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Tenofovir disoproxil fumarate

Tenofovir disoproxil fumarate tablets are a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor. • Teno.

Checked against the official label · Updated

Prescription medicine Oral Safety alerts on record

How to use Tenofovir disoproxil fumarate

What the official label says. If a doctor prescribed it, follow the prescription. Your pack's leaflet comes first if it is different.

Serious warning: WARNING: POSTTREATMENT EXACERBATION OF HEPATITIS Severe acute exacerbations of hepatitis have been reported in HBV-infected patients who have discontinued anti-hepatitis B therapy, including tenofovir disoproxil fumarate tablets. Hepatic function should be monitored closely with both clinical and laboratory follow-up for at least several months in patients who discontinue anti-hepatitis B therapy, including tenofovir disoproxil fumarate tablets. …
Who it is for

Tenofovir disoproxil fumarate tablets are a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor. • Tenofovir disoproxil fumarate tablets are indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients 2 years of age and older. (1) • Tenofovir disoproxil fumarate tablets are indicated for the treatment of chronic hepatitis B in adults and pediatric patients 12 years of age and older. …

How to take it and how often
  • Recommended dose
  • For the treatment of HIV-1 or chronic hepatitis B
  • In adults and pediatric patients 12 years of age and older (35 kg or more): 300 mg once daily taken orally without regard to food. • Recommended dose
  • For the treatment of HIV-1
  • In pediatric patients (2 to less than 12 years of age): o Tablets: For pediatric patients weighing greater than or equal to 17 kg who can
  • Swallow an intact tablet, one tenofovir disoproxil fumarate tablet (300 mg based on body weight) once daily taken orally without regard to food. • Dose recommended in renal impairment
  • In adults: o Creatinine clearance 30 to 49 mL/min: 300 mg every 48 hours. o Creatinine clearance 10 to 29 mL/min: 300 mg every 72 to 96 hours. o Hemodialysis: 300 mg every 7 days or after approximately 12 hours of dialysis
  • Recommended Dose
  • In Adults and Pediatric Patients 12 Years of Age and Older (35 kg or more)
  • For the treatment of HIV-1 or chronic hepatitis B: The dose is one 300 mg tenofovir disoproxil fumarate tablet once daily taken orally, without regard to food
  • In the treatment of chronic hepatitis B, the optimal duration of treatment is unknown
  • Safety and efficacy
  • In pediatric patients with chronic hepatitis B weighing less than 35 kg have not been established. …
Strengths it comes in

Tenofovir disoproxil fumarate is available as tablets. Tenofovir disoproxil fumarate tablets contain 300 mg of tenofovir disoproxil fumarate, which is equivalent to 245 mg of tenofovir disoproxil. The tablets are white, almond shaped, film coated debossed with ‘H’ on one side and ‘123’ on other side. • Tablets: 300 mg ( 3 )

Children
  • Pediatric Patients 2 Years of Age and Older with HIV-1 infection The safety of tenofovir disoproxil fumarate tablets
  • In pediatric patients aged 2 to less than 18 years is supported by data from two randomized trials in which tenofovir disoproxil fumarate tablets were administered to HIV-1 infected treatment-experienced subjects
  • In addition, the pharmacokinetic profile of tenofovir in patients 2 to less than 18 years of age at the recommended doses was similar to that found to be safe and effective in adult clinical trials [See Clinical Pharmacology ]. …
Older adults

Clinical trials of tenofovir disoproxil fumarate tablets did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. In general, dose selection for the elderly patient should be cautious, keeping in mind the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

While you are taking it
  • Advise the patient to read the FDA-approved patient labeling (Patient Information)
  • Inform patients that tenofovir disoproxil fumarate tablets are not a cure for HIV-1 infection and patients may continue to experience illnesses associated with HIV-1 infection, including opportunistic infections
  • Patients should remain under the care of a physician when using tenofovir disoproxil fumarate tablets
  • Advise patients to avoid doing things that can spread HIV or HBV to others. • Do not share needles or other injection equipment. • Do not share personal items that can have blood or body fluids on them, like toothbrushes and razor blades. • Do not have any kind of sex without protection. …
Talk to a doctor first if
  • None
  • None
Medicines it may not mix with

This section describes clinically relevant drug interactions with tenofovir disoproxil fumarate tablets. Drug interactions trials are described elsewhere in the labeling [See Clinical Pharmacology ( 12.3 )]. • Tenofovir disoproxil fumarate increases didanosine concentrations. Dose reduction and close monitoring for didanosine toxicity are warranted. (7.2) • Coadministration decreases atazanavir concentrations. When coadministered with tenofovir disoproxil fumarate, use atazanavir given with ritonavir. (7.2) • Coadministration of tenofovir disoproxil fumarate with certain HIV-1 protease inhibitors or certain drugs to treat HCV increases tenofovir concentrations. …

