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beauty care Stribild Side Effects Generic Name: cobicistat / elvitegravir / emtricitabine / tenofovir Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Drug Images Support Group Q & A Pricing & Coupons Note: This document contains side effect information about cobicistat / elvitegravir / emtricitabine / tenofovir. Some of the dosage forms listed on this page may not apply to the brand name Stribild. For the Consumer Applies to cobicistat / elvitegravir / emtricitabine / tenofovir: oral tablet Along with its needed effects, cobicistat / elvitegravir / emtricitabine / tenofovir may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking cobicistat / elvitegravir / emtricitabine / tenofovir: More common Cloudy urine Incidence not known Abdominal or stomach discomfort or pain bloody urine bone fractures bone pain change in urination convulsions cough dark-colored urine decreased appetite difficulty with swallowing dizziness dry mouth fast or irregular heartbeat fast, shallow breathing fever general feeling of discomfort increased thirst large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs light-colored stools lower back or side pain mood changes muscle pain, cramps, or stiffness nausea, vomiting or diarrhea numbness or tingling in the hands, feet, or lips puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue skin rash, hives, or itching sleepiness swelling of the face, fingers, or lower legs tightness in the chest trouble breathing unusual tiredness or weakness weight gain yellow eyes and skin Some side effects of cobicistat / elvitegravir / emtricitabine / tenofovir may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common Abnormal dreams headache Less common Bloated full feeling passing gas trouble sleeping unusual drowsiness Incidence not known Chills constipation indigestion lack or loss of strength pains in the stomach, side, or abdomen, possibly radiating to the back For Healthcare Professionals Applies to cobicistat / elvitegravir / emtricitabine / tenofovir: oral tablet General In clinical trials, the most common side effects reported with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide were nausea, diarrhea, and headache. The safety profiles in patients with mild to moderate renal dysfunction and patients coinfected with HIV and hepatitis B virus were similar to safety profiles in patients with normal renal function and patients with HIV-1 monoinfection, respectively. The most common side effects reported in clinical trials with cobicistat / elvitegravir / emtricitabine / tenofovir disoproxil fumarate (DF) were nausea, diarrhea, upper respiratory tract infection, and depression in therapy-naive patients and nausea and fatigue in virologically-suppressed patients. The manufacturer product information for cobicistat, elvitegravir, emtricitabine, and tenofovir DF should be consulted. [ Ref ] Genitourinary Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Hematuria Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Very common (10% or more): Proteinuria (up to 52%) -Common (1% to 10%): Hematuria Emtricitabine or tenofovir DF: -Frequency not reported: Glycosuria Tenofovir DF: -Postmarketing reports: Proteinuria, polyuria [ Ref ] Hematuria (greater than 75 RBC/high power field) has been reported in up to 3% and up to 4% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and cobicistat / elvitegravir / emtricitabine / tenofovir DF, respectively. Proteinuria (all grades) has been reported in up to 52% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir DF. Glycosuria (3+ or greater) was reported with emtricitabine or tenofovir DF. [ Ref ] Gastrointestinal Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Very common (10% or more): Nausea -Common (1% to 10%): Diarrhea, vomiting, abdominal pain, flatulence -Uncommon (0.1% to 1%): Dyspepsia Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Very common (10% or more): Elevated lipase (up to 17%), Nausea (up to 16%), diarrhea (up to 12%), vomiting -Common (1% to 10%): Flatulence, elevated amylase, abdominal pain, dyspepsia, constipation Emtricitabine or tenofovir DF: -Common (1% to 10%): Dyspepsia, vomiting Tenofovir DF: -Common (1% to 10%): Elevated amylase (including elevated pancreatic amylase), elevated serum lipase, abdominal distension -Uncommon (0.1% to 1%): Pancreatitis -Postmarketing reports: Abdominal pain [ Ref ] Elevated amylase (greater than 2 times the upper limit of normal [2 x ULN]) was reported in up to 2% and up to 4% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and cobicistat / elvitegravir / emtricitabine / tenofovir DF, respectively. If serum amylase was greater than 1.5 x ULN in those using cobicistat / elvitegravir / emtricitabine / tenofovir DF, lipase was also measured; elevated lipase (grades 3 to 4) has been reported in 17% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir