Generic Name: raltegravir

Pronunciation: eye-SEN-tress

Abbreviation: RAL

Other Market Name: N/A

Drug Class: Integrase Inhibitors

Pharmaceutical Company: Merck & Company

Approval Status: Approved

Generic Version Available: No

Experimental Code: MK-0518


Drug Recommendation

A component of recommended and other treatment regimens for antiretroviral-naive people living with HIV, as indicated by the U.S. Department of Health and Human Services (DHHS) Panel on Antiretroviral Guidelines for Adults and Adolescents. Visit https://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-arv-guidelines/0 for the full DHHS guidelines.


General Info

Isentress is an HIV medication. It is in a category of HIV medicines called integrase inhibitors. Isentress was approved by the U.S. Food and Drug Administration for use by people living with HIV in October 2007.

Isentress is approved for treatment-experienced people who have HIV strains that are resistant to multiple antiretroviral drugs and for people with drug-sensitive HIV strains, such as those starting antiretroviral therapy for the first time.

Isentress must be used in combination with other HIV drugs.


Dosage

Adult Dose: One 400mg tablet twice a day. A once-daily dose is currently being evaluated by Merck comparable for safety and effectiveness in clinical trials.

Pediatric Dose: 55lbs (25kg) or more: one 400 mg tablet twice a day; Less than 55lbs (25kg): dosing based on body weight

Dosing Info: Take with or without food.


Side Effects

Common side effects include diarrhea, nausea, headache, and insomnia.

Rash is another possible side effect of Isentress. These rashes usually go away without any change in treatment. In a small number of patients, rash may be serious. If you develop rash, call your doctor as soon as possible.

Blood tests showed abnormally elevated levels of a muscle enzyme—creatine kinase—in some patients receiving Isentress. sentress should be used with caution by patients who are at an increased risk of muscle problems like myopathy and rhabdomyolysis, which includes patients using other medications known to cause these conditions.


Drug Interactions

Isentress can interact with Rifadin (rifampin), an antibiotic. Rifadin (rifampin) can decrease raltegravir levels in the bloodstream, requiring a doubling of the Isentress dose while Rifadin is being used.

Isentress might interact with drugs that are called "UGT inducers." These include, among other drugs, some anticonvulsants and some atypical antipsychotics.

Important hepatitis C treatment drug-drug interactions: Isentress can be combined with Sovaldi (sofosbuvir), Harvoni (ledipasvir/sofosbuvir), Olysio/Sovriad (simeprevir), Viekira Pak (ombitasvir/paritaprevir/ritonavir/dasabuvir). ribavirin, or pegylated interferon alfa.

Other drug interactions are possible. Consult the Triumeq package insert for more details: http://www.merck.com/product/usa/pi_circulars/i/isentress/isentress_pi.pdf


Other Info

Before taking this medication, tell your doctor if you have kidney disease or liver disease (including hepatitis B). In addition, tell your doctor if you are pregnant or planning to become pregnant, if you are breast feeding, and all your medical conditions, including all prescription and over-the-counter medications and supplements you are taking.


For More Info: http://www.merck.com/product/usa/pi_circulars/i/isentress/isentress_pi.pdf

Co-Pay Program Info: https://www.poz.com/basics/hiv-basics/drug-assistance-programs

Patient Assistance Program Info: https://www.poz.com/basics/hiv-basics/drug-assistance-programs

Last Revised: July 15, 2016