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Triumeq

8.69
Triumeq (abacavir, dolutegravir, and lamivudine) is a complete once-daily tablet used for the treatment of HIV-1 infection. It combines three antiviral agents to help maintain a low viral load and support the immune system. This regimen is designed for adults and children who meet specific weight requirements for daily management.


Category
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Abacavir, Dolutegravir, Lamivudine
Reference Brand
Triumeq
Manufacturer
ViiV Healthcare
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
HIV Treatment
Product Category
Antivirals, Integrous Inhibitor Combinations
Pharmacological Class
INSTI and NRTI Combination
Clinical Indications
Manufacturer Description
A complete once-daily tablet used to treat HIV-1 infection in adults and adolescents.
Mechanism of Action
This combination contains three drugs that block different parts of the HIV replication cycle. Dolutegravir blocks integrase, while Abacavir and Lamivudine block reverse transcriptase, effectively lowering the virus levels in the blood.
Route of Administration
Oral
Onset Time
Varies (days for viral suppression)
Duration
24 hours
Contraindications
HLA-B*5701 allele positive, Moderate to severe liver disease
Severe Adverse Events
Hypersensitivity reaction (severe), Hepatotoxicity, Lactic acidosis
Common Side Effects
Insomnia, Headache, Fatigue
Uncommon Side Effects
Nausea, Diarrhoea, Dizziness
Drug Interactions
Dofetilide, Metformin, Rifampicin
Pregnancy Safety Warnings
Dolutegravir should be discussed with a doctor due to potential risks in early pregnancy.
Age Restrictions
Adults and children weighing at least 25kg
Storage Guidelines
Store in the original package at room temperature.
Related Products
Biktarvy, Genvoya

Triumeq FAQ

Can Triumeq be taken with other HIV medicines?

Triumeq is intended as a complete regimen; adding other antiretrovirals is generally unnecessary and may increase the risk of drug interactions. Any modifications should be directed by a specialist in HIV care.

What should I know about the tablet’s appearance?

Triumeq tablets are round, film-coated, and white in colour, each marked with the imprint “TRIUMEQ”. The consistency helps patients verify they have the correct medication.

*Is HLA-B57:01 testing required for everyone?**

Yes. The MHRA recommends mandatory HLA-B*57:01 screening before initiating abacavir-containing therapy to prevent hypersensitivity reactions. A negative result allows safe use of Triumeq.

How does Triumeq compare to other single-tablet regimens?

Triumeq combines an INSTI (dolutegravir) with two NRTIs, offering high genetic barrier to resistance. Other regimens may use different INSTIs or include protease inhibitors; the choice depends on patient history, resistance patterns, and tolerability.

Can I travel internationally with Triumeq?

Yes, but carry the medication in its original packaging with a copy of the prescription. Some countries require proof of a chronic condition for import; checking local regulations before travel is advisable.

Will food affect the effectiveness of Triumeq?

Food does not significantly alter the overall effectiveness, though a high-fat meal may delay dolutegravir absorption slightly. Consistency in taking the tablet with or without food helps maintain steady drug levels.

Are there any special considerations for athletes?

Triumeq is not listed on the World Anti-Doping Agency (WADA) prohibited substances list. However, athletes should disclose their medication to team medical staff to avoid inadvertent doping violations.

What is the shelf-life of a Triumeq tablet?

The expiry date is printed on the foil blister pack. Typically, tablets remain stable for 24 months when stored correctly at room temperature away from humidity.

How is resistance monitored while on Triumeq?

Routine HIV RNA testing identifies viral rebound early. If viral load rises despite adherence, genotypic resistance testing is performed to detect mutations that may compromise the regimen.

Can I switch from Triumeq to a separate-tablet regimen?

Switching is possible but should be guided by a clinician to ensure overlapping drug coverage and to prevent gaps in therapy that could foster resistance.

What is Triumeq?

Triumeq is a fixed-dose combination tablet that contains three active ingredients: abacavir, dolutegravir, and lamivudine. It belongs to the antiretroviral drug class used to treat human immunodeficiency virus (HIV) infection. Each Triumeq pill delivers 600 mg of abacavir, 50 mg of dolutegravir, and 300 mg of lamivudine. In the United Kingdom the product is prescription-only (POM) and regulated by the Medicines and Healthcare products Regulatory Agency (MHRA).

How Triumeq Works in the Body

Triumeq combines two nucleoside reverse transcriptase inhibitors (NRTIs) - abacavir and lamivudine - with an integrase strand transfer inhibitor (INSTI) - dolutegravir.

  • Abacavir mimics the natural nucleoside guanosine and is incorporated into viral DNA by HIV reverse transcriptase. This incorporation halts further DNA chain elongation, preventing the virus from replicating.
  • Lamivudine is a cytidine analogue that also blocks reverse transcriptase, working synergistically with abacavir to suppress viral replication.
  • Dolutegravir binds to the active site of the HIV integrase enzyme, preventing the insertion of viral DNA into the host cell genome. This step is essential for establishing a productive infection.

Together, the three agents act at separate stages of the HIV life cycle, providing a potent and durable reduction in viral load. Onset of viral suppression generally occurs within weeks, with peak antiviral effect seen after several months of consistent therapy. The drugs are well absorbed after oral administration; dolutegravir is metabolised mainly by CYP3A4, while abacavir and lamivudine are excreted largely unchanged via the kidneys.

Conditions Treated by Triumeq

Triumeq is approved by the MHRA for the treatment of HIV-1 infection in adults and adolescents aged 12 years and older who weigh at least 40 kg. It is indicated for patients who are treatment-naïve or who are switching from other antiretroviral regimens when a single-tablet option is desired. The combination is not indicated for HIV-2 infection.

Patient Suitability and Contraindications

Who Should Use Triumeq?

  • Adults and adolescents meeting the age and weight criteria above.
  • Individuals with a confirmed