DF. Dyspepsia and vomiting have been reported in at least 5% of patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. Elevated amylase (including elevated pancreatic amylase), elevated serum lipase, abdominal distension, and pancreatitis were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Pancreatitis and increased amylase have also been reported during postmarketing experience with tenofovir DF. [ Ref ] Musculoskeletal In clinical trials, a significant decline in BMD was seen in 15% of therapy-naive HIV-1-infected patients using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide; during comparison studies, BMD decreases were greater with cobicistat / elvitegravir / emtricitabine / tenofovir DF. In virologically-suppressed tenofovir DF-treated patients who switched to cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide or who remained on initial regimen, mean BMD increased between baseline and week 48 in those who switched and decreased in those on initial regimen; decreased BMD was also reported in patients who switched to cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide. Elevated creatine kinase (at least 10 x ULN) has been reported in up to 9% and up to 8% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and cobicistat / elvitegravir / emtricitabine / tenofovir DF, respectively. Arthralgia, myalgia, and back pain have been reported in at least 5% of patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. Elevated creatine kinase, rhabdomyolysis, muscular weakness, osteomalacia (manifested as bone pain and infrequently contributing to fractures), and myopathy were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Rhabdomyolysis, osteomalacia (manifested as bone pain and which may contribute to fractures), muscular weakness, and myopathy have also been reported during postmarketing experience with tenofovir DF. Rhabdomyolysis, osteomalacia, muscular weakness, and myopathy may occur as a result of proximal renal tubulopathy. [ Ref ] Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Very common (10% or more): Decreased bone mineral density (BMD) -Common (1% to 10%): Elevated creatine kinase -Uncommon (0.1% to 1%): Fractures (excluding fingers and toes) -Frequency not reported: Increased biochemical markers of bone metabolism, increased BMD Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Elevated creatine kinase, bone fractures, arthralgia -Frequency not reported: Decreased BMD, back pain Emtricitabine or tenofovir DF: -Common (1% to 10%): Arthralgia, myalgia, back pain Tenofovir DF: -Very common (10% or more): Elevated creatine kinase -Uncommon (0.1% to 1%): Rhabdomyolysis, muscular weakness -Rare (less than 0.1%): Osteomalacia (manifested as bone pain and infrequently contributing to fractures), myopathy -Frequency not reported: Decreased BMD, increased biochemical markers of bone metabolism Combination antiretroviral therapy: -Frequency not reported: Osteonecrosis [ Ref ] Nervous system Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Headache, dizziness Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Very common (10% or more): Headache, dizziness -Common (1% to 10%): Somnolence Emtricitabine or tenofovir DF: -Common (1% to 10%): Paresthesia, peripheral neuropathy (including peripheral neuritis, neuropathy) [ Ref ] Paresthesia and peripheral neuropathy (including peripheral neuritis and neuropathy) have been reported in at least 5% of patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. [ Ref ] Metabolic During trials in therapy-naive patients, increases from baseline for the fasting lipid parameters (total cholesterol, direct LDL cholesterol, and HDL cholesterol) were observed with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and cobicistat / elvitegravir / emtricitabine / tenofovir DF at 96 weeks of therapy; such increases were greater with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide. Elevated fasting LDL cholesterol (greater than 190 mg/dL) and elevated fasting total cholesterol (greater than 300 mg/dL) have been reported in up to 8% and up to 3%, respectively, of patients using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and up to 4% and up to 2%, respectively, of patients using cobicistat / elvitegravir / emtricitabine / tenofovir DF. In clinical trials, the following mean increases in fasting lipid values were reported after 96 weeks of therapy: total cholesterol increased by 31 mg/dL, LDL cholesterol by 18 mg/dL, HDL cholesterol by 7 mg/dL, and triglycerides by 31 mg/dL with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and total cholesterol increased by 15 mg/dL, LDL cholesterol by 7 mg/dL, HDL cholesterol by 4 mg/dL, and triglycerides by 13 mg/dL with cobicistat / elvitegravir / emtricitabine / tenofovir DF. Elevated alkaline phosphatase (greater than 550 units/L), altered serum glucose (less than 40 mg/dL or greater than 250 mg/dL), elevated fasting cholesterol (greater than 240 mg/dL), and elevated fasting triglycerides (greater than 750 mg/dL) have been reported in patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. Hypophosphatemia, hyperglycemia, hypertriglyceridemia, hypokalemia, and lactic acidosis were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Lactic acidosis, hypokalemia, and hypophosphatemia have also been reported during postmarketing experience with tenofovir DF. Lactic acidosis and severe hepatomegaly with steatosis (including fatal cases) have been reported with the use of nucleoside analogs. Hypokalemia and hypophosphatemia may occur as a result of proximal renal tubulopathy. [ Ref ] Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Increased fasting low-density lipoprotein (LDL) cholesterol, increased fasting total cholesterol -Frequency not reported: Increased high-density lipoprotein (HDL) cholesterol, increased triglycerides Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Decreased appetite, increased fasting LDL cholesterol -Uncommon (0.1% to 1%): Elevated fasting total cholesterol, elevated fasting triglycerides, increased HDL cholesterol Emtricitabine or tenofovir DF: -Frequency not reported: Elevated alkaline phosphatase, altered serum glucose, elevated fasting cholesterol, elevated fasting triglycerides Tenofovir DF: -Very common (10% or more): Hypophosphatemia -Common (1% to 10%): Hyperglycemia, hypertriglyceridemia -Uncommon (0.1% to 1%): Hypokalemia -Rare (less than 0.1%): Lactic acidosis Antiretroviral therapy: -Frequency not reported: Redistribution/accumulation of body fat (including central obesity, dorsocervical fat enlargement, peripheral wasting, facial wasting, breast enlargement, "cushingoid appearance"), increased blood lipid levels, increased glucose levels [ Ref ] Other Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Fatigue Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Fatigue Emtricitabine or tenofovir DF: -Common (1% to 10%): Abdominal pain, fever, pain Tenofovir DF: -Very common (10% or more): Asthenia -Frequency not reported: Higher 1,25 vitamin D levels Antiretroviral therapy: -Frequency not reported: Increased weight [ Ref ] Abdominal pain, fever, and pain have been reported in at least 5% of patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. Asthenia and pain were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Asthenia has also been reported during postmarketing experience with tenofovir DF. [ Ref ] Psychiatric Suicidal ideation and suicide attempt were reported with cobicistat / elvitegravir / emtricitabine / tenofovir DF in patients with history of depression or psychiatric illness. Depression was reported in clinical trials for elvitegravir with other antiretrovirals. Depression and anxiety have been reported in at least 5% of patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. [ Ref ] Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Abnormal dreams Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Abnormal dreams, insomnia, depression -Uncommon (0.1% to 1%): Suicidal ideation, suicide attempt Elvitegravir: -Uncommon (0.1% to 1%): Depression Emtricitabine or tenofovir DF: -Common (1% to 10%): Depression, anxiety [ Ref ] Renal In clinical trials of cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide, increases in serum creatinine occurred by the second week of therapy and was stable through 96 weeks. In therapy-naive patients, the change from baseline averaged 0.04 mg/dL (3.5 mcmol/L) after 96 weeks of therapy. Increases from baseline were smaller with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide than increases with cobicistat / elvitegravir / emtricitabine / tenofovir DF at 96 weeks. During a trial in HIV-1-infected patients with eGFR 30 to 60 mL/min, renal dysfunction worsened in 2 of 80 patients with eGFR less than 50 mL/min and cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide was discontinued. Transient acute renal failure was reported in 1 patient with eGFR over 50 mL/min. In 2 trials in therapy-naive HIV-1-infected patients (median eGFR 115 mL/min at baseline), mean serum creatinine increased by 0.1 mg/dL from baseline to week 48 with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and cobicistat / elvitegravir / emtricitabine / tenofovir DF; median UPCR was 44 mg/g at baseline and week 48 with cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and 44 mg/g and 55 mg/g at baseline and week 48, respectively with cobicistat / elvitegravir / emtricitabine / tenofovir DF. In a trial in virologically-suppressed tenofovir DF-treated patients (mean eGFR 112 mL/min at baseline) who switched to cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide or who remained on initial regimen, mean serum creatinine was similar to baseline for both; median UPCR was 61 mg/g at baseline and 46 mg/g at week 48 in those who switched to cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and 