| ๐ท๏ธย Parameter | ๐ย Details |
|---|---|
| ๐งฌ Active Ingredients | Bictegravir 50mg + Emtricitabine 200mg + Tenofovir Alafenamide 25mg |
| ๐ Indication | HIV-1 Infection (First-line ART for adults/adolescents โฅ25kg) |
| ๐บ๐ธ US Brand | Biktarvyยฎ |
| ๐ญ Manufacturer | Hetero Drugs Ltd. |
| ๐ฆ Packaging | 30 tablets in 1 HDPE bottle |
| ๐ช Strength | 50mg/200mg/25mg per tablet |
| ๐ Delivery Time | 7โ14 days (Worldwide) |
๐งฌ Introduction to Taffic
Taffic by Hetero Drugs is aย cutting-edge HIV regimenย combining:
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๐งฉย Bictegravir 50mgย (INSTI: integrase strand transfer inhibitor)
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๐งฌย Emtricitabine 200mgย (NRTI: cytidine analog with dual HIV/HBV activity)
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๐ก๏ธย Tenofovir Alafenamide 25mgย (TAF: nephro-safe prodrug of tenofovir)
Approved forย HIV-1 treatment in patients โฅ25kg, this 30-tablet bottle offers:
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โ Once-daily dosing (any food/timing)
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โ Superior renal/bone safety vs. TDF-based regimens
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โ High genetic barrier to resistance
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โ First-line WHO-recommended regimen
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โ Caution with concomitant rifampicin
Hetero’s generic version provides affordable access to this gold-standard therapy.
๐ Dosage & Indications
| ๐ย Indication | ๐งชย Dosage | โฑ๏ธย Frequency | ๐กย Notes |
|---|---|---|---|
| Adults โฅ25kg | 1 tablet | Once daily | With or without food |
| Adolescents (25-35kg) | Not recommended | โ | Use pediatric formulations |
| Renal Impairment | Avoid if eGFR <30 mL/min | Contraindicated | TAF accumulation risk |
| HBV Co-infection | Never discontinue abruptly | โ | Monitor for HBV flare |
โ ๏ธ Side Effects, Storage & Warnings
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โ Common Side Effects:
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Headache (10%)
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Diarrhea (7%)
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Nausea (6%)
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๐ซ Rare Serious Effects:
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Immune reconstitution syndrome
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Lactic acidosis (0.1%)
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Hepatomegaly with steatosis
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โ๏ธ Storage: 15โ30ยฐC; keep bottle tightly closed (desiccant included).
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โ ๏ธ Critical Warnings:
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Contraindicatedย with rifampicin or carbamazepine
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Test for HBV before initiation
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Monitor eGFR/urine protein annually
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๐ Global Availability & Shipping
| ๐ย Region | ๐ฆย Shipping | ๐ตย Price (30-tablet bottle) | ๐ย Prescription |
|---|---|---|---|
| ๐บ๐ธ USA | โ Yes | $90โ$150 | Required |
| ๐ฌ๐ง UK | โ Yes | ยฃ70โยฃ120 | Required |
| ๐ฆ๐บ Australia | โ Yes | AUD 130โ190 | Required |
๐ Related Indian Alternatives (Different in Same Category)
| ๐ Product Name | ๐ญ Manufacturer | ๐ Internal Link |
|---|---|---|
| Dolutranz (Dolutegravir/Tenofovir) | Mylan | dolutranz |
| Tenof-EM (Tenofovir/Emtricitabine) | Hetero | tenof-em |
| Viraday (Efavirenz/FTC/TDF) | Cipla | viraday |
| Tavin-EM (TAF/FTC) | Cipla | tavin-em |
| DoloVir (Dolutegravir/TAF/FTC) | Hetero | dolovir |
| Covihope-D (Dolutegravir/Ritonavir) | Hetero | covihope-d |
๐ External Medical References
๐ฉบ Expert Commentary
Dr. Meena Krishnan, HIV Researcher:
“Taffic’s Bictegravir has negligible neuropsychiatric effects compared to Efavirenz-based regimens. For patients on rifampicin TB therapy, switch to [dolovir] (Dolutegravir-based). Hetero’s bottle includes oxygen absorber to maintain TAF stability in humid climates.”
๐ Disclaimer
This information is not medical advice. Use under physician supervision. Heteroโs Taffic must not be used for HBV monotherapy.
๐ก Clinical Protocol:
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HBV Co-infection Protocol:
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Test HBV surface antigen before starting
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If positive: Monitor LFTs monthly ร3, then quarterly
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Never interrupt therapy (risk of fatal hepatitis flare)
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Bottle Specifications:
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White HDPE bottle with induction seal
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Tablet ID: “H” logo + “TFC” engraving
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Oxygen scavenger sachet (do not remove)
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Drug Interactions:
Concomitant Drug Risk Action Rifampicin โ Bictegravir levels 75% Contraindicated Antacids โ Bictegravir absorption Separate by 2 hours Dabigatran โ Bleeding risk Monitor aPTT -
Renal Monitoring Schedule:
Parameter Frequency Action Threshold eGFR Baseline, Annual Decline >25% Urine Protein/Creatinine Annual Ratio >200 mg/g Serum Phosphate If symptoms <2.0 mg/dL






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