Tenvir-EM Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Rapid breathing, severe weakness, or muscle pain with stomach pain and nausea or vomiting
- Yellowing of the eyes or skin, dark urine, or severe upper abdominal pain
- Decreased urine output, swelling in the legs or feet, or bone pain
- Rash with fever, swelling of the face or throat, or difficulty breathing
- Severe stomach pain that may spread to the back, with nausea and vomiting
- New fever, swelling, or worsening symptoms after starting treatment
- Unusual tiredness, dizziness, or fast heartbeat
If experiencing severe symptoms, call emergency services immediately.
What is emfovir tablet used for?
This medicine is a combination of emtricitabine and tenofovir disoproxil fumarate used to treat human immunodeficiency virus type 1 infection in adults and adolescents. It is also used for pre-exposure prophylaxis in people at high risk. It works by blocking the virus from copying itself. It is taken once daily by mouth and must be used as part of a complete treatment plan under a doctor's care.
- Generic Name: Emtricitabine (200mg) + Tenofovir disoproxil fumarate (300mg)
- Manufacturer: Arechar Healthcare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 emfovir tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एचआईवी (ह्यूमन इम्युनोडेफिशिएंसी वायरस) संक्रमण के इलाज के लिए इस्तेमाल की जाती है। यह एंटीरेट्रोवायरल दवाओं के समूह में आती है और इसे अकेले नहीं, बल्कि अन्य एचआईवी दवाओं के साथ मिलाकर लिया जाता है। यह शरीर में वायरस की मात्रा को कम करने में मदद करती है और प्रतिरक्षा प्रणाली को मजबूत बनाती है। इसका उपयोग एचआईवी से बचाव के लिए भी किया जा सकता है, लेकिन केवल डॉक्टर की सलाह पर। यह दवा एचआईवी को पूरी तरह खत्म नहीं करती, इसलिए इसे नियमित रूप से और डॉक्टर के बताए अनुसार ही लेना चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सिरदर्द, जी मिचलाना, दस्त, पेट दर्द, थकान, चक्कर आना और नींद न आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव कम होते हैं, लेकिन इन्हें नजरअंदाज नहीं करना चाहिए। लैक्टिक एसिडोसिस, गंभीर जिगर की समस्या, गुर्दे की समस्या, हड्डियों का कमजोर होना और गंभीर एलर्जी प्रतिक्रिया जैसी स्थितियाँ दुर्लभ हैं, लेकिन इनके लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर दिन में एक बार। इसे खाने के साथ या बिना खाने के लिया जा सकता है। दवा लेना कभी न छोड़ें और डॉक्टर की सलाह के बिना बंद न करें। नियमित रूप से गुर्दे और जिगर की जाँच कराते रहें। अपने डॉक्टर को अन्य सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। शराब और नशीली दवाओं से बचें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। दवा को कमरे के तापमान पर, नमी और गर्मी से दूर, बच्चों की पहुंच से बाहर रखें।
💊 emfovir tablet Uses & Benefits
[{"condition":"Human immunodeficiency virus type 1 infection","description":"Used as part of combination antiretroviral therapy to suppress viral replication, improve CD4 cell counts, and reduce the risk of opportunistic infections and death.","evidence":"Well-established"},{"condition":"Pre-exposure prophylaxis for human immunodeficiency virus","description":"Used in people at high risk of acquiring human immunodeficiency virus to reduce the chance of infection when taken consistently and combined with safer sex practices.","evidence":"Well-established"},{"condition":"Chronic hepatitis B infection","description":"Tenofovir disoproxil fumarate, one component of this medicine, is active against hepatitis B virus and is sometimes used in people with both human immunodeficiency virus and hepatitis B.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Post-exposure prophylaxis for human immunodeficiency virus","description":"Sometimes used after a high-risk exposure, but only under specialist guidance and usually with additional medicines.","evidence":"Limited"}]
Primary treatment for: Human immunodeficiency virus type 1 infection
Also treats: Chronic hepatitis B infection, Pre-exposure prophylaxis for human immunodeficiency virus
📋 Drug Information
| Generic Name(s) | Emtricitabine (200mg) + Tenofovir disoproxil fumarate (300mg) |
| Brand Name | emfovir tablet |
| Manufacturer | Arechar Healthcare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C (59°F to 86°F). Keep it in the original container, tightly closed, away from moisture, heat, and direct sunlight. Do not store it in the bathroom. Keep out of reach of children and pets. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture. Do not use this medicine after the expiry date printed on the pack. Check the packaging for the exact expiry date. |
| WHO Guideline | The World Health Organization recommends tenofovir disoproxil fumarate plus emtricitabine as part of first-line antiretroviral therapy for adults and adolescents living with human immunodeficiency virus. It is also recommended as an option for pre-exposure prophylaxis in people at substantial risk of human immunodeficiency virus infection. |
