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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Cipanec Tablet is used to treat HIV-1 infection. It works by increasing the immune cells that help fight infections in the body and interfering with the working of certain enzymes which are necessary for the reproduction of the virus; thereby decreasing the amount of HIV in the blood. In some cases, this medicine may cause side effects such as fatigue, diarrhoea, headache, pain, fever, cough, and insomnia. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions. Practise safe sex and other necessary precautions as this medicine does not prevent the spread of HIV infection.
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Manufacturer/Marketer :

Cipla Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Cipanec Tablet

Cipanec Tablet belongs to a group of antiretroviral medicines indicated for the treatment of HIV-1 infection in adults and children weighing at least 35kgs. HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system and destroys the white blood cells that help in fighting infection, making the individual susceptible to other infections or illnesses.
 
Cipanec Tablet contains Dolutegravir (integrase inhibitor), Lamivudine (nucleoside reverse transcriptase inhibitor), and Tenofovir disoproxil fumarate (nucleotide reverse transcriptase inhibitor). Dolutegravir increases the immune cells that help fight infections in the body and decreases the amount of HIV in the blood. Lamivudine and Tenofovir disoproxil fumarate work by interfering with the working of nucleotide and nucleoside reverse transcriptase enzymes which are necessary for the reproduction of the virus. Together, Cipanec Tablet helps in treating HIV infection.
 
You are advised to take Cipanec Tablet for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as fatigue, diarrhoea, headache, pain, rash, depression, fever, cough, and insomnia. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Practise safe sex and other necessary precautions as Cipanec Tablet does not prevent the spread of HIV infection. Consult your doctor if you are pregnant or planning for pregnancy. Avoid breastfeeding while taking Cipanec Tablet . Cipanec Tablet may cause dizziness, so drive with caution. Cipanec Tablet is not recommended for children weighing below 35 kg. Keep your doctor informed about your health condition and the medicines you are taking to prevent any side effects/interactions.

Uses of Cipanec Tablet

Treatment of HIV infection

Directions for Use

Swallow Cipanec Tablet as a whole with water; do not chew or crush it.

Medicinal Benefits

Cipanec Tablet is a combination of three drugs, namely: Dolutegravir, Lamivudine and Tenofovir disoproxil fumarate. Cipanec Tablet belongs to a group of antiretroviral medicines indicated for the treatment of HIV-1 infection in adults and children weighing at least 35kgs. Dolutegravir is an integrase inhibitor that increases the immune cells that help fight infections in the body and decreases the amount of HIV in the blood. Lamivudine is a nucleoside reverse transcriptase inhibitor, and Tenofovir disoproxil fumarate is a nucleotide reverse transcriptase inhibitor. They work by interfering with the working of nucleotide and nucleoside reverse transcriptase enzymes which are necessary for the reproduction of the virus. Together, Cipanec Tablet helps in treating HIV infection.

How Cipanec Tablet Works

Cipanec Tablet contains Dolutegravir (integrase inhibitor), Lamivudine (nucleoside reverse transcriptase inhibitor), and Tenofovir disoproxil fumarate (nucleotide reverse transcriptase inhibitor). Dolutegravir increases the immune cells that help fight infections in the body and decreases the amount of HIV in the blood. Lamivudine and Tenofovir disoproxil fumarate work by interfering with the working of nucleotide and nucleoside reverse transcriptase enzymes which are necessary for the reproduction of the virus. Together, Cipanec Tablet helps in treating HIV infection.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Cipanec Tablet

  • Fatigue
  • Diarrhoea
  • Headache
  • Pain
  • Rash
  • Depression
  • Fever
  • Cough
  • Insomnia 

What if I have taken an overdose of Cipanec Tablet

Take Cipanec Tablet only as prescribed by the physician. Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Cipanec Tablet if you are allergic to any of its components. Inform your doctor if you have a history of hepatitis B or C infection, bone problems, pancreas disorder, kidney/liver problems, or if you are taking dofetilide (anti-arrhythmic agent). Practise safe sex and other necessary precautions as Cipanec Tablet does not prevent the spread of HIV infection. Consult your doctor if you are pregnant or planning for pregnancy. Avoid breastfeeding while taking Cipanec Tablet . Cipanec Tablet may cause dizziness, so drive with caution. Cipanec Tablet is not recommended for children weighing below 35 kg. Talk to your doctor immediately if you notice any signs or symptoms of infection or inflammation.

Drug-Drug Interactions

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DolutegravirDofetilide
Critical
LamivudineEmtricitabine
Critical

Drug-Drug Interactions

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DolutegravirDofetilide
Critical
How does the drug interact with Cipanec Tablet 30's:
Taking Cipanec Tablet 30's with dofetilide may possibly reduce the blood levels and effects of Cipanec Tablet 30's. This can increase the risk of an irregular heart rhythm that may be serious.

