Question
What can I do to avoid the side effects of PEP?
27 February 2023. Related: Adherence, All topics, PEP/PEPSE, Side effects.
Hi I’m taking PEP (emtricitabine tenofovir disoproxil fumarate and efavirenz) every 1430H. I’m having trouble with the side effect, anything I can do for this? Also, would it be ok if I drink it before going to sleep? Thank you very much for the response.
Answer
Hi, how are you doing?
What are the side effects you are experiencing?
Yes. It is actually advised to take this combination of PEP in the evening rather than in the afternoon. Taking it in the evening will let you sleep through most of the side effects and prevent it having an impact on your life.
Are you taking it with food? As this combination contains efavirenz, you should avoid taking it with high fat foods. The high fat content means more efavirenz will be absorbed and this can lead to worsening side effects. It is okay to take it with other foods.
Josh.
Hi Jimu, food does not make this treatment less effective.
Instead high fat foods can increase how much efavirenz is absorbed by the body. This can lead to more serious side effects e.g., worse nightmares and mood disturbances.
Efavirenz based combinations are not commonly used as PEP due to its side effect profile. How are you currently handling this treatment?
Hey josh im taking Efavirenz Lamivudine
Tenofovir Disoproxil Fumarate as PEP after 1 hour of eating it was recommended to take after 2 hours can food interact the medicine can be less effective the treatment?
Hi Liliam, for this treatment to be effective you need to take it with food. Food is used to help the body absorb daranuvir.
Are you experiencing any side effects? These should go away within the first week as your body adjusts to the treatment. If they don’t contact your doctor and they will be able to manage your side effects.
Hi. I’m taking Emtricitabine/Tenofovir + Darunavir + Ritonavir as PEP. And I’m also wondering what’s the best way to minimalize side effects (the same?) and whether I should take it after/before/with food. Thanks
Hi Anup, Pantocid dsr should be taken on an empty stomach. This is best done 2 hours before food and waiting 2 hours before eating. How your doctor has suggested taking Pantocid would be okay.
Are you taking it at the same time as Trustiva? If you are it is possible that Trustiva can reduce how much Pantocid is absorbed by the body. This can risk Pantocid not working as well. It may be that a higher dose of Pantocid is needed to achieve the same results.
Hi josh my doctor advice me to take pantocid dsr capsule with trustiva .. should I took pantocid dsr capsule… before food…and he advice me take medicine before bed at least 1.30 hour after food is it ok