Hepcvir 400 Mg Tablet

Hepcvir 400 Mg Tablet

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1. Technical Specifications

Attribute Details
Brand Name Hepcvir Tablet
Generic Name Sofosbuvir
Strength 400 mg per tablet
Dosage Form Oral Tablet
Packaging Size Usually 28 tablets per bottle (1 month supply)
Packaging Type HDPE bottle with child-resistant cap
Medicine Type Antiviral (Direct-acting antiviral, DAA)
Manufacturer Cipla Ltd.
Distributed By Authorized distributors of Cipla

2. Product Description

Hepcvir 400 mg Tablet contains Sofosbuvir, a direct-acting antiviral agent (DAA) used in the management of chronic Hepatitis C virus (HCV) infection.
It acts as a nucleotide analog inhibitor of the HCV NS5B RNA-dependent RNA polymerase, essential for viral replication.

Hepcvir is not used alone; it is combined with other DAAs like Ledipasvir, Daclatasvir, Velpatasvir, or Ribavirin, depending on the HCV genotype and patient profile.


3. Product Highlights

Attribute Details
Therapeutic Category Antiviral Hepatitis C treatment
Application Area Chronic Hepatitis C infection (genotypes 16)
Mechanism of Action Sofosbuvir is metabolized to the active triphosphate form inhibits HCV NS5B polymerase prevents viral replication
Administration Oral, once daily with/without food (usually in combination therapy)
Storage Conditions Store below 30 C, away from direct sunlight and moisture

4. Therapeutic Uses

  • Chronic Hepatitis C infection (HCV) in adults

  • Used in combination therapy (not as monotherapy) with:

    • Ledipasvir (HCV genotype 1, 4, 5, 6)

    • Daclatasvir (genotype 3 and others)

    • Velpatasvir (pangenotypic treatment)

    • Ribavirin (in special cases like decompensated cirrhosis or treatment-experienced patients)


5. Side Effects

Common:

  • Headache, fatigue, weakness

  • Nausea, insomnia

  • Anemia (especially if used with Ribavirin)

Serious:

  • Bradycardia (when used with amiodarone life-threatening risk)

  • Hepatic decompensation in cirrhosis patients

  • Severe allergic reaction (rare)


6. Precautions

  • Pregnancy: Sofosbuvir alone has limited data; if combined with Ribavirin contraindicated (teratogenic). Both men and women must use contraception.

  • Liver Function: Safe in compensated cirrhosis, but caution in decompensated liver disease.

  • Kidney Function: Limited data in severe renal impairment (eGFR <30 mL/min); caution advised.

  • Drug Interactions: Avoid with amiodarone (risk of bradycardia), rifampin, carbamazepine, phenytoin, St. Johns Wort (reduces drug effectiveness).

  • Breastfeeding: Not recommended due to limited safety data.

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