| ICMR Guideline | The Indian Council of Medical Research and National AIDS Control Organisation guidelines include tenofovir disoproxil fumarate plus emtricitabine as a preferred nucleoside reverse transcriptase inhibitor backbone in combination antiretroviral therapy for human immunodeficiency virus infection in India. Pre-exposure prophylaxis is also recommended for high-risk groups as per national guidelines. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two antiretroviral agents that work by interfering with the reverse transcriptase enzyme, which human immunodeficiency virus uses to convert its ribonucleic acid into deoxyribonucleic acid. Emtricitabine is a nucleoside analogue that is phosphorylated inside cells to its active triphosphate form, which competes with natural nucleotides and causes chain termination when incorporated into viral deoxyribonucleic acid. Tenofovir disoproxil fumarate is a prodrug that is converted to tenofovir, a nucleotide analogue that also inhibits reverse transcriptase and acts as a chain terminator. Together, they reduce viral replication and help control the infection. This medicine does not cure human immunodeficiency virus infection.
Mechanism Steps
💡 How to Take emfovir tablet
Strength: Each tablet contains emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg. The tablet is an immediate-release oral dosage form.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken by mouth once daily. It may be taken with or without food. This medicine is a fixed-dose combination and should not be used alone for the treatment of human immunodeficiency virus infection; it must be combined with other antiretroviral medicines as prescribed by a specialist. For pre-exposure prophylaxis, the dose is also one tablet once daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is not approved for children under 12 years of age or weighing less than 35 kg in all regions. A specialist will determine if it is appropriate and what dose to use. |
| Elderly Dosage | Older adults may have reduced kidney function, which can affect the removal of this medicine. Kidney function should be checked before and during treatment. The dose may need to be adjusted if kidney function is reduced. Otherwise, the usual adult dose may be used, but close monitoring is recommended. |
| Renal Impairment | This medicine is not recommended for people with severe kidney impairment, defined as an estimated creatinine clearance below 30 mL per minute. For people with mild to moderate kidney impairment, the dosing interval may need to be adjusted, or an alternative medicine may be chosen. Kidney function must be checked before starting treatment and monitored regularly. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | No dose adjustment is required for people with mild or moderate liver impairment. This medicine has not been studied in people with severe liver impairment, and it should be used with caution in that group. People with hepatitis B or C should be monitored closely for liver problems. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet containing emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg, taken once daily. Do not exceed this dose unless specifically instructed by a specialist. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of emfovir tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Aminoglycosides | Major | |
| Amphotericin B | Major | |
| Didanosine | Major | |
| Adefovir | Major | |
| Ritonavir-boosted protease inhibitors | Moderate | |
| Ledipasvir and sofosbuvir | Moderate | |
| Nonsteroidal anti-inflammatory drugs | Moderate | |
| Antacids with aluminum or magnesium | Minor | |
| Calcium or iron supplements | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Other nephrotoxic medicines such as aminoglycosides, amphotericin B, or high-dose nonsteroidal anti-inflammatory drugs
- Didanosine
- Adefovir dipivoxil
⚡ Moderate Interactions
- Ritonavir-boosted protease inhibitors such as atazanavir or darunavir
- Ledipasvir and sofosbuvir
- Nonsteroidal anti-inflammatory drugs used regularly
🍷 Alcohol Interaction
Alcohol does not directly interact with this medicine, but heavy or regular alcohol use can worsen liver health and increase the risk of liver problems. It is best to avoid alcohol or limit it as advised by your doctor, especially if you have hepatitis B or C or other liver conditions.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe kidney impairment with estimated creatinine clearance below 30 mL per minute","Known severe allergic reaction to emtricitabine, tenofovir disoproxil fumarate, or any component of this medicine","Use as a single agent for the treatment of human immunodeficiency virus infection"]
⚠️ Warnings & Precautions
["This medicine is not a cure for human immunodeficiency virus and does not prevent transmission of the virus to others.","Do not use this medicine alone for treatment of human immunodeficiency virus; it must be combined with other antiretroviral medicines.","Lactic acidosis and severe liver problems can occur and may be life-threatening.","Kidney function should be monitored before and during treatment, especially in people with risk factors.","People with hepatitis B may experience a flare of hepatitis if this medicine is stopped suddenly.","Bone loss and fractures have been reported; discuss bone health with your doctor.","Immune reconstitution syndrome can occur after starting antiretroviral therapy.","Do not share this medicine with anyone else, even if they have similar symptoms.","Keep all medical appointments and laboratory tests."]
