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Nevirapine (NVP)

NNRTI
Tablet50 mg · 5 ml · 10 mg · 200 mg11 brands · 8 makers
Nevirapine (NVP) is a NNRTI used in combination with other antiretroviral agents for the treatment of HIV-1 infection. Nevirapine (NVP) is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Anti-Infective Medicines.
Generic namenevirapine (NVP)
Therapeutic classAnti-Infective Medicines > 6.4.2.2 Non-nucleoside reverse transcriptase inhibitors
Form & strength (NLEM)Oral liquid: 50 mg/ 5 ml, 10 mg/ ml; Tablet: 50 mg, 200 mg; [a] > 6 weeks of age
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Nevirapine tablets, USP are indicated for use in combination with other antiretroviral agents for the treatment of HIV-1 infection. This indication is based on one principal clinical trial (BI 1090) that demonstrated prolonged suppression of HIV-1 RNA and two smaller supportive trials, one of which (BI 1046) is described below.

From the U.S. FDA-approved label for Nevirapine (NVP). Full label: DailyMed.

Nevirapine tablets, USP are indicated for use in combination with other antiretroviral agents for the treatment of HIV-1 infection. This indication is based on one principal clinical trial (BI 1090) that demonstrated prolonged suppression of HIV-1 RNA and two smaller supportive trials, one of which (BI 1046) is described below. The 14-day lead-in period with Nevirapine tablets, USP 200 mg daily dosing must be strictly followed; it has been demonstrated to reduce the frequency of rash. If rash persists beyond the 14-day lead-in period, do not dose escalate to 200 mg twice daily.

From the U.S. FDA-approved label for Nevirapine (NVP). Full label: DailyMed.

If any patient experiences rash during the 14-day lead-in period, do not increase dose until the rash has resolved. 2.1 Adults The recommended dose for Nevirapine tablets, USP is one 200 mg tablet daily for the first 14 days, followed by one 200 mg tablet twice daily, in combination with other antiretroviral agents. The lead-in period has been observed to decrease the incidence of rash.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

Patients with moderate or severe (Child-Pugh Class B or C, respectively) hepatic impairment Use as part of occupational and non-occupational post-exposure prophylaxis (PEP) regimens, an unapproved use 4.1 Hepatic Impairment Nevirapine, USP is contraindicated in patients with moderate or severe (Child-Pugh Class B or C, respectively) hepatic impairment. 4.2 Post-Exposure Prophylaxis Nevirapine, USP is contraindicated for use as part of occupational and non-occupational post-exposure prophylaxis (PEP) regimens.

Excerpt from the U.S. FDA-approved label. Talk to a pharmacist or doctor before use.

The most serious adverse reactions associated with Nevirapine are hepatitis/hepatic failure, Stevens-Johnson syndrome, toxic epidermal necrolysis, and hypersensitivity reactions. Hepatitis/hepatic failure may be associated with signs of hypersensitivity which can include severe rash or rash accompanied by fever, general malaise, fatigue, muscle or joint aches, blisters, oral lesions, conjunctivitis, facial edema, eosinophilia, granulocytopenia, lymphadenopathy, or renal dysfunction.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

The most common adverse reaction is rash. In adults the incidence of rash is 15% vs 6% with placebo, with Grade 3/4 rash occurring in 2% of subjects In pediatric subjects the incidence of rash (all causality) was 21% To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals at 1-877-835-5472 or www.amneal.com or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

11 products from 8 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Nelvir 250mg TabletNevirapine (250mg)Cipla Ltd.
Nevimune 200mg TabletNevirapine (200mg)Cipla Ltd.
Nevimune SuspensionNevirapineCipla Ltd.
Nevir 200mg TabletNevirapine (200mg)Emcure Pharmaceuticals Ltd.
Nevihope 200mg TabletNevirapine (200mg)Macleods Pharmaceuticals Pvt Ltdbottle of 60 tablets
Nevimune 400mg Tablet XRNevirapine (400mg)Cipla Ltdstrip of 10 tablet xr
Nevimune TabletNevirapine (200mg)Cipla Ltdbottle of 60 tablets
Nevipan 200mg TabletNevirapine (200mg)Sun Pharmaceutical Industries Ltdbottle of 60 tablets
Nevir -ER TabletNevirapine (400mg)Emcure Pharmaceuticals Ltdpacket of 30 tablet er
Neviretro 200mg TabletNevirapine (200mg)Alkem Laboratories Ltdstrip of 10 tablets
Nevirex 200mg TabletNevirapine (200mg)Veritaz Healthcare Ltdstrip of 10 tablets

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Storage Store below 30 ° C. Protect from light. Store in a safe place out of the reach of children.

Storage information from the U.S. FDA-approved label.

Medicines for the same conditions

Nevirapine (NVP) is recorded in the NepalDoc medicine catalog for: HIV infection.

For HIV infection: Efavirenz (EFV or EFZ), Filgrastim, Lamivudine (3TC), Lamivudine + Nevirapine + Zidovudine, Lamivudine + Zidovudine, Ritonavir, Zidovudine (ZDV or AZT).

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.