Warnings

• New onset or worsening renal impairment: Can include acute renal failure and Fanconi syndrome. Assess estimated creatinine clearance before initiating treatment with tenofovir disoproxil fumarate tablets. In patients at risk for renal dysfunction, assess estimated creatinine clearance, serum phosphorus, urine glucose, and urine protein before initiating treatment with tenofovir disoproxil fumarate tablets and periodically during treatment. Avoid administering tenofovir disoproxil fumarate tablets with concurrentor recent use of nephrotoxic drugs. …

Possible side effects

The following adverse reactions are discussed in other sections of the labeling: • Severe Acute Exacerbation of Hepatitis [See Boxed Warning, Warnings and Precautions ( 5.1 )]. • New Onset or Worsening Renal Impairment [See Warnings and Precautions ( 5.2 )]. • Lactic Acidosis/Severe Hepatomegaly with Steatosis [See Warnings and Precautions ( 5.3 )]. • Bone Effects [See Warnings and Precautions ( 5.6 )]. • Immune Reconstitution Syndrome [See Warnings and Precautions ( 5.7)]. • In HIV-infected adult subjects: Most common adverse reactions (incidence greater than or equal to 10%, Grades 2 to 4) are rash, diarrhea, headache, pain, depression, asthenia, and nausea. …

Pregnancy and breastfeeding

8.1 Pregnancy Pregnancy Category B There are no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, tenofovir disoproxil fumarate tablets should be used during pregnancy only if clearly needed. …

If you take too much

Limited clinical experience at doses higher than the therapeutic dose of tenofovir disoproxil fumarate tablets 300 mg are available. In Study 901, 600 mg tenofovir DF was administered to 8 subjects orally for 28 days. No severe adverse reactions were reported. The effects of higher doses are not known. If overdose occurs the patient must be monitored for evidence of toxicity and standard supportive treatment applied as necessary. Tenofovir is efficiently removed by hemodialysis with an extraction coefficient of approximately 54%. …

If you miss a dose

Take it when you remember, unless it is nearly time for the next dose. Then skip the missed one. Never take two doses at once to make up for it. Check your leaflet, as some medicines are different.

From the official U.S. FDA label for this active ingredient. Your pack may have a different strength, so always read its leaflet. If a doctor prescribed it, follow the prescription. Ask a pharmacist if you are unsure. Label dated 2025-10-09.

Brands around the world

Products with Tenofovir disoproxil fumarate as the active ingredient. Names differ between countries.

Registered products

United States (FDA)

Emtricitabine And Tenofovir Disoproxil FumarateEMTRICITABINE 200 mg/1, TENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet, Film Coated · Amneal Pharmaceuticals NY LLC
NDC 60219-2095Label
Tenofovir Disoproxil FumarateTENOFOVIR DISOPROXIL FUMARATE 25 kg/25kg · Powder · Cipla Ltd.
NDC 53104-7654Label
Emtricitabine And Tenofovir Disoproxil FumarateEMTRICITABINE 200 mg/1, TENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet, Film Coated · Macleods Pharmaceuticals Limited
NDC 33342-106Label
Emtricitabine And Tenofovir Disoproxil FumarateEMTRICITABINE 100 mg/1, TENOFOVIR DISOPROXIL FUMARATE 150 mg/1 · Tablet, Film Coated · Amneal Pharmaceuticals NY LLC
NDC 69238-2092Label
Efavirenz, Emtricitabine And Tenofovir Disoproxil FumarateEFAVIRENZ 600 mg/1, EMTRICITABINE 200 mg/1, TENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet, Film Coated · Bryant Ranch Prepack
NDC 72162-2565Label

Nigeria (NAFDAC)

NAFDACTenofovir Disoproxil Fumarate/ Lamivudine Tablets A4-3126NAFDACTenofovir Disoproxil Fumarate/Efavirenz/Emtricitabine Tablet C4-1691NAFDACTenofovir Disoproxil Fumarate/Efavirenz/Emtricitabine 300 mg/600 mg/200 mg A4-2806NAFDACAvonza Tablet B4-9860NAFDACViropil Tablets C4-1861NAFDACTexavir Tablets C4-1440NAFDACTavin-Em Tablets A4-4607NAFDACGetino-B Tablets B4-2338NAFDACTavin-EM Tablets_ A4-4607NAFDACAcriptega Tablets_ B4-9927NAFDACTruvada Tablets## (check pack size) 04-8774NAFDACJyna Tenofovir Disoproxil Fumarate Tablets 300 mg C4-0362

Other countries: check your pack's registration number and we point you to your regulator.