🤱 Lactation Safety
Emtricitabine and tenofovir are excreted in small amounts in breast milk. In many settings, breastfeeding is encouraged for women living with human immunodeficiency virus who are on effective antiretroviral therapy, because the benefits of breastfeeding and viral suppression may outweigh the small risk of transmission through breast milk. However, this decision must be made with a doctor, taking into account the mother's viral load, access to clean water, and local guidelines.
💊 Overdose Management
There is no specific antidote for an overdose of this medicine. If an overdose is suspected, seek emergency medical care immediately. Treatment should be supportive, with close monitoring of vital signs, kidney function, and liver function. Hemodialysis may remove some of the medicine from the blood, but its role in overdose management is not well established. Do not try to treat an overdose at home.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is less than 12 hours since the missed dose. If it is more than 12 hours since the missed dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually once daily at the same time each day. You may take it with or without food, but taking it with a meal may reduce stomach upset. Do not skip doses, and do not stop taking this medicine without talking to your doctor first, because stopping suddenly can cause the virus to become resistant or your condition to worsen. Keep all laboratory appointments, especially blood tests for kidney function, liver enzymes, and viral load. Tell your doctor about all other medicines, supplements, and herbal products you take, because some can interact with this medicine. Avoid alcohol and recreational drugs, as they can worsen liver and kidney problems. If you are pregnant, planning pregnancy, or breastfeeding, discuss this with your doctor. Use condoms and other safer sex practices to prevent passing the virus to others. Store this medicine at room temperature away from moisture and heat, and keep it out of reach of children. If you miss a dose, follow your doctor's instructions; do not double the next dose.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may have reduced kidney function, which can affect how this medicine is removed from the body. Kidney function should be checked before and during treatment. The dose may need to be adjusted if kidney function is reduced. Older adults may also be at higher risk of bone loss and fractures. Regular monitoring is important.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, talk to your doctor. This medicine is considered safe for use during pregnancy and is recommended to continue for your health and to prevent passing the virus to your baby. Do not stop taking this medicine without medical advice. Your doctor may adjust your treatment plan based on your specific needs.
🏥 Post-Surgery Considerations
After surgery, continue taking this medicine as prescribed unless your doctor tells you otherwise. Inform your surgical team about all medicines you take. If you are unable to take oral medicines after surgery, your doctor may prescribe an alternative form or adjust your treatment temporarily. Monitor for any signs of infection or complications.
🦷 Dental Procedures
Tell your dentist that you are taking this medicine before any dental procedure. This medicine does not usually cause problems with dental work, but it is important for your dentist to know your full medical history. Maintain good oral hygiene to prevent infections. If you have bleeding problems or low platelet counts, your dentist may take extra precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe and beneficial while taking this medicine. However, if you have bone loss or kidney problems, avoid high-impact activities that could increase the risk of fractures. Talk to your doctor before starting a new exercise program, especially if you have weakness, dizziness, or fatigue.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tiredness in some people, especially when starting treatment. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal work and daily activities. If your job involves shift work, try to take your dose at the same time each day. Discuss any work-related concerns with your doctor.
