Velasof Pillsbag
Velasof Pillsbag
Velasof Pillsbag
Price india
VELASOF
Drug profile:
Absorption:
Distribution:
Metabolism:
Elimination:
The Velasof tablet mean terminal half-life period of
both sofosbuvir and Velpatasvir and the circulating metabolite called GS-331007 are
reaching at 0.5 hours, 15 hours, & 27 hours respectively
The main routes of excretion of all the components like;
Sofosbuvir by metabolism; Velpatasvir through bile in unchanged form & GS-
331007 through glomerular filtration and active tubular secretion.
Urine:
Sofosbuvir: 80%; Velpatasvir: 14%
Feces:
Sofosbuvir: 0.4%; Velpatasvir: 94%
Before initiating the therapy, patients should be examined by counting the hepatitis B
surface antigen and hepatitis B core antibody (HBsAg & Anti-HBc) to prevent the
problem like reactivation of HBV infection.
The prescribed dosage of Velasof tablet includes as;
Velasof tablet containing fixed-dose combination drugs like 400mg of sofosbuvir and
100mg of Velpatasvir.
Recommended Velasof tablet in patients with chronic HCV infection related to
genotypes like I, II, III, IV, V or VI.
Patients with child Pugh A: one tablet of Velasof should be administered as a single
dose.
Patients with chronic cirrhosis or decompensated (child B or C): Velasof tablet should
be combined with ribavirin.
The ribavirin dosage should be administered on the basis of the weight of the patients.
Less than 75kg: 1000mg per day; at least75kg: 1200mg per day.
No dosage adjustment is required for renal impaired patients.
Drug Called side effects:
Velasof tablet combining with HMG CoA reductase agents leads to increase the
concentration of these agents.
Velasof tablet concomitant with acid-reducing agents causes the decrease in the effect
of concentration of Velpatasvir.
Velasof are P-gp & BCRP drug transporters substrate while combining Velasof with
P-gp inducers causes depletion in plasma concentration of Velasof tablet leads to
reduce the curative effect.
Velasof concurrently used with anti-mycobacterials causes depletion
of Velasof tablet.
Velasof with amiodarone causes serious bradycardia.
Velasof tablet combined with digoxin causes increasing the serum concentration of
digoxin.
Velasof with anticonvulsants causes depletion of the effect of concentration
of Velasof tablet.
Velasof combined with HIV anti-retroviral agents leads to cause decrease the serum
concentration of Velpatasvir.
No food-drug interaction occurs, an herbal product like st. Johns wort combining
with Velasof causes decreasing the therapeutic effect of Velasof.
Possible Contraindications:
The anaphylactic reaction occurs while patients are contraindicated to the components
present in Velasof tablet.
Velasof while using alone it is safe if it is combined with ribavirin which is
contraindicated in pregnant women.
Safety Measures:
Ribavirin with Velasof tablet in chronic condition causes ill to pregnant women cause
fetal harm.
Serious bradycardia occurs while combining with amiodarone.
While taking Velasof some adverse effects occur, to avoid these conditions some
precautions should be taken.
After completion of therapy, reactivation of HBV infection occurs in the patients who
are co-infected with HCV/HBV infections, to avoid these conditions investigate the
patient by measuring HBsAg and anti-HBc.
Reduction in the therapeutic effect of Velasof tablet, while the concomitant use
of Velasof with P-gp inducers.
Velasof used alone then its pregnancy category comes under B1; safe to use.
If Velasof tablet combined with ribavirin, pregnancy category is X; causes fetal death.
Breastfeeding should not be recommended during therapy.
Velasof is not a normal drug, it is prescription medicine used only by the patients
who are all having a valid prescription.
If the patient fails to take the dose of Velasof tablet, must get advice from the
physician and take the medicine within the time because it is single dose therapy.
Otherwise, the missed dose should be skipped and follow the regular dosing schedule.
Overdosage:
No distinct antidote is applicable for overdosing of Velasof tablet; once the overdose
occurs to confirm the presence of toxicity.
Treatment:
Check the crucial manifestations and give adjuvant measures.
The Hemodialysis is another method used in an overdose of Velasof tablet, can
efficiently dispose of the dominant circulating metabolite of sofosbuvir, GS-331007
with eradicating ration of 53%.
Hence Velpatasvir is highly bound to the human plasma protein; it is not cleared by
hemodialysis and gives incredible results.
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