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Positively Aware HIV Treatment and Health Positively Aware HIV Treatment and Health May / June 2009 The Journal of Test Positive Aware Network IMPORTANT INFORMATION ABOUT REYATAZ® (atazanavir sulfate) INDICATION: REYATAZ is a prescription medicine used in combination with other medicines to treat people who are infected with the human immunodeficiency On REYATAZ, virus (HIV).REYATAZ has been studied in 48-week trials in both patients who have taken or have never taken anti-HIV medicines. REYATAZ does not cure HIV or help prevent passing HIV to others. IMPORTANT SAFETY INFORMATION: Do not take REYATAZ if you are allergic to REYATAZ or to any of its Wednesday ingredients. Do not take REYATAZ if you are taking the following medicines: Mary’s rifampin,Camptosar® (irinotecan),Versed® (midazolam) when taken birthday by mouth,Halcion® (triazolam),ergot medicines,Propulsid® (cisapride), St. John’s wort (Hypericum perforatum),Mevacor® (lovastatin), party Zocor®(simvastatin),Orap® (pimozide),Crixivan® (indinavir), orViramune® (nevirapine). Speak with your healthcare provider before taking the following medicines if you are taking REYATAZ:hormonal contraceptives such as birth control pills or contraceptive patch,Viagra® (sildenafil), Levitra® (vardenafil), Cialis® (tadalafil),Vfend® (voriconazole), AcipHex® (rabeprazole),Nexium® (esomeprazole),Prevacid® (lansoprazole), Prilosec® (omeprazole),Protonix® (pantoprazole),Axid® (nizatidine), Pepcid AC® (famotidine), Tagamet® (cimetidine),or Zantac® (ranitidine), Thursday Advair® (fluticasone propionate and salmeterol inhalation powder), 5:30 Flonase® or Flovent® (fluticasone propionate),or Sustiva® (efavirenz). The above lists of medicines are not complete.Discuss all prescription Choir and non-prescription medicines,vitamin and herbal supplements,or practice other health preparations you are taking or plan to take with your healthcare provider. Tell your healthcare provider right away if you have any side effects,symptoms, or conditions,including the following: • Mild rash (redness and itching) without other symptoms sometimes occurs in patients taking REYATAZ,most often in the first few weeks after the medicine is Buy new started,and usually goes away within two weeks with no change in treatment. • Severe rash has occurred in a small number of patients taking REYATAZ.This type shoes of rash is associated with other symptoms which could be serious and potentially for Latisha cause death.If you develop a rash with any of the following symptoms, stop using REYATAZ and call your healthcare provider right away: – Shortness of breath – Conjunctivitis (red or inflamed – General ill-feeling or eyes,like“pink-eye”) “flu-like”symptoms – Blisters – Fever – Mouth sores – Muscle or joint aches – Swelling of your face • Yellowing of the skin and/or eyes may occur due to increases in bilirubin levels in the blood (bilirubin is made by the liver). • A change in the way your heart beats may occur and could be a symptom of a heart problem. • Diabetes and high blood sugar may occur in patients taking protease inhibitor medicines like REYATAZ. • If you have liver disease,including hepatitis B or C,your liver disease may get worse when you take anti-HIV medicines like REYATAZ. • Kidney stones have been reported in patients taking REYATAZ.Signs or symptoms of kidney stones include pain in your side,blood in your urine, and pain when you urinate. • End stage kidney disease managed with hemodialysis. • Some patients with hemophilia have increased bleeding problems with protease inhibitor medicines like REYATAZ. • Changes in body fat have been seen in some patients taking anti-HIV Fight HIV your way. medicines.The cause and long-term effects are not known at this time. Other side effects of REYATAZ taken with other anti-HIV medicines include: nausea,headache,stomach pain,vomiting,diarrhea,depression,fever,dizziness, trouble sleeping,numbness,and tingling or burning of hands or feet. You should take REYATAZ once daily with food (a meal or snack).You should take REYATAZ and your other anti-HIV medicines exactly as instructed by your healthcare provider. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please see Important Patient Information about REYATAZ on the adjacent pages. how you spend your time is up to you. Individual results may vary. Once-daily REYATAZ can help fight your HIV. REYATAZ, a protease inhibitor (PI), in HIV combination therapy: ◆ Can help lower your viral load and raise your T-cell (CD4+cell) count ◆ Has a low chance of diarrhea (shown in clinical trials)* ◆ Is taken once a day with a snack or meal * REYATAZ in combination therapy had a 1%-3% rate of moderate-to-severe diarrhea. REYATAZ is one of several treatment options your doctor may consider. Ask your healthcare team about REYATAZ www.REYATAZ.com REYATAZ does not cure HIV, a serious disease, and has not been shown to reduce the risk of passing HIV to others. REYATAZ is a registered trademark of Bristol-Myers Squibb Company. SUSTIVA is a