🛑 When to Stop This Medicine
Do not stop taking this medicine without talking to your doctor first. Stopping suddenly can cause the virus to multiply rapidly and become resistant to treatment. If you experience severe side effects, your doctor may adjust your treatment or switch you to a different medicine. Always consult your healthcare provider before making any changes.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe and effective when monitored properly. However, it can cause kidney problems, bone loss, and rare liver problems over time. Regular blood tests for kidney function, liver function, and viral load are essential. Some people may experience changes in body fat distribution. Bone density may decrease, especially in people with other risk factors. Long-term use does not cure human immunodeficiency virus, so treatment must continue indefinitely. Your doctor will review your treatment regularly and may adjust it if needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A similar combination that may have less effect on kidney and bone health, but it is not interchangeable without medical advice.
Evidence: Well-establishedAnother nucleoside reverse transcriptase inhibitor backbone used in human immunodeficiency virus treatment, but it requires testing for a genetic marker before use.
Evidence: Well-establishedOther antiretroviral combinations may be recommended based on your specific situation and resistance profile.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
People living with human immunodeficiency virus should receive routine vaccinations, including influenza, hepatitis B, pneumococcal, and others as recommended by their doctor. This medicine does not interact with most vaccines. However, live vaccines may not be safe if your immune system is severely weakened. Discuss your vaccination schedule with your doctor.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specifically instructed
✅ DO
Keep in the original container, tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children and pets
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Bring enough supply for the entire trip, plus extra in case of delays. Carry a copy of your prescription and a letter from your doctor stating the medical reason for the medicine. Keep the medicine in your carry-on luggage, not in checked baggage, to avoid loss or temperature extremes. Store it at room temperature and away from direct sunlight. If crossing time zones, continue taking your dose at the same time each day according to your home schedule, or adjust gradually as advised by your doctor. Check local customs regulations for controlled medicines before travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts reducing the virus within days, but a measurable drop in viral load is usually seen within 2 to 4 weeks. Full suppression may take several months of consistent treatment.
A: Yes, you can take it with or without food. If it upsets your stomach, taking it with a meal may help.
A: If you remember within 12 hours of the missed dose, take it as soon as you remember. If more than 12 hours have passed, skip the missed dose and continue your regular schedule. Do not double dose.
A: This medicine is considered acceptable for use during pregnancy when needed for human immunodeficiency virus treatment. It helps protect both the mother and the baby. Discuss with your doctor.
A: Alcohol does not directly interact with this medicine, but heavy drinking can worsen liver health. It is best to avoid or limit alcohol, especially if you have liver disease.
A: No, this medicine does not cure human immunodeficiency virus. It controls the virus and helps keep you healthy, but it must be taken consistently.
A: No, do not stop taking this medicine without talking to your doctor. Stopping suddenly can cause the virus to rebound and become resistant.
A: Yes, one component can affect kidney function. Regular blood tests are needed to monitor your kidneys. Report any changes in urine output or swelling.
🤔 Common Patient Concerns
🔄 Substitutes for emfovir tablet
View AllAlternative brands with exact same active ingredient:
-
qvir kitCipla Ltd ₹170.63 90.7% CHEAPER
-
reatix kitEmcure Pharmaceuticals Ltd ₹933.70 48.9% CHEAPER
-
tenof em tabletHetero Drugs Ltd ₹1,540.00 15.8% CHEAPER
-
forstavir-em tabletAurobindo Pharma Ltd ₹1,699.87 7% CHEAPER
-
Tofocom 200 mg/300 mg TabletAlkem Laboratories Ltd ₹1,971.42 7.8% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure human immunodeficiency virus.
Fact: This medicine controls the virus but does not cure the infection. It must be taken consistently to keep the virus suppressed. - Myth: I can stop taking this medicine once my viral load is undetectable.
Fact: Stopping treatment can cause the virus to rebound and become resistant. Always consult your doctor before making any changes. - Myth: This medicine can be shared with others who have human immunodeficiency virus.
Fact: This medicine is prescribed for a specific person based on their condition and other medicines. Never share it. - Myth: This medicine protects against all sexually transmitted infections.
Fact: This medicine only protects against human immunodeficiency virus when taken as pre-exposure prophylaxis. It does not protect against other infections. Use condoms and other safer sex practices.
🔄 Alternative Options
Generic Alternatives
- Emtricitabine and tenofovir disoproxil fumarate tablets
Brand Alternatives
- Tenvir-EM