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Combina?ia de Ledipasvir ?i Sofosbuvir este indicata pentru tratamentul hepatitei C de genotip 1, 4, 5 ?i 6 la adul?i.

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Utilizarea medicamentului impreuna cu amidarona poate provoca bradicardie. Inductorii P-gp (rifampicina, rifabutina, sunatoare, carbamazepina, fenobarbital ?i fenitoina) reduc concentra?ia de Ledipasvir ?i Sofosbuvir in sange, scazand astfel eficienta tratamentului.

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Nu sunt disponibile date privind efectul medicamentului asupra dezvoltarii fetului ?i alaptarii. In timpul sarcinii ?i alaptarii, medicamentul poate fi prescris doar de catre medicul curant.

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Siguran?a ?i eficacitatea a combina?iei de Ledipasvir ?i Sofosbuvir la pacien?ii cu varsta sub 18 ani nu au fost studiate.

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Twinvir ™ este disponibil sub forma de tablete pentru administrare orala. Compozi?ia include doua componente active: Ledipasvir, care este un inhibitor al proteinei virale ?i, de asemenea, Sofosbuvir, un inhibitor al ARN polimerazei.

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Bradicardia poate sa apara la pacien?ii trata?i cu amiodarona, mai ales la cei care administreaza amiodarona concomitent cu alte medicamente care incetinesc ritmul cardiac. Nu se recomanda administrarea concomitenta a amiodaronei ?i combina?ia Ledipasvir si Sofosbuvir. Monitorizarea cardiaca este recomandata pacien?ilor fara op?iuni terapeutice alternative. Pacientilor cu insuficien?a renala severa sau insuficien?a renala in stadiu terminal, doza se calculeaza de catre medicul curant. Utilizarea Twinvir ™ cu alte medicamente care con?in Sofosbuvir nu este recomandata.

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