抗病毒藥品 Chronic hepatitis C: Genotype 1, 2, 3, 4, 5, or 6 infection in adults with or without compensated cirrhosis, or in combination with ribavirin in patients with decompensated cirrhosis
1. Protein binding: (Velpatasvir) >99.5%; (Sofosbuvir) 61-65%
2. Metabolism: (Velpatasvir) Hepatic; substrate of P-gp, OATPs, and CYP2B6, CYP2C8, and CYP3A4; (Sofosbuvir) Hepatic; forms pharmacologically active nucleoside analog triphosphate GS-461203; dephosphorylation results in the formation of nucleoside inactive metabolite GS-331007
3. Half-life elimination: (Velpatasvir) 15 hours; (Sofosbuvir) 0.5 hours
4. Time to peak: (Velpatasvir) 3 hours; (Sofosbuvir) 0.5 to 1 hour
5. Excretion: (Velpatasvir) Urine: 0.4%, feces: 94%; (Sofosbuvir) Urine: 80%; feces: 14%
禁忌症
There are no contraindications listed in the manufacturer's labeling.
懷孕分類
Fetal risk cannot be ruled out.
哺乳分類
Infant risk cannot be ruled out.
副作用
Nausea, Headache, Fatigue
劑量和給藥方法
One tablet once daily for 12 weeks
小兒調整劑量
Safety and effectiveness of sofosbuvir/velpatasvir are not established in pediatric patients
腎功能調整劑量
1. eGFR ≥30 mL/minute/1.73 m2: No dosage adjustment necessary.
2. eGFR <30 mL/minute/1.73 m2, ESRD (including hemodialysis): There are no dosage adjustments provided in the manufacturer's labeling. However, sofosbuvir and metabolite accumulate in patients with severe renal impairment.
肝功能調整劑量
Mild, moderate, or severe impairment (Child-Pugh class A, B, or C): No dosage adjustment necessary.