60 mg/g at baseline and 63 mg/g at week 48 in those who remained on initial regimen. In a trial in renal dysfunction patients (baseline eGFR 30 to 69 mL/min) using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide, mean serum creatinine was 1.5 mg/dL at baseline and week 24; median UPCR was 161 mg/g at baseline and 93 mg/g at week 24. Elevated serum creatinine (all grades) has been reported in 10% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir DF. In clinical trials, decreases in estimated CrCl occurred early during cobicistat / elvitegravir / emtricitabine / tenofovir DF therapy. The change in eGFR averaged -14 mL/min after 144 weeks of therapy. In a clinical trial in HIV-1-infected therapy-naive patients with mild to moderate renal dysfunction (eGFR between 50 and 89 mL/min), the change in serum creatinine and eGFR averaged 0.17 mg/dL and -6.9 mL/min, respectively, for cobicistat / elvitegravir / emtricitabine / tenofovir DF. Acute tubular necrosis, nephritis (including acute interstitial nephritis), and nephrogenic diabetes insipidus were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Acute tubular necrosis and nephrogenic diabetes insipidus have also been reported during postmarketing experience with tenofovir DF. Proximal renal tubulopathy generally resolved or improved after tenofovir DF was stopped; however, decreased CrCl did not completely resolve in some patients after stopping the drug. Rhabdomyolysis, osteomalacia, bone abnormalities (infrequently contributing to fractures), hypokalemia, muscular weakness, myopathy, and hypophosphatemia may occur as a result of proximal renal tubulopathy. [ Ref ] Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Frequency not reported: Increased serum creatinine, worsening renal dysfunction, transient acute renal failure, decreased urine protein-to-creatinine ratio (UPCR), worsening renal function Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Elevated serum creatinine -Uncommon (0.1% to 1%): Renal failure, proximal renal tubulopathy, Fanconi syndrome acquired -Frequency not reported: New onset or worsening renal impairment (including acute renal failure, Fanconi syndrome), laboratory findings consistent with proximal renal tubular dysfunction, decreased estimated CrCl, decreased estimated glomerular filtration rate (eGFR), increased UPCR Cobicistat: -Frequency not reported: Increased serum creatinine, decreased estimated CrCl, tubular secretion of creatinine inhibited (renal glomerular function not affected) Tenofovir DF: -Rare (less than 0.1%): Acute tubular necrosis, nephritis (including acute interstitial nephritis), nephrogenic diabetes insipidus -Postmarketing reports: Renal insufficiency, acute renal failure, renal failure, Fanconi syndrome, proximal renal tubulopathy, increased creatinine, interstitial nephritis (including acute cases) [ Ref ] Dermatologic Vesiculobullous rash, pustular rash, maculopapular rash, pruritus, urticaria, skin discoloration (increased pigmentation), and angioedema were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. [ Ref ] Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Rash -Uncommon (0.1% to 1%): Pruritus Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Rash (rash event includes dermatitis, drug eruption, eczema, pruritus, generalized pruritus, rash, erythematous rash, generalized rash, macular rash, maculopapular rash, morbilliform rash, papular rash, pruritic rash, urticaria) Emtricitabine: -Frequency not reported: Skin discoloration (palmar-plantar hyperpigmentation) -Postmarketing reports: Angioedema (uncommon) Tenofovir DF: -Common (1% to 10%): Vesiculobullous rash, pustular rash, maculopapular rash, pruritus, urticaria, skin discoloration (increased pigmentation) -Uncommon (0.1% to 1%): Angioedema -Postmarketing reports: Rash [ Ref ] Hepatic Elevated AST (greater than 5 x ULN) has been reported in 2% and up to 3% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide and cobicistat / elvitegravir / emtricitabine / tenofovir DF, respectively. Elevated ALT (greater than 3 x ULN) has been reported in 2% of patients using cobicistat / elvitegravir / emtricitabine / tenofovir DF. Severe acute exacerbations of hepatitis B have been reported in patients coinfected with HBV and HIV-1 after discontinuation of emtricitabine or tenofovir DF and were associated with liver failure and liver decompensation in some emtricitabine-treated patients. Elevated ALT (greater than 215 units/L in males and 170 units/L in females) and elevated bilirubin (greater than 2.5 x ULN) have been reported in patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. Increased transaminases, hyperbilirubinemia, hepatic steatosis, and hepatitis were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Hepatic steatosis and hepatitis have also been reported during postmarketing experience with tenofovir DF. Lactic acidosis and severe hepatomegaly with