
Efavirenz Coupons & Discount Card – Guaranteed Prices from $173.13
generic Sustiva
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200MG, Efavirenz (30 Capsules)
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CVS
$173.13
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Rite Aid
$284.02
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Walgreens
$297.37
COUPON PRICEEfavirenz savings card
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CVS
$173.13
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GRP
019876
LH37F51A49
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LHX
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Efavirenz dosage forms
Dosage | Quantity | Price from | Per unit |
---|---|---|---|
50MG | 30 Capsules | $53.76 | $1.79 |
200MG | 30 Capsules | $175.5 | $5.85 |
Efavirenz Warnings
The following safety information is crucial for anyone considering or currently using efavirenz (Sustiva). Please read carefully and discuss any concerns with your healthcare provider.
Heart Rhythm Concerns: Efavirenz can lead to serious heart rhythm issues, known as QT prolongation, which may be life-threatening. Individuals with a history of heart problems, slow heart rate, or those on medications like amiodarone that also affect heart rhythm, are at heightened risk. If you experience chest discomfort, breathing difficulties, or faintness, seek emergency assistance immediately.
Neurological and Mental Health Effects: While uncommon, efavirenz may increase the likelihood of seizures, dizziness, vivid dreams, hallucinations, and sleep disturbances. These symptoms often appear within the initial 1-2 days of treatment and typically subside after 2-4 weeks. Those with a history of seizures, nerve damage, or mental health issues should exercise caution, especially if using other medications that raise seizure risk.
Pregnancy Risks: Efavirenz may harm an unborn child, particularly during early pregnancy, by increasing the risk of neural tube defects. It is advisable to avoid pregnancy during treatment and for three months following the last dose.
Severe Skin and Allergic Reactions: The medication can cause rashes and severe skin reactions, usually emerging within the first two weeks and resolving in a month. Continue use in case of mild rashes but consult your provider if they worsen. Discontinue use and seek immediate medical help if severe rashes occur alongside fever, discomfort, or swelling.
Liver Health: Efavirenz can potentially cause severe liver damage. Regular blood tests will be necessary to monitor liver function. Report symptoms like fatigue, nausea, jaundice, or dark urine to your provider promptly.
Cholesterol Levels: This medication may elevate cholesterol and triglycerides, increasing heart attack or stroke risk. Regular monitoring is required, and adjustments to cholesterol-lowering medications may be necessary.
Body Fat Changes: Rarely, changes in body fat distribution can occur, affecting areas like the neck, breasts, and abdomen, or causing fat loss from limbs and face. Though the cause is unclear, report any such changes to your provider.
Immune System Overactivity: Efavirenz, in combination with other HIV treatments, might lead to immune reconstitution syndrome, where the immune system becomes overly active. This can result in the body attacking its own cells. Report any new symptoms, such as fever or unusual sweating, to your healthcare provider.
Drug Interactions: Some medications may affect how efavirenz is processed in your body, impacting its effectiveness and increasing side effects. Inform your provider of all medications you are taking.
Contraindications: Avoid using efavirenz with Zepatier (elbasvir/grazoprevir) as it may cause serious health risks. Always consult your healthcare provider before starting or stopping any medications.
Efavirenz Side Effects
Common side effects:
- Dizziness
- Trouble sleeping
- Drowsiness
- Unusual dreams
- Difficulty concentrating
- Tiredness
- Nausea
- Vomiting
- Diarrhea
- Headaches
- Rashes
Serious side effects:
- Severe allergic reactions (fever, rash, skin blistering)
- Liver problems (persistent nausea, vomiting, dark urine, yellowing of skin or eyes)
- Unexplained weight loss
- Severe tiredness
- Muscle aches
- Joint pain
- Numbness
- Vision changes
- Signs of infection (fever, swollen lymph nodes)
- Mental health changes (depression, anxiety, hallucinations, thoughts of self-harm)
Efavirenz Interactions
Interactions with high risk of serious adverse effects and should be avoided:
- Bepridil
- Carbamazepine
- Cisapride
- Dasabuvir
- Dronedarone
- Elbasvir
- Grazoprevir
- Maraviroc
- Mesoridazine
- Paritaprevir
- Pimozide
- Piperaquine
- Ritonavir
- Saquinavir
- Sparfloxacin
- St John's Wort
- Terfenadine
- Thioridazine
- Voriconazole
- Ziprasidone
Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:
- Abametapir
- Alfentanil
- Alfuzosin
- Amiodarone
- Amisulpride
- Amitriptyline
- Amprenavir
- Anagrelide
- Apomorphine
- Aripiprazole
- Aripiprazole Lauroxil
- Arsenic Trioxide
- Artemether
- Asenapine
- Astemizole
- Atazanavir
- Atovaquone
- Avanafil
- Avapritinib
- Axitinib
- Azithromycin
- Bedaquiline
- Benzhydrocodone
- Bexarotene
- Boceprevir
- Brigatinib
- Buprenorphine