registered trademark of Bristol-Myers Squibb Pharma Company. All other trademarks are the property of their respective owners and not of Bristol-Myers Squibb. © 2009 Bristol-Myers Squibb Company,Princeton,NJ 08543 U.S.A. 687US09AB00204 02/09 FDA-Approved Patient Labeling How should I take REYATAZ (atazanavir sulfate)? Patient Information • Take REYATAZ once every day exactly as instructed by your healthcare REYATAZ® (RAY-ah-taz) provider. Your healthcare provider will prescribe the amount of REYATAZ that is right for you. (generic name = atazanavir sulfate) • For adults who have never taken anti-HIV medicines before, the dose Capsules is 300 mg once daily with 100 mg of NORVIR® (ritonavir) once daily ALERT: Find out about medicines that should NOT be taken with REYATAZ taken with food. For adults who are unable to tolerate ritonavir, 400 mg (atazanavir sulfate). Read the section “What important information should I know (two 200-mg capsules) once daily (without NORVIR®) taken with food is about taking REYATAZ with other medicines?” recommended. Read the Patient Information that comes with REYATAZ before you start using it • For adults who have taken anti-HIV medicines in the past, the usual and each time you get a refill. There may be new information. This leaflet provides dose is 300 mg plus 100 mg of NORVIR® (ritonavir) once daily taken a summary about REYATAZ and does not include everything there is to know with food. about your medicine. This information does not take the place of talking with your • Your dose will depend on your liver function and on the other anti-HIV healthcare provider about your medical condition or treatment. medicines that you are taking. REYATAZ is always used with other anti-HIV What is REYATAZ? medicines. If you are taking REYATAZ with SUSTIVA® (efavirenz) or with REYATAZ is a prescription medicine used with other anti-HIV medicines to treat VIREAD® (tenofovir disoproxil fumarate), you should also be taking NORVIR® people who are infected with the human immunodeficiency virus (HIV). HIV is the (ritonavir). virus that causes acquired immune deficiency syndrome (AIDS). REYATAZ is a • Always take REYATAZ with food (a meal or snack) to help it work better. type of anti-HIV medicine called a protease inhibitor. HIV infection destroys CD4+ Swallow the capsules whole. Do not open the capsules. Take REYATAZ at (T) cells, which are important to the immune system. The immune system helps the same time each day. fight infection. After a large number of (T) cells are destroyed, AIDS develops. • If you are taking antacids or didanosine (VIDEX® or VIDEX® EC), take REYATAZ helps to block HIV protease, an enzyme that is needed for the HIV virus to REYATAZ 2 hours before or 1 hour after these medicines. multiply. REYATAZ may lower the amount of HIV in your blood, help your body keep • If you are taking medicines for indigestion, heartburn, or ulcers such its supply of CD4+ (T) cells, and reduce the risk of death and illness associated ® ® ® with HIV. as AXID (nizatidine), PEPCID AC (famotidine), TAGAMET (cimetidine), ZANTAC® (ranitidine), AcipHex® (rabeprazole), NEXIUM® (esomeprazole), Does REYATAZ cure HIV or AIDS? PREVACID® (lansoprazole), PRILOSEC® (omeprazole), or PROTONIX® REYATAZ does not cure HIV infection or AIDS. At present there is no cure for (pantoprazole), talk to your healthcare provider. HIV infection. People taking REYATAZ may still get opportunistic infections or other • Do not change your dose or stop taking REYATAZ without first talking conditions that happen with HIV infection. Opportunistic infections are infections with your healthcare provider. It is important to stay under a healthcare that develop because the immune system is weak. Some of these conditions are provider’s care while taking REYATAZ. pneumonia, herpes virus infections, and Mycobacterium avium complex (MAC) infections. It is very important that you see your healthcare provider regularly • When your supply of REYATAZ starts to run low, get more from your while taking REYATAZ. healthcare provider or pharmacy. It is important not to run out of REYATAZ. The amount of HIV in your blood may increase if the medicine is stopped for REYATAZ does not lower your chance of passing HIV to other people through even a short time. sexual contact, sharing needles, or being exposed to your blood. For your health and the health of others, it is important to always practice safer sex by using a latex • If you miss a dose of REYATAZ, take it as soon as possible and then take or polyurethane condom or other barrier to lower the chance of sexual contact with your next scheduled dose at its regular time. If, however, it is within 6 hours semen, vaginal secretions, or blood. Never use or share dirty needles. of your next dose, do not take the missed dose. Wait and take the next dose at the regular time. Do not double the next dose. It is important that you do Who should not take REYATAZ? not miss any doses of REYATAZ or your other anti-HIV medicines.
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