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DLTWCNT200010 November 2020
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Risks & Side Effects of TIVICAY and TIVICAY PD 

(dolutegravir)

It’s important to learn about any other medications you’re currently taking or are considering taking. You should always talk with your healthcare provider if you have any concerns.

These are not all of the risks and side effects of
TIVICAY or TIVICAY PD, and this information does not replace talking with your healthcare provider about your medical condition or treatment. For more
information, talk to your healthcare provider and
refer to the
Patient Information for TIVICAY and TIVICAY PD.

WHO SHOULD NOT TAKE TIVICAY OR TIVICAY PD?

Do not take TIVICAY or TIVICAY PD if you:

  • have ever had an allergic reaction to a medicine that contains dolutegravir.
  • take dofetilide.

WHAT ARE THE POSSIBLE SIDE
EFFECTS OF TIVICAY OR TIVICAY PD?

TIVICAY or TIVICAY PD can cause serious side effects including:

  • Allergic reactions. Call your healthcare provider right away if you develop a rash with TIVICAY or TIVICAY PD. Stop taking TIVICAY or TIVICAY PD and get medical help right away if you develop a rash with any of the following signs or symptoms:
      • fever
      • generally ill feeling
      • tiredness
      • muscle or joint aches
      • blisters or sores in mouth
      • blisters or peeling of the skin
      • redness or swelling of the eyes
      • swelling of the mouth, face, lips, or
        tongue
      • problems breathing
  • Liver problems. People with a history of hepatitis B or C virus may have an increased risk of developing new or worsening changes in certain liver tests during treatment with TIVICAY or TIVICAY PD. Liver problems, including liver failure, have also happened in people without a history of liver disease or other risk factors. Your healthcare provider may do blood tests to check your liver. Call your healthcare provider right away if you develop any of the following signs or symptoms of liver problems:
      • your skin or the white part of your eyes turns yellow (jaundice)
      • dark or "tea-colored" urine
      • light-colored stools (bowel movements)
      • nausea or vomiting
      • loss of appetite
      • pain, aching, or tenderness on the right side of your stomach area
  • Changes in your immune system (Immune
    Reconstitution Syndrome)     can happen when you start taking HIV‑1 medicines. Your immune system may get stronger and begin to fight infections that have been hidden in your body for a long time. Tell your healthcare provider right away if you start having new symptoms after you start taking TIVICAY or TIVICAY PD.
  • The most common side effects of TIVICAY include:
      • trouble sleeping
      • tiredness
      • headache

These are not all the possible side effects of TIVICAY or TIVICAY PD. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1‑800‑FDA‑1088.

WHAT SHOULD I TELL MY
HEALTHCARE PROVIDER BEFORE
TAKING TIVICAY OR TIVICAY PD?

Before you take TIVICAY or TIVICAY PD, tell your healthcare provider about all of your medical conditions, including if you:

  • have or have had liver problems, including hepatitis B or C infection.
  • are pregnant or plan to become pregnant. TIVICAY or TIVICAY PD may harm your unborn baby.
      • Your healthcare provider may prescribe a different medicine than TIVICAY or TIVICAY PD if you are planning to become pregnant or if pregnancy is confirmed during the first 12 weeks of pregnancy.
      • If you can become pregnant, your healthcare provider may perform a pregnancy test before you start treatment with TIVICAY or TIVICAY PD.
      • If you can become pregnant, you and your healthcare provider should talk about the use of effective birth control (contraception) during treatment with TIVICAY or TIVICAY PD.
      • Tell your healthcare provider right away if you are planning to become pregnant, you become pregnant, or think you may be pregnant during treatment with TIVICAY or TIVICAY PD.
    Pregnancy Registry. There is a pregnancy registry for individuals who take antiretroviral medicines, including TIVICAY or TIVICAY PD, during pregnancy. The purpose of this registry is to collect information about the health of you and your baby. Talk with your healthcare provider about how you can take part in this registry.
  • are breastfeeding or plan to breastfeed. Do not breastfeed if you take TIVICAY or TIVICAY PD.
      • You should not breastfeed if you have HIV-1 because of the risk of passing HIV-1 to your baby.
      • TIVICAY and TIVICAY PD pass to your baby in your breast milk. Talk with your healthcare provider about the best way to feed your baby.

Tell your healthcare provider about all the medicines you take, including prescription and over‑the‑counter medicines, vitamins, and herbal supplements.

Some medicines interact with TIVICAY or TIVICAY PD. Keep a list of your medicines and show it to your healthcare provider and pharmacist when you get a new medicine.

  • You can ask your healthcare provider or pharmacist for a list of medicines that interact with TIVICAY or TIVICAY PD.
  • Do not start taking a new medicine without telling your healthcare provider. Your healthcare provider can tell you if it is safe to take TIVICAY or TIVICAY PD with other medicines.