Generic Name: Nevirapine

  • What is Viramune?

    Viramune is a medication used to treat Human Immunodeficiency Virus (HIV), the virus that causes AIDS (Acquired Immune Deficiency Syndrome). Viramune is a non-nucleoside reverse transcriptase inhibitor (NNRTI). Viramune must be taken in combination with other anti-HIV medications to reduce the amount of virus circulating in your blood, and increase the number of disease-fighting cells (CD4 cells) in the blood.
  • What is the most important information I should know about Viramune?

    Viramune can also cause fatal or life-threatening skin reactions. These usually begin as a rash and then progress to more serious effects often involving one or more organs. Symptoms include swelling of the face, blisters, mouth sores, red or inflamed eyes, or flu-like symptoms. If you notice any of these while taking Viramune tell your doctor immediately. If your doctor has told you to stop taking Viramune due to any of the reactions described above, you should never begin treatment with it again. Liver damage has also been reported in the first 18 weeks of treatment.
  • Who should not take Viramune?

    Do not take Viramune if you have an allergy or sensitivity to it or any of its ingredients. Do not take Viramune if you have ever had a serious side effect such as liver injury or severe skin reaction while taking it.
  • What should I tell my doctor before I take the first dose of Viramune?

    Mention all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Viramune. Also, talk to your doctor about your complete medical history, especially if you have liver problems or have had hepatitis, are undergoing dialysis, have skin conditions such as a rash, are pregnant, plan on becoming pregnant, or if you are breastfeeding.
  • What is the usual dosage?

    The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

    Adults: The usual initial dosage is one 200 milligram (mg) tablet taken once a day for 14 days. The dose is usually increased to 200 mg taken twice daily.

    Children ages 2 months to 8 years: The usual dose is 4 mg per 2.2 pounds of body weight taken once daily for the first 14 days, then 7 mg per 2.2 pounds of body weight taken twice daily thereafter.

    Children ages 8 years and older: The usual dose is 4 mg per 2.2 pounds of body weight taken once daily for the first 14 days, then 4 mg per 2.2 pounds of body weight taken twice daily thereafter.

    The total daily dose should not exceed 400 mg per day for any patient.

  • How should I take Viramune?

    Take Viramune exactly as prescribed by your doctor: with water, milk, soda, or with or without food. If taking the Viramune suspension (liquid), shake it gently before use. Use an oral dosing syringe or dosing cup for precise measurements. After drinking the medicine, fill the dosing cup with water and drink it to make sure you get all the medicine. If the dose is less than 5 milliliters (one teaspoon), use the oral syringe with proper dose markers.

    It is very important to take Viramune daily at the same time and not skip doses. Skipping or missing doses over time may make the virus in your body harder to treat.

  • What should I avoid while taking Viramune?

    You should avoid engaging in behavior that may allow you to spread HIV to others. You should not share needles, razors, or other personal items that may have bodily fluids on them. You should always practice safe sex by using a latex or polyurethane condom.
  • What are possible food and drug interactions associated with Viramune?

    If Viramune is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Viramune with the following: clarithromycin, efavirenz, fluconazole, indinavir, ketoconazole, lopinavir/ritonavir, methadone, nelfinavir, oral birth control pills, rifabutin, rifampin, saquinavir, and St. John's wort.
  • What are the possible side effects of Viramune?

    Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

    Side effects may include: abdominal pain, changes in body fat, diarrhea, fatigue, fever, muscle weakness, nausea, vomiting

  • Can I receive Viramune if I am pregnant or breastfeeding?

    Viramune during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

    The Centers for Disease Control and Prevention recommends that HIV-infected mothers not breastfeed their infants to avoid postnatal transmission of HIV.

  • What should I do if I miss a dose of Viramune?

    If you forget to take Viramune, take the missed dose right away. If it is almost time for your next dose, do not take the missed dose. Instead, follow your regular dosing schedule by taking the next dose at its regular time. If you have not taken Viramune for more than 7 days, tell your doctor before you start taking Viramune again.
  • How should I store Viramune?

    Store at room temperature and away from children.