. Less common side effects:
   • Vomiting
   • Indigestion or heartburn
   • Flatulence (gas)
   • Muscle pain or weakness
   • Joint pain
   • Depression or mood changes
   • Abnormal dreams
   • Tingling or numbness in the hands or feet
   • Fever
   • Chills
3. Serious side effects (rare):
   • Severe allergic reactions, such as swelling of the face, lips, tongue, or throat; difficulty breathing or swallowing; or hives.
   • Severe skin reactions, including Stevens-Johnson syndrome or toxic epidermal necrolysis. These are rare but potentially life-threatening conditions characterized by severe skin rashes, blistering, and peeling.
   • Liver problems, which may include yellowing of the skin or eyes (jaundice), dark urine, pale stools, or abdominal pain.
   • Changes in mood or behavior, including depression, anxiety, aggression, or suicidal thoughts.

It’s important to note that this is not an exhaustive list, and some people may experience different or additional side effects. If you experience any concerning or persistent side effects while taking Isentress, it’s crucial to contact your healthcare provider for further evaluation and guidance.

What should I know about storage and disposal of this medication?

Storage:

• Follow the storage instructions provided by your pharmacist or healthcare provider.
• Isentress tablets should typically be stored at room temperature, away from moisture, heat, and direct light.
• Do not store Isentress in the bathroom or kitchen where humidity and temperature fluctuations can occur.
• Keep Isentress out of the reach of children and pets to prevent accidental ingestion.

Disposal:

• Do not dispose of Isentress in household trash or flush it down the toilet unless specifically instructed to do so.
• Contact your local waste management or disposal authority for guidance on how to properly dispose of Isentress.
• If you have any expired or unused Isentress tablets, consult with your pharmacist or healthcare provider regarding the appropriate disposal method.

In case of emergency/overdose

In case of an emergency or overdose, it is important to take the following steps:

• Immediately call your local emergency services or poison control center for assistance.
• Provide them with as much information as possible, including the quantity of Isentress ingested, the strength of the tablets, and the time of ingestion.
• If possible, have the Isentress packaging or label with you for reference.
• Follow the instructions given by the emergency personnel or poison control center.

What other information should I know?

• Isentress is an antiretroviral medication used as part of combination therapy to manage HIV infection.
• It works by inhibiting the integration of viral DNA into the host genome, thereby preventing the virus from replicating.
• Isentress should be taken exactly as prescribed by your healthcare provider. Follow the dosing schedule and instructions carefully.
• Inform your healthcare provider about any other medications, supplements, or herbal products you are taking, as they can potentially interact with Isentress.
• If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule.
• Isentress may cause side effects, which can vary from person to person. Common side effects include headache, nausea, diarrhea, and fatigue. If you experience any severe or persistent side effects, contact your healthcare provider.
• It is important to attend regular follow-up appointments with your healthcare provider to monitor your response to Isentress and to manage your HIV infection effectively.

Remember, this information is not exhaustive, and it’s always best to consult with your healthcare provider or pharmacist for specific instructions and guidance regarding the storage, disposal, and use of Isentress.