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Dolutegravir

Uses of Dolutegravir

  • Dolutegravir is primarily used to manage HIV-1 infection in adults, adolescents, and children weighing at least 30 kg. It belongs to a class of antiretroviral medicines known as integrase strand transfer inhibitors (INSTIs).

  • Additionally, it is also used in combination with other antiretroviral agents for treatment-naïve patients or treatment-experienced patients who have never used an INSTI.

Side effects of Dolutegravir

Common side effects of Dolutegravir include:

  • Headache

  • Diarrhoea

  • Nausea

  • Fatigue

  • Insomnia

How Dolutegravir works

  • Dolutegravir is an integrase strand transfer inhibitor (INSTI).

  • It works by inhibiting the integrase enzyme, which is crucial for the HIV virus to integrate its genetic material into the host's DNA. By blocking this enzyme, Dolutegravir prevents the replication of the virus, helping to control HIV infection and reduce viral load in the body.

Certified content

Written By

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Dr Nikita LoboMedical Editor & Reviewer| 7 years

BDS, MDS

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • Dolutegravir is available in tablet form for oral administration. This includes standard tablets and tablets for oral suspension.

Age and Dose Restrictions

  • Dolutegravir is suitable for use in adults, adolescents, and children. The medication is prescribed for children weighing at least 3 kg.

Contraindications

  • Dolutegravir is contraindicated in patients with a known hypersensitivity to any component of the formulation.

  • It is also contraindicated for patients currently receiving dofetilide therapy.

Other Medications to Avoid

  • Dolutegravir may interact with antacids (like aluminium or magnesium hydroxide), certain anticonvulsants (such as carbamazepine, and phenytoin), and other antiretrovirals (like efavirenz). These interactions can affect the absorption and effectiveness of the treatment for HIV.

Overdose and Missed Dose

  • An overdose of Dolutegravir could potentially exacerbate side effects or lead to new adverse reactions. It is essential to adhere to prescribed dosages and contact a doctor immediately if an overdose is suspected.

  • If you miss a dose of Dolutegravir, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • For minor nausea or headache, taking Dolutegravir with food might help or try spacing out doses differently after consulting with your doctor.

  • Ensuring adequate hydration may help alleviate minor side effects like dry mouth or dizziness.

Use in Driving and Operating Machinery

  • Dolutegravir may cause dizziness or fatigue in some individuals. It is advisable to avoid driving or operating heavy machinery if you experience these symptoms while taking this medication.

Use in Pregnancy and Lactation

  • The use of Dolutegravir during pregnancy should be based on a careful consideration of potential benefits and risks. Consultation with a doctor is essential.

  • Mothers taking Dolutegravir should not breastfeed due to the potential for HIV transmission and possible adverse effects on the infant.

Caution in Other Conditions

  • Individuals with existing liver problems or those co-infected with hepatitis B or C should use Dolutegravir with caution. Regular monitoring by a healthcare provider is recommended.

  • Patients with severe hepatic impairment should avoid using this medication due to potential increases in exposure which could lead to more pronounced side effects.

Special Dietary and Lifestyle Recommendations

  • Adherence to a balanced diet rich in essential nutrients can support overall health and possibly counteract some minor side effects linked with HIV medications like Dolutegravir.

  • Regular physical activity is recommended unless otherwise advised by a doctor, as it can boost immune function and overall well-being.

  • Maintaining hydration is especially important when on medications like Dolutegravir, as it helps manage medication-induced fatigue and aids in general detoxification processes.

  • Stress management techniques such as mindfulness or yoga might be beneficial, considering the psychological burden associated with chronic conditions like HIV.

Frequently asked questions

No, Dolutegravir is not a steroid. It is an antiretroviral medication that belongs to the class of medicines known as integrase strand transfer inhibitors (INSTIs).

One of the possible side effects of Dolutegravir is insomnia, which means it may cause difficulty in sleeping. If you experience persistent sleep issues while taking this medicine, do consult your doctor.

Dolutegravir is not known to have a significant impact on fertility. Studies suggest it does not adversely affect reproductive health in men or women. However, if you have concerns about fertility while using Dolutegravir, it's best to consult your doctor for personalized advice.

There are no specific dietary restrictions for people taking Dolutegravir, unless specified by your doctor. However, it should be taken two hours before or six hours after taking medications containing polyvalent cations such as antacids and certain supplements.

Yes, it is generally safe to take Dolutegravir daily as long as it is prescribed by your doctor. It is important to take the medication regularly and exactly as directed to keep the amount of virus in your body at a low level.

Dolutegravir begins to work as soon as you start taking it, but its full effect may not be seen until several weeks after starting the medication.

The best time to take Dolutegravir would be as prescribed by your doctor. It can be taken with or without meals.

Terms & Conditions

Available medicines for DOLUTEGRAVIR
Instgra Tablet 30
Instgra Tablet 30
Emcure Pharmaceuticals Ltd
Pack of 30 Units
₹3028.71
MRP ₹3563.19
15.00% OFF
Siromac Tablet 30
Siromac Tablet 30
Macleods Pharmaceuticals Pvt.ltd
Pack of 30 Units
₹656.00
MRP ₹800.00
18.00% OFF

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