steatosis (including fatal cases) have been reported with the use of nucleoside analogs. [ Ref ] Cobicistat / elvitegravir / emtricitabine / tenofovir alafenamide: -Common (1% to 10%): Elevated AST Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Elevated AST, elevated ALT Emtricitabine: -Frequency not reported: Liver failure, liver decompensation Emtricitabine or tenofovir DF: -Frequency not reported: Severe acute exacerbations of hepatitis B, elevated ALT, elevated bilirubin Tenofovir DF: -Common (1% to 10%): Increased transaminases, hyperbilirubinemia -Rare (less than 0.1%): Hepatic steatosis, hepatitis -Frequency not reported: Lactic acidosis/severe hepatomegaly with steatosis -Postmarketing reports: Increased liver enzymes (primarily AST, ALT, GGT) [ Ref ] Respiratory Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Common (1% to 10%): Upper respiratory tract infection, bronchitis Emtricitabine or tenofovir DF: -Common (1% to 10%): Nasopharyngitis, pneumonia, sinusitis, upper respiratory tract infection, increased cough, rhinitis Tenofovir DF: -Postmarketing reports: Dyspnea [ Ref ] Nasopharyngitis, pneumonia, sinusitis, upper respiratory tract infection, increased cough, and rhinitis have been reported in at least 5% of patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. [ Ref ] Ocular Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Uncommon (0.1% to 1%): Ocular icterus [ Ref ] Immunologic Cobicistat / elvitegravir / emtricitabine / tenofovir DF: -Frequency not reported: Immune reconstitution/reactivation syndrome, autoimmune disorders in the setting of immune reconstitution (e.g., Graves' disease, polymyositis, Guillain-Barre syndrome) Emtricitabine: -Postmarketing reports: Immune reconstitution syndrome Tenofovir DF: -Postmarketing reports: Immune reconstitution syndrome [ Ref ] Hematologic Emtricitabine or tenofovir DF: -Frequency not reported: Decreased neutrophils Emtricitabine: -Uncommon (0.1% to 1%): Anemia Tenofovir DF: -Common (1% to 10%): Neutropenia -Uncommon (0.1% to 1%): Anemia [ Ref ] Decreased neutrophils (less than 750/mm3) have been reported in patients receiving emtricitabine or tenofovir DF with other antiretroviral drugs in other clinical trials. Anemia was reported in clinical trials or during postmarketing experience for emtricitabine with other antiretrovirals. Neutropenia and anemia were reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. [ Ref ] Hypersensitivity Allergic reaction was reported in clinical trials or during postmarketing experience for tenofovir DF with other antiretrovirals. Allergic reaction (including angioedema) has also been reported during postmarketing experience with tenofovir DF. [ Ref ] Tenofovir DF: -Common (1% to 10%): Allergic reaction [ Ref ] Endocrine Tenofovir DF: -Frequency not reported: Higher serum parathyroid hormone levels References 1. "Product Information. Genvoya (cobicistat/elvitegravir/emtricitabine/tenofov)." Gilead Sciences, Foster City, CA. 2. Cerner Multum, Inc. "Australian Product Information." O 0 3. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0 4. "Product Information. Stribild (cobicistat/elvitegravir/emtricitabine/tenofov)." Gilead Sciences, Foster City, CA. 5. "A 4-drug combination (stribild) for HIV." Med Lett Drugs Ther 54 (2012): 95-6 6. Olin JL, Spooner LM, Klibanov OM "Elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate single tablet for HIV-1 infection treatment." Ann Pharmacother 46 (2012): 1671-7 Some side effects of Stribild may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA . Next Dosage Print this page More about Stribild (cobicistat / elvitegravir / emtricitabine / tenofovir) Side Effects During Pregnancy Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Español 86 Reviews Add your own review/rating Drug class: antiviral combinations Consumer resources Stribild Stribild (Advanced Reading) Professional resources Stribild (FDA) Elvitegravir, Cobicistat, Emtricitabine, and tenofovir Disoproxil Fumarate (AHFS Monograph) Related treatment guides HIV Infection Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.} Drug Status Rx Availability Prescription only B Pregnancy Category No proven risk in humans N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Manufacturer Gilead Sciences, Inc. Drug Class Antiviral combinations Related Drugs HIV Infection Truvada , Atripla , Norvir , Viread , Isentress , Prezista , lamivudine , abacavir , tenofovir , Reyataz , Epzicom , ritonavir , Complera , emtricitabine , darunavir , Kaletra , Intelence , Sustiva , Epivir , efavirenz , nevirapine , atazanavir , raltegravir , Selzentry , Lexiva , More... Stribild Rating 86 User Reviews 9.4 /10 86 User Reviews 9.4 Rate it! Stribild Images Stribild cobicistat 150 mg/elvitegravir 150 mg/emtricitabine 200 mg/tenofovir disoproxil fumarate 300 mg (GSI 1) View larger images} } good move


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