Oral Antiviral / Nucleotide Reverse Transcriptase Inhibitor (NRTI)

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Product Information

  • Strength: 300 mg tablets (commonly available) 
  • Class: Antiviral (NRTI) 
  • Form: Oral tablet 
  • Active ingredient: Tenofovir disoproxil fumarate 

Why is this Medication Prescribed?

Tenvir is prescribed in combination with other medicines for the treatment of:

  • HIV infection 
  • Chronic hepatitis B virus (HBV) infection 

It helps lower the viral load in the body, slows the progression of disease, and improves quality of life.

Uses

  • Treatment of HIV infection (with other antiretroviral drugs) 
  • Treatment of chronic hepatitis B virus (HBV) infection 
  • Prevention of HIV infection in high-risk individuals (pre-exposure prophylaxis, PrEP) 

Benefits

  • Reduces the amount of HIV in the body, lowering the risk of complications and improving survival 
  • Helps clear hepatitis B virus infection and prevents liver damage 
  • Can reduce the risk of HIV transmission when used with safe practices (condoms, not sharing needles or personal items) 
  • Improves long-term health outcomes with regular use 

How Should this Medicine be Used?

  • Take exactly as prescribed by your doctor 
  • Best taken with food to improve absorption 
  • Take at the same time every day for best results 
  • Always use in combination with other antiretroviral medicines for HIV treatment 
  • Do not skip doses — missing doses may reduce effectiveness and increase resistance risk 
  • Do not stop without your doctor’s advice, even if you feel well 

Other Uses

Tenofovir may be used in pre-exposure prophylaxis (PrEP) for individuals at high risk of HIV, under strict medical supervision.

⚠️ HIV Transmission Safety Box

This medicine helps manage HIV infection but does not cure it or prevent the spread of HIV.

  • Continue practicing safe sex (use condoms) 
  • Do not share needles or personal items that may contain blood 
  • Regular follow-up tests are required to monitor viral load and immune function 

🦴 Bone Health Warning

This medicine may reduce bone density and increase your risk of osteoporosis or fractures.

  • Your doctor may monitor bone strength and advise calcium/vitamin D supplementation or lifestyle changes 
  • Regular exercise may help protect bone health 

⚠️ Liver Toxicity Warning

This medicine may cause liver damage.

  • Your doctor may monitor your liver function with blood tests 
  • Stop the medicine and seek medical help if you develop: 
    • Yellowing of the skin or eyes 
    • Dark urine 
    • Persistent nausea, vomiting, or abdominal pain 

⚠️ Kidney Function Risk Warning

This medicine may cause kidney damage in some patients.

  • Your doctor may order regular kidney function tests (creatinine, eGFR) 
  • Drink enough fluids during treatment unless advised otherwise 
  • Report to your doctor if you notice: 
    • Swelling in feet or ankles 
    • Unusual tiredness or weakness 
    • Changes in urination (frequency, amount, or pain) 

Special Precautions

  • Tell your doctor if you have: 
    • Kidney disease 
    • Liver disease (including hepatitis B or C co-infection) 
    • Bone problems such as osteoporosis 
  • Routine blood tests may be required to monitor kidney function, liver function, and blood counts 
  • May cause dizziness or sleepiness — avoid driving until you know how it affects you 
  • Pregnancy & Breastfeeding: Consult your doctor before use 
  • Do not have unprotected sex or share personal items if you are HIV positive — use safe practices to reduce transmission risk 

Possible Side Effects

Common side effects:

  • Nausea 
  • Vomiting 
  • Diarrhea 
  • Flatulence (gas) 
  • Rash 
  • Headache 
  • Insomnia (difficulty sleeping) 

Long-term risks:

  • Bone loss (osteoporosis) 
  • Kidney or liver problems (require monitoring) 

Storage & Disposal

  • Store at room temperature, away from heat, moisture, and sunlight 
  • Keep out of reach of children 
  • Do not use after the expiry date 
  • Dispose of unused tablets safely — do not flush into drains 

Emergency Guidance

  • Seek urgent medical care if you develop severe allergic reactions (swelling of face, lips, throat, or difficulty breathing) 
  • Call emergency services if you experience sudden chest pain, severe dizziness, or fainting 
  • Contact your doctor immediately if you notice signs of liver problems, kidney issues, or unexplained bone pain/weakness 
  • In case of overdose, go to the nearest emergency department immediately