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At a glance

Ledipasvir + Sofosbuvir is a combination of two antiviral medicines used for the treatment of chronic hepatitis C virus (HCV) infection. It inhibits viral replication and helps resolve the infection.

Indications
  • Chronic hepatitis C virus (HCV) infection - genotypes 1, 4, 5, or 6
Pharmacology

Ledipasvir inhibits the HCV NS5A protein which is important for viral replication, assembly and secretion. Sofosbuvir's triphosphate metabolite is incorporated into the HCV RNA chain by HCV RNA polymerase, causing chain termination.

Dosage

Adult Dose (Oral):

  • One tablet (Ledipasvir 90 mg + Sofosbuvir 400 mg) once daily
  • With or without food
  • Duration: Treatment-naive with or without cirrhosis: 12 weeks; Treatment-experienced without cirrhosis: 12 weeks; Treatment-experienced with cirrhosis: 24 weeks

Hepatic Impairment: Mild-severe: No dosage adjustment required

Side effects

Common Side Effects:

  • Fatigue
  • Headache
  • Nausea
  • Diarrhea
  • Insomnia
Use in pregnancy

Use in Pregnancy: Ledipasvir + Sofosbuvir is generally considered safe during pregnancy (FDA Category B). Animal studies have shown low or no adverse effects to the developing baby.

Pregnancy Category: B — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Caution when driving or activities requiring concentration (may cause dizziness and blurred vision)
  • Serious bradycardia with Amiodarone - not recommended
  • Monitor liver function and viral load regularly
  • Limit or avoid alcohol
  • Do not stop suddenly
Overdose effects

No specific overdose information available; symptomatic and supportive measures should be employed.

Storage conditions

Keep out of reach of children; store in a cool and dry place, protected from light.

Ledipasvir + Sofosbuvir — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.