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Tenofovir disoproxil fumarate

Tenofovir disoproxil fumarate is a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor and is indicated.

Checked against the official label · Updated

Prescription medicine Oral Safety alerts on record

Tenofovir disoproxil fumarate: quick answers

Used for
Tenofovir disoproxil fumarate is a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor and is indicated: in combination with other antiretroviral agents for the treatment of HIV-1 infection in.
Usual adult dose
Adults and pediatric patients weighing at least 35 kg: One tenofovir disoproxil fumarate 300 mg tablet once daily taken orally without regard to food.
Children
Prescription
Prescription medicine in the United States; rules differ by country.

From the official label (Feb 2025). Your prescription and pharmacist come first.

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

Tenofovir disoproxil fumarate is a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor and is 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 weighing at least 35 kg. ( 1.1 ) for the treatment of chronic hepatitis B in adults and pediatric patients 2 years and older weighing at least 35 kg. …

How to take it and how often
  • Testing: Prior to or when initiating tenofovir disoproxil fumarate test for hepatitis B virus infection and HIV-1 infection
  • Prior to initiation and during use of tenofovir disoproxil fumarate, on a clinically appropriate schedule, assess serum creatinine, estimated creatinine clearance, urine glucose, and urine protein in all patients
  • In patients with chronic kidney disease, also assess serum phosphorous
  • Recommended tablet dosage
  • In adults and pediatric patients weighing at least 35 kg: One tenofovir disoproxil fumarate 300 mg tablet once daily taken orally without regard to food
  • Recommended dosage
  • In pediatric patients at least 2 years of age and adults: For patients weighing at least 35 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
  • Recommended dosage in renally impaired adult patients: Creatinine clearance (CrCl) 30-49 mL/min: 300 mg every 48 hours
  • CrCl 10-29 mL/min: 300 mg every 72 to 96 hours
  • Hemodialysis: 300 mg every 7 days or after approximately 12 hours of dialysis
  • Testing Prior to Initiation of Tenofovir Disoproxil Fumarate for Treatment of HIV-1 Infection or Chronic Hepatitis B Prior to or when initiating tenofovir disoproxil fumarate, test patients for HBV infection and HIV-1 infection
  • Tenofovir disoproxil fumarate alone should not be used in patients with HIV-1 infection [see Warnings and Precautions ] . …
Strengths it comes in

Tenofovir disoproxil fumarate is available as tablets. • 300 mg Tablets: 300 mg of TDF (equivalent to 245 mg of tenofovir disoproxil): almond-shaped, blue, film coated, debossed with “32” on one side. Tablets: 300 mg of tenofovir disoproxil fumarate. ( 3 )

Children
  • Pediatric Patients 2 Years and Older with HIV-1 Infection The safety and effectiveness of tenofovir disoproxil fumarate
  • In pediatric patients 2 years to less than 18 years of age is supported by data from two randomized trials
  • Trial 352 was a randomized controlled trial in 92 HIV-1 treatment experienced subjects 2 years to less than 12 years of age who were virologically suppressed on a stavudine-or zidovudine-containing regimen and were randomized to either switch to a tenofovir disoproxil fumarate-containing regimen (N=44) or stay on their original regimen (N=48) for 48 weeks. …
Older adults

Clinical trials of tenofovir disoproxil fumarate 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)
  • Severe Acute Exacerbation of Hepatitis B in Patients Infected with HBV Inform patients that severe acute exacerbations of hepatitis B have been reported in patients infected with hepatitis B virus (HBV) and have discontinued tenofovir disoproxil fumarate
  • Advise patients not to discontinue tenofovir disoproxil fumarate without first informing their healthcare provider. …
Talk to a doctor first if
  • None
  • None
Medicines it may not mix with

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. Monitor for evidence of tenofovir toxicity. ( 7.2 ) Consult Full Prescribing Information prior to and during treatment for important drug interactions. …