Safety alerts and recalls

Truvada (200 mg emtricitabine and 300 mg tenofovir disoproxil fumarate) tablets, 30 count bottles, Rx only, Manufactured for Gilead Sciences, Inc. Foster City, CA 94404, NDC 61958-U.S. FDA Class III
30 Sep 2014 · Gilead Sciences, Inc. · TerminatedPresence of Foreign Substance: Truvada was found to contain small red silicone rubber particulates.
Atripla (efavirenz 600 mg/ emtricitabine 200 mg/ tenofovir disoproxil fumarate 300 mg) Tablets, 30 Tablet Bottles, Rx only. Manufactured for: Bristol-Myers Squibb & Gilead ScienceU.S. FDA Class III
19 Feb 2014 · Gilead Sciences, Inc. · TerminatedPresence of Foreign Substance: Red Silicone Rubber Particulates are Present in Drug.

A recall usually affects certain batches only. Compare the lot number on your pack.

Check your pack of Tenofovir disoproxil fumarate

Type the registration number on the pack, or scan it with your camera.

Or take photos of the pack
3 free checks left today Official sources: U.S. FDA · EMA (EU) · Health Canada · WHO alerts

Questions about Tenofovir disoproxil fumarate

What is Tenofovir disoproxil fumarate used for?

Tenofovir disoproxil fumarate tablets are a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor. • Tenofovir disoproxil fumarate tablets are indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients 2 years of age and older. (1) • Tenofovir disoproxil fumarate tablets are indicated for the treatment of (From the official U.S. FDA label.)

How do I take Tenofovir disoproxil fumarate?

Follow your prescription or the leaflet in your pack. The official label says: • Recommended dose for the treatment of HIV-1 or chronic hepatitis B in adults and pediatric patients 12 years of age and older (35 kg or more): 300 mg once daily taken orally without regard to food. (2.1) • Recommended dose for the treatment of HIV-1 in pediatric patients (2 to less than 12 years of age): o Tablets: For pediatric patients weighing greater than or equal to 17 k…

Do I need a prescription for Tenofovir disoproxil fumarate?

Usually yes. Tenofovir disoproxil fumarate is a prescription medicine in most countries. Rules differ by country.

What brands contain Tenofovir disoproxil fumarate?

Tenofovir disoproxil fumarate is sold under names such as Complera, Stribild, Cimduo, Symfi, Delstrigo, Temixys, Viread, Truvada. Brand names differ between countries.

What are the side effects of Tenofovir disoproxil fumarate?

The official label lists: The following adverse reactions are discussed in other sections of the labeling: • Severe Acute Exacerbation of Hepatitis [See Boxed Warning, Warnings and Precautions ( 5.1 )]. • New Onset or Worsening Renal Impairment [See Warnings and Precautions ( 5.2 )]. • Lactic Acidosis/Severe Hepatomegaly with Steatosis [See Warnings and Precautions ( 5.3 )]. • Bone Effects [See Warnings… Tell your doctor about any side effect that bothers you or does not go away.

Can children take Tenofovir disoproxil fumarate?

Pediatric Patients 2 Years of Age and Older with HIV-1 infection The safety of tenofovir disoproxil fumarate tablets in pediatric patients aged 2 to less than 18 years is supported by data from two randomized trials in which tenofovir disoproxil fumarate tablets were administered to HIV-1 infected treatment-experienced subjects. In addition, the pharmacokinetic profile of tenof… Always use the dose for the child's age or weight on the pack or prescription.

Can I take Tenofovir disoproxil fumarate when pregnant or breastfeeding?

8.1 Pregnancy Pregnancy Category B There are no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, tenofovir disoproxil fumarate tablets should be used during pregnancy only if clearly needed. … Ask your doctor or midwife first.

What medicines interact with Tenofovir disoproxil fumarate?

This section describes clinically relevant drug interactions with tenofovir disoproxil fumarate tablets. Drug interactions trials are described elsewhere in the labeling [See Clinical Pharmacology ( 12.3 )]. • Tenofovir disoproxil fumarate increases didanosine concentrations. Dose reduction and close monitoring for didanosine toxicity are warranted. (7.2) • Coadministration dec… Use the free interaction checker before combining medicines.

What happens if I take too much Tenofovir disoproxil fumarate?

Limited clinical experience at doses higher than the therapeutic dose of tenofovir disoproxil fumarate tablets 300 mg are available. In Study 901, 600 mg tenofovir DF was administered to 8 subjects orally for 28 days. No severe adverse reactions were reported. The effects of higher doses are not kno… Get medical help right away.

How can I check that my Tenofovir disoproxil fumarate is genuine?

Scan the registration number on your pack with PillVera (NAFDAC number in Nigeria, NDC in the United States, DIN in Canada), check the expiry date and buy only from licensed pharmacies.

Sources

This page shows what official sources say, in plain words. It is not medical advice: your prescription and your doctor or pharmacist come first. Brand names, strengths and rules differ between countries.