- Bupropion
- Buserelin
- Cabotegravir
- Capmatinib
- Ceritinib
- Chloroquine
- Chlorpromazine
- Ciprofloxacin
- Citalopram
- Clarithromycin
- Clofazimine
- Clomipramine
- Clozapine
- Cobimetinib
- Codeine
- Crizotinib
- Cyclobenzaprine
- Cyclosporine
- Dabrafenib
- Daclatasvir
- Darunavir
- Dasatinib
- Deflazacort
- Degarelix
- Delamanid
- Desipramine
- Deslorelin
- Deutetrabenazine
- Dexamethasone
- Dienogest
- Dihydrocodeine
- Disopyramide
- Dofetilide
- Dolasetron
- Dolutegravir
- Domperidone
- Donepezil
- Doravirine
- Doxepin
- Doxorubicin
- Doxorubicin Hydrochloride Liposome
- Droperidol
- Ebastine
- Encorafenib
- Entrectinib
- Enzalutamide
- Erdafitinib
- Eribulin
- Erythromycin
- Escitalopram
- Estradiol
- Ethinyl Estradiol
- Ethynodiol
- Etravirine
- Famotidine
- Fedratinib
- Felbamate
- Fentanyl
- Fingolimod
- Flecainide
- Fluconazole
- Fluoxetine
- Formoterol
- Fosamprenavir
- Foscarnet
- Fosnetupitant
- Fosphenytoin
- Fostemsavir
- Galantamine
- Gatifloxacin
- Gemifloxacin
- Gestodene
- Ginkgo Biloba
- Glasdegib
- Glecaprevir
- Gonadorelin
- Goserelin
- Granisetron
- Halofantrine
- Haloperidol
- Hemin
- Histrelin
- Horsetail
- Hydrocodone
- Hydroquinidine
- Hydroxychloroquine
- Hydroxyzine
- Ibutilide
- Idelalisib
- Ifosfamide
- Iloperidone
- Imipramine
- Inotuzumab Ozogamicin
- Itraconazole
- Ivabradine
- Ivosidenib
- Ketoconazole
- Lapatinib
- Lefamulin
- Lemborexant
- Lenvatinib
- Levofloxacin
- Levonorgestrel
- Linagliptin
- Lofexidine
- Lorlatinib
- Lumateperone
- Lumefantrine
- Lurbinectedin
- Macimorelin
- Medroxyprogesterone
- Mefloquine
- Meperidine
- Mestranol
- Methotrimeprazine
- Metronidazole
- Mifepristone
- Mirtazapine
- Mizolastine
- Moricizine
- Moxifloxacin
- Nafarelin
- Naloxegol
- Nelfinavir
- Neratinib
- Netupitant
- Nevirapine
- Nifedipine
- Nilotinib
- Nomegestrol
- Norfloxacin
- Octreotide
- Ofloxacin
- Olanzapine
- Olaparib
- Ondansetron
- Orlistat
- Osilodrostat
- Osimertinib
- Oxaliplatin
- Oxycodone
- Ozanimod
- Paliperidone
- Panobinostat
- Papaverine
- Paroxetine
- Pasireotide
- Pazopanib
- Pemigatinib
- Pentamidine
- Pentazocine
- Perampanel
- Perphenazine
- Pibrentasvir
- Pimavanserin
- Pipamperone
- Pitolisant
- Ponesimod
- Posaconazole
- Pretomanid
- Probucol
- Procainamide
- Prochlorperazine
- Proguanil
- Promethazine
- Propafenone
- Protriptyline
- Quetiapine
- Quinidine
- Quinine
- Ranolazine
- Ribociclib
- Rifabutin
- Rifampin
- Rilpivirine
- Rimegepant
- Risperidone
- Segesterone
- Selpercatinib
- Selumetinib
- Sertindole
- Sertraline
- Sevoflurane
- Simeprevir
- Siponimod
- Sirolimus
- Sodium Phosphate
- Sodium Phosphate, Dibasic
- Sodium Phosphate, Monobasic
- Solifenacin
- Sonidegib
- Sorafenib
- Sotalol
- Sufentanil
- Sulpiride
- Sultopride
- Sunitinib
- Tacrolimus
- Tamoxifen
- Tazemetostat
- Telavancin
- Telithromycin
- Tetrabenazine
- Tolterodine
- Tolvaptan
- Toremifene
- Tramadol
- Trazodone
- Triclabendazole
- Trimipramine
- Triptorelin
- Ubrogepant
- Ulipristal
- Vandetanib
- Vardenafil
- Velpatasvir
- Vemurafenib
- Venetoclax
- Venlafaxine
- Vilanterol
- Vilazodone
- Vinflunine
- Voclosporin
- Vorinostat
- Voxelotor
- Voxilaprevir
- Warfarin
- Zanubrutinib
- Zotepine
- Zuclopenthixol
What is the most common side effect of efavirenz?
The most common side effect of efavirenz is central nervous system symptoms, which can include dizziness, insomnia, impaired concentration, and vivid dreams. These symptoms are usually mild to moderate and tend to decrease over time.
Why is efavirenz being phased out?
Efavirenz is being phased out primarily due to its side effect profile and the availability of newer antiretroviral medications that offer better tolerability and fewer adverse effects. Efavirenz is associated with central nervous system side effects, such as dizziness, insomnia, and vivid dreams, which can impact a patient's quality of life. Additionally, newer medications have improved efficacy and a lower risk of drug interactions, making them more favorable options in the treatment of HIV.
Does efavirenz cause hallucinations?
Yes, efavirenz can cause hallucinations as a side effect. It is known to affect the central nervous system, and some patients may experience psychiatric symptoms, including hallucinations, vivid dreams, or other mood changes. If these symptoms occur, it is important to consult a healthcare provider.
What medicine should not be taken with efavirenz?
Efavirenz should not be taken with certain medications due to potential interactions. These include:- St. John's Wort: It can decrease the effectiveness of efavirenz.- Certain anticonvulsants: Such as carbamazepine, phenobarbital, and phenytoin, which can lower efavirenz levels.- Some antifungal medications: Such as voriconazole, which can have altered levels when taken with efavirenz.- Certain antibiotics: Like rifampin, which can reduce efavirenz levels.- Some benzodiazepines: Such as midazolam and triazolam, which can have increased effects.It is important to consult a healthcare provider for a comprehensive list and guidance on medication interactions with efavirenz.
What is the classification of efavirenz?
Efavirenz is classified as a non-nucleoside reverse transcriptase inhibitor (NNRTI). It is used in the treatment of HIV infection.