Warnings

New onset or worsening renal impairment: Can include acute renal failure and Fanconi syndrome. Avoid administering tenofovir disoproxil fumarate with concurrent or recent use of nephrotoxic drugs.( 5.2 ) HIV testing: HIV antibody testing should be offered to all HBV-infected patients before initiating therapy with tenofovir disoproxil fumarate. Tenofovir disoproxil fumarate should only be used as part of an appropriate antiretroviral combination regimen in HIV-infected patients with or without HBV coinfection. ( 5.3 ) Immune reconstitution syndrome: May necessitate further evaluation and treatment. …

Possible side effects

The following adverse reactions are discussed in other sections of the labeling: Severe Acute Exacerbation of Hepatitis B in Patients with HBV Infection [see Warnings and Precautions (5.1) ]. New Onset or Worsening Renal Impairment [see Warnings and Precautions (5.2) ] . Immune Reconstitution Syndrome [see Warnings and Precautions (5.4) ] . Bone Loss and Mineralization Defects [see Warnings and Precautions (5.5) ] . Lactic Acidosis/Severe Hepatomegaly with Steatosis [see Warnings and Precautions (5.6) ] . In HIV-infected adult subjects: Most common adverse reactions (incidence greater than or equal to 10%, Grades 2–4) were rash, diarrhea, nausea, headache, pain, depression, and asthenia. …

Pregnancy and breastfeeding

8.1 Pregnancy Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to tenofovir disoproxil fumarate during pregnancy. Healthcare providers are encouraged to register patients by calling the Antiretroviral Pregnancy Registry (APR) at 1-800-258-4263. …

If you take too much

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%. Following a single 300 mg dose of tenofovir disoproxil fumarate, a four-hour hemodialysis session removed approximately 10% of the administered tenofovir dose.

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 2025-02-11.

Brands around the world

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

Registered products

United States (FDA)

VireadTENOFOVIR DISOPROXIL FUMARATE 150 mg/1 · Tablet, Coated · Gilead Sciences, Inc.
NDC 61958-0404Label
Tenofovir Disoproxil FumarateTENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet, Film Coated · Macleods Pharmaceuticals Limited
NDC 33342-096Label
Tenofovir Disoproxil FumarateTENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet · AvPAK
NDC 50268-758Label
VireadTENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet, Coated · Gilead Sciences, Inc.
NDC 61958-0401Label
Emtricitabine, Rilpivirine Hydrochloride And Tenofovir Disoproxil FumarateEMTRICITABINE 200 mg/1, RILPIVIRINE HYDROCHLORIDE 25 mg/1, TENOFOVIR DISOPROXIL FUMARATE 300 mg/1 · Tablet, Film Coated · Rottendorf Pharma GmbH
NDC 49629-014Label

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 is a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor and is 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 weighing at least 35 kg. ( 1.1 ) for the treatment of chronic hepatitis B in adults and pediatric patients 2 years and older (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: Testing: Prior to or when initiating tenofovir disoproxil fumarate test for hepatitis B virus infection and HIV-1 infection. Prior to initiation and during use of tenofovir disoproxil fumarate, on a clinically appropriate schedule, assess serum creatinine, estimated creatinine clearance, urine glucose, and urine protein in all patients. In patients with chronic kidney disease, …

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 B in Patients with HBV Infection [see Warnings and Precautions (5.1) ]. New Onset or Worsening Renal Impairment [see Warnings and Precautions (5.2) ] . Immune Reconstitution Syndrome [see Warnings and Precautions (5.4) ] . Bone Loss and Mineralization Defects… 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 and Older with HIV-1 Infection The safety and effectiveness of tenofovir disoproxil fumarate in pediatric patients 2 years to less than 18 years of age is supported by data from two randomized trials. Trial 352 was a randomized controlled trial in 92 HIV-1 treatment experienced subjects 2 years to less than 12 years of age who were virologically suppr… 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 Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to tenofovir disoproxil fumarate during pregnancy. Healthcare providers are encouraged to register patients by calling the Antiretroviral Pregnancy Registry (APR) at 1-800-258-4263. … Ask your doctor or midwife first.

What medicines interact with Tenofovir disoproxil fumarate?

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 protea… Use the free interaction checker before combining medicines.

What happens if I take too much Tenofovir disoproxil fumarate?

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%. Following a single 300 mg dose of tenofovir disoproxil fumarate, a… 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.