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EPCLUSA

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Epclusa Information:

Epclusa is a combination drug commonly used to treat Chronic Hepatitis C genotypes 1-6 infection in adults with compensated Cirrhosis or without cirrhosis. Doctors may even give this medication along with ribavirin drug to treat decompensated Cirrhosis. Buy Epclusa online today to explore its competitive prices and get the relief it provides.

Epclusa is a brand name for a combination of generic medications: Sofosbuvir and Velpatasvir. It is a prescription drug that got FDA approval in 2016 for the treatment of chronic hepatitis C (Hep C) genotypes 1-6 infection in adults with compensated cirrhosis or without cirrhosis. This medicine is sometimes given for decompensated cirrhosis in adjunct to the ribavirin drug. It can even prevent the multiplication of the hepatitis C virus in pediatric patients aged above 3 years.

Epclusa contains a fixed dose of Sofosbuvir and Velpatasvir as its active ingredients. Sofosbuvir is an antiviral medication that belongs to a class of drugs known as nucleotide analog NS5B polymerase inhibitors. It works by targeting the HCV RNA polymerase, which is essential for the replication of the hepatitis C virus.

Velpatasvir is an antiviral medication that belongs to a class of drugs known as NS5A inhibitors. NS5A is another protein involved in the replication of the hepatitis C virus. It works by interfering with the function of the NS5A protein, thereby inhibiting viral replication and reducing the amount of hepatitis C virus in the body.

When used together in Epclusa, Sofosbuvir, and Velpatasvir provide a potent and effective treatment option for chronic hepatitis C infection.

The medicine contains the following inactive ingredients like magnesium stearate, copovidone, microcrystalline cellulose, and croscarmellose sodium. Sofosbuvir is chemically designated as (S)-isopropyl 2-((S)-(((2R,3R,4R,5R)-5(2,4-dioxo-3,4-dihydropyrimidin-1(2H)-yl)-4-fluoro-3-hydroxy-4-methyltetrahydrofuran-2yl)methoxy)-(phenoxy)phosphorylamino)propanoate. Vepatasvir is chemically designated as methyl {(1R)-2-[(2S,4S)-2-(5-{2[(2S,5S)-1-{(2S)-2-[(methoxycarbonyl)amino]-3-methylbutanoyl}-5-methylpyrrolidin-2-yl]1,11-dihydro[2]benzopyrano[4',3':6,7]naphtho[1,2-d]imidazol-9-yl}-1H-imidazol-2-yl)-4(methoxymethyl)pyrrolidin-1-yl]-2-oxo-1-phenylethyl}carbamate.

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Epclusa belongs to the pharmacological class: Antiviral combinations; HCV NS5A inhibitor; HCV NS5B polymerase inhibitor.

Antiviral combinations are the class of medications that contain more than one antiviral agent in a single dose or pill. The use of such types of drugs can help prevent the risk of the emergence of resistant virus strains.

Epclusa is an antiviral combination drug that works to inhibit the process of replication and viral genome transcription. It has velpatasvir which is an HCV NS5A inhibitor and sofosbuvir which is an HCV NS5B polymerase inhibitor.

HCV NS5A inhibitors are the class of antiviral combination medications that treat Hepatitis C infection by targeting the NS5A protein and inhibiting its action in viral replication thus stopping its progression. HCV polymerase inhibitors are a class of antiviral combination medications that treat Hepatitis C infection by incorporating into the growing chain of RNA and terminating transcription of viral RNA. The HCV NS5B polymerase inhibitors may bind to the NS5 enzyme and alter its structure to limit the generation of RNA chains (double-stranded RNA).

Epclusa comes in the form of film-coated, fixed-dose combination tablets of the following strengths:

  • 400/100: 400mg of sofosbuvir and 100mg of velpatasvir; pink, and diamond-shaped tablets
  • 200/50: 200mg of sofosbuvir and 50mg of velpatasvir; pink and oval-shaped tablets.

Epclusa is given by a doctor to treat chronic Hepatitis C.

Hepatitis C is an infection caused by the Hepatitis C virus (HCV)which results in inflammation of the liver. The signs and symptoms of this medical condition may develop if the HCV damages the liver. Some of the symptoms are jaundice, fever, dark urine, joint pain, fatigue, loss of appetite, and upper abdominal pain.

  • The suggested daily dose in adults: One 400/100 mg tablet once with or without food.
  • The suggested daily dose in pediatric patients aged above 3 years: Based on body weight (150mg/37.5mg for weight less than 17kg; 200mg/50mg for weight between 17 and 30kg; 400mg/100mg for weight at least 30kg)
  • The prescribed duration of Epclusa tablets is 12 weeks.

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Epclusa is a combination antiviral medication for oral administration. The oral administration offers the patient a convenient approach to get an effective treatment for hepatitis C viral infection. The oral method allows one to take the medication at ease at home without the need to get injections or go for hospital visits. The patients must follow their doctor’s advice regarding dosage and duration of treatment so that the best possible therapeutic outcomes are received

Epclusa may cause minor or serious side effects. The common side effects may include:

  • Nausea, Vomiting, Diarrhea.
  • Sleep issues including Insomnia.
  • Fatigue, Weakness, Headaches.
  • Rashes
  • Depression
  • Anaemia (in cirrhosis patients).