How to manage the interaction:
Although taking Cipanec Tablet 30's with Dofetilide is not recommended, they can be taken together if prescribed by a doctor. However, contact your doctor if you experience drowsiness, lightheadedness, fainting, or irregular heartbeat. Do not stop taking any medications without consulting a doctor.
LamivudineEmtricitabine
Critical
How does the drug interact with Cipanec Tablet 30's:
Combining these two medications may reduce overall effectiveness due to potential antagonistic effects (opposite actions).

How to manage the interaction:
Taking Emtricitabine with Cipanec Tablet 30's is not recommended, but it can be taken if your doctor prescribes it. Contact your doctor if your symptoms do not improve. Do not stop taking any medication without consulting your doctor.
Tenofovir disoproxilDidanosine
Critical
How does the drug interact with Cipanec Tablet 30's:
Coadministration of Didanosine with Cipanec Tablet 30's can increase the levels and risk of Didanosine side effects.

How to manage the interaction:
Taking Didanosine with Cipanec Tablet 30's is not recommended, please consult your doctor before taking it. It can be taken if your doctor prescribes it. However, if you experience severe headaches, confusion, weakness, trouble walking, muscle pain, or high fever, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
Tenofovir disoproxilStreptozocin
Critical
How does the drug interact with Cipanec Tablet 30's:
Combining Cipanec Tablet 30's and Streptozocin can increase the risk of kidney problems.

How to manage the interaction:
Taking Cipanec Tablet 30's with Streptozocin is not recommended, as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like nausea, vomiting, loss of appetite, increased or decreased urination, sudden weight gain or weight loss, fluid retention, swelling, shortness of breath, bone pain, muscle cramps, tiredness, weakness, dizziness, confusion, and irregular heart rhythm. Do not stop using any medications without talking to your doctor.
DolutegravirAttapulgite
Severe
How does the drug interact with Cipanec Tablet 30's:
Taking Cipanec Tablet 30's with Attapulgite can reduce the effectiveness of Cipanec Tablet 30's.

How to manage the interaction:
Taking Cipanec Tablet 30's with Attapulgite together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is recommended to take Cipanec Tablet 30's at least two hours before or six hours after the attapulgite dose. Do not discontinue using any medications without consulting a doctor.
DolutegravirMagnesium carbonate
Severe
How does the drug interact with Cipanec Tablet 30's:
Taking Cipanec Tablet 30's with magnesium carbonate can reduce the effectiveness of Cipanec Tablet 30's.

How to manage the interaction:
Although taking Cipanec Tablet 30's and Magnesium carbonate together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is advised to take Cipanec Tablet 30's either two hours before or six hours after taking a dose of Magnesium carbonate. Do not discontinue using any medications without consulting a doctor.
DolutegravirMagnesium lactate
Severe
How does the drug interact with Cipanec Tablet 30's:
Taking Cipanec Tablet 30's with magnesium lactate can reduce the effectiveness of Cipanec Tablet 30's.

How to manage the interaction:
Although taking Cipanec Tablet 30's and Magnesium lactate together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is advised to take Cipanec Tablet 30's either two hours before or six hours after taking a dose of Magnesium lactate. Do not discontinue using any medications without consulting a doctor.
DolutegravirCalcium lactate
Severe
How does the drug interact with Cipanec Tablet 30's:
Co-administration of Cipanec Tablet 30's with Calcium lactate can reduce the effectiveness of Cipanec Tablet 30's.

How to manage the interaction:
Although there is an interaction, Calcium lactate can be taken with Cipanec Tablet 30's if prescribed by the doctor. However, Cipanec Tablet 30's and calcium carbonate should not be taken orally at the same time. Maintain a gap of 2-6 hours between both medicines. Do not discontinue using any medications without consulting a doctor.
DolutegravirFerrous gluconate
Severe
How does the drug interact with Cipanec Tablet 30's:
Taking Cipanec Tablet 30's with ferrous gluconate can reduce the effectiveness of Cipanec Tablet 30's.

How to manage the interaction:
Although taking Cipanec Tablet 30's and Ferrous gluconate together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is advised to take Cipanec Tablet 30's either two hours before or six hours after taking a dose of Ferrous gluconate. Do not discontinue using any medications without consulting a doctor.
DolutegravirCarbamazepine
Severe
How does the drug interact with Cipanec Tablet 30's:
Taking carbamazepine and Cipanec Tablet 30's may possibly reduce the blood levels and effects of Cipanec Tablet 30's.

