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Efavirenz/lamivudine/tenofovir
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Efavirenz/lamivudine/tenofovir

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Efavirenz/lamivudine/tenofovir
Combination of
Efavirenz Non-nucleoside reverse transcriptase inhibitor
Lamivudine Nucleoside reverse transcriptase inhibitor
Tenofovir disoproxil Nucleoside reverse transcriptase inhibitor
Clinical data
Trade names Symfi, Symfi Lo
Other names EFV/3TC/TDF
AHFS/Drugs.com Professional Drug Facts
MedlinePlus a618028
License data
Pregnancy
category
  • Contraindicated
Routes of
administration
By mouth
ATC code
Legal status
Legal status
  • US: ℞-only
  • In general: ℞ (Prescription only)
Identifiers
KEGG

Efavirenz/lamivudine/tenofovir (EFV/3TC/TDF), sold under the brand name Symfi among others, is a fixed-dose combination antiretroviral medication for the treatment of HIV/AIDS. It combines efavirenz, lamivudine, and tenofovir disoproxil. As of 2019, it is listed by the World Health Organization as an alternative first line option to dolutegravir/lamivudine/tenofovir. It is taken by mouth.

Side effects can include joint pain, sleepiness, headaches, depression, trouble sleeping, and itchiness. Severe side effects may include depression, psychosis, or osteonecrosis. In those with a history of epilepsy, it may increase the frequency of seizures. Greater care should also be taken in those with kidney problems. Its use during pregnancy appears to be unsafe.

It is on the World Health Organization's List of Essential Medicines. The combination received tentative approval in the United States in 2014, and was granted approval in February 2018. Its availability and importance is supported by Medecins Sans Frontieres. It is available as a generic medication.

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