Some of its serious side effects that must be medically attended soon are:

  • Hepatitis B virus reactivation which leads to severe liver problems including liver damage/failure (if the patient ever had Hepatitis B infection).
  • Bradycardia or slow heart rate (if Epclusa is taken with amiodarone).
  • Allergic reactions
  • Loss of appetite, severe vomiting.
  • Severe right-sided abdominal pain.
  • Jaundice- yellowing of the skin and eyes.

Some of the over-the-counter/prescription drugs, supplements, or substances that may interact with Epclusa include:

  • Proton-pump inhibitors such as omeprazole, famotidine, aluminium hydroxide/magnesium hydroxide.
  • St. John’s wort (herbal supplement).
  • Topotecan- an antineoplastic agent.
  • Antacids
  • Anticonvulsants including carbamazepine, phenytoin, and phenobarbital.
  • Antimicrobial agents such as rifampin, rifabutin, and rifapentine.
  • H2 receptor antagonists.
  • HMG-CoA reductase inhibitors.
  • HIV antiretrovirals such as efavirenz, ritonavir, and tipranavir.
  • Antiarrhythmics such as digoxin and amiodarone.
  • Cholesterol-lowering medications such as rosuvastatin and atorvastatin.
  • Blood thinners like warfarin.

Epclusa is not safe for use by:

  • Patients who are allergic to any of the ingredients of Epclusa.
  • Pregnant women or male patients with a pregnant partner.
  • Patients who are suffering from liver failure, renal impairment (kidney disease), or autoimmune hepatitis.
  • Patients who have HIV infection, Hepatitis B, or diabetes.
  • Patients who are taking blood thinners and go through routine INR or prothrombin time tests.
  • Children aged under 3 years.

  • Tell your healthcare provider about all medicines, supplements, or substances you are currently taking before starting to take Epclusa tablets.
  • Inform the doctor about your medical conditions and allergies before taking Epclusa tablets.
  • Tell the doctor if you are lactating, pregnant, or planning pregnancy before taking Epclusa tablets.
  • When taking Epclusa go as per the doctor’s instructions or the medication guide provided with your medication. Avoid missing doses, overdosing, abrupt stopping of medication intake, or changing your dosing schedule without taking doctor’s advice.
  • Avoid taking Epclusa tablets with grapefruit or grapefruit juice.

  • Store Epclusa in its original packaging at controlled room temperature (30℃) away from moisture and heat.
  • Keep Epclusa bottles out of reach of small children.
  • Epclusa should be kept away from moisture and humidity.

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Frequently Asked Questions:

Soon after taking Epclusa, the medicine starts working to reduce the viral load in the body. However, the patients may not notice a difference in their health status immediately after taking Epclusa. The duration of treatment with Epclusa is 12 weeks, after which the doctor asks the patients to get blood tests done. Blood test helps to check if there is a drop in levels of the Hepatitis C virus in the blood of the patient.

There is no statement given by the manufacturer of Epclusa tablets regarding whether tablets can be chewed, crushed, or split and taken. However, it is preferable to swallow Epclusa tablets as a whole to get the desired effects of the medicine. For patients who face difficulty in swallowing whole Epclusa tablets, doctors may prescribe oral pellets. Crushing, chewing, and splitting, are not recommended for Epclusa oral pellets as they can leave behind a bitter taste.

Epclusa isn’t a medication that can interact with alcohol. However, patients suffering from chronic Hepatitis C can worsen their condition if they consume alcohol. Alcohol can speed up liver cirrhosis and fibrosis in such patients.

Patients with chronic Hepatitis C infection, if left untreated for a long, may experience serious health consequences like cirrhosis and liver cancer. Epclusa cannot cause liver cancer but it can help reduce the high risk of liver cancer by treating Hepatitis C. To learn about Epclusa cost, contact the best online trusted pharmacy, Canada Pharmacy Pro. The pharmacy offers the best Epclusa price online.

Hair loss was not a reported side effect when Epclusa was put under clinical trials. However, some patients taking Epclusa have lost their hair. But, there is no evidence that Epclusa is the reason behind their hair loss.

Shradha Joshi

Medicine Information written by Shradha Joshi, Master in Biotechnology

Updated - September 15, 2023

DISCLAIMER: The information contained in this page is supplied to canadapharmacypro.com by third party medical content expert, and is not intended to substitute medical advice from a licensed doctor. Always make sure to consult with a doctor before ordering medication online. Do not avoid or delay seeing a healthcare provider based on what you read here.

Please note that not all products, including any referenced in this page, are shipped by our affiliated Canadian Pharmacy. We affiliate with other dispensing pharmacies, that ship product directly to our customers from the following jurisdictions: Australia, New Zealand, Mauritius, India, Canada and United Kingdom. The items in your order may be split and shipped from any other pharmacy that is listed if it is not available from the chosen pharmacy. In this event, you will be contacted and approval obtained before it is shipped. Rest assured, we only affiliate with our authorized dispensaries that procure product through reliable sources.

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