How to manage the interaction:
Although taking carbamazepine and Cipanec Tablet 30's together can possibly result in an interaction, it can be taken if your doctor has prescribed it. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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LAMIVUDINE-300MG+TENOFOVIR DISOPROXIL-245MG+DOLUTEGRAVIR-50MGHerbal products/medicines
Moderate

Drug-Food Interactions

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LAMIVUDINE-300MG+TENOFOVIR DISOPROXIL-245MG+DOLUTEGRAVIR-50MGHerbal products/medicines
Moderate
Common Foods to Avoid:
St. John’S Wort

How to manage the interaction:
Consuming St.John's Wort with Cipanec Tablet 30's can increase the risk of side effects. Avoid consuming St.John's Wort with Cipanec Tablet 30's.

Diet & Lifestyle Advise

  • Practise safe sex by using condoms; it helps in reducing contact with semen and vaginal fluids.
  • Never share personal items with body fluids or blood on them, such as razor blades or toothbrushes.
  • Avoid sharing used needles, other injections or drug equipment.
  • Eat a healthy and balanced diet. Eat vitamin and nutrient-rich food such as vegetables and fruits as it helps to boost the immune system. Opt for lean protein and whole grains.
  • Avoid eating raw meat and eggs. Consume properly boiled and cooked meat, poultry or seafood.
  • Eat bland and low-fat foods, and avoid spicy or oily foods if you experience nausea or vomiting.
  • Try to reduce emotional and physical stress by spending time with family or by doing whatever makes you happy.

Habit Forming

No

Therapeutic Class

ANTIRETROVIRAL AGENTS

Cipanec Tablet Substitute

Substitutes safety advice
  • Viropil Tablet 30's

    by AYUR

    105.60per tablet
  • Diltra 50 mg/300 mg/300 mg Tablet 30's

    104.74per tablet
  • Cipanec 50mg/300mg/300mg Tablet

    102.50per tablet
  • Diltra 50mg/300mg/300mg Tablet

    104.74per tablet
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Alcohol

Caution

It is not known whether Cipanec Tablet interacts with alcohol. Please consult your doctor.

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Pregnancy

Unsafe

Cipanec Tablet might cause embryo-fetal toxicity when taken at the time of conception and during early pregnancy. Please consult your doctor if you have any concerns regarding this.

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Breast Feeding

Unsafe

Avoid breastfeeding while taking Cipanec Tablet . Consult your doctor if you have any concerns regarding this.

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Driving

Caution

Cipanec Tablet may cause dizziness. So, drive or operating machinery only if you are alert.

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Liver

Caution

Dose adjustment may be needed. Please consult your doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Please consult your doctor if you have kidney impairment or any concerns regarding this.

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Children

Caution

Cipanec Tablet is not recommended for children weighing below 35kgs. Consult your doctor if you have any concerns.

FAQs

Cipanec Tablet is used to treat HIV infection.
Cipanec Tablet contains Dolutegravir, Lamivudine, and Tenofovir disoproxil fumarate. Dolutegravir increases the immune cells that help fight infections in the body and decreases the amount of HIV in the blood. Lamivudine and Tenofovir disoproxil fumarate work by interfering with the working of nucleotide and nucleoside reverse transcriptase enzymes which are necessary for the reproduction of the virus. Together, Cipanec Tablet helps in treating HIV infection.
Do not stop taking Cipanec Tablet without consulting your doctor as it may reduce the effectiveness of anti-HIV therapy. Continue taking Cipanec Tablet for as long as your doctor has prescribed it to you to treat your condition effectually. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Cipanec Tablet .
Cipanec Tablet might cause lactic acidosis (excess of lactic acid in the blood), a rare but severe side effect. Consult a doctor immediately if you experience stomach pain, vomiting, nausea, drowsiness, and deep rapid breathing, as these could be the signs of lactic acidosis.
Cipanec Tablet may cause bone problems such as bone pain, softening or thinning of bone which might lead to bone fractures. A regular bone density test is advised while taking Cipanec Tablet .
Antacids, laxatives, or other medicines containing magnesium, aluminium or buffered medicines (medicines used to neutralise stomach acids) should be taken 2 hours before and 6 hours after taking Cipanec Tablet . Consult your doctor if you have any concerns.
You can take iron or calcium supplements with Cipanec Tablet if you have taken Cipanec Tablet with food. If you haven’t taken Cipanec Tablet with food, take Cipanec Tablet 2 hours before or 6 hours after taking iron or calcium supplements. Consult your doctor if you have any concerns.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013.
Other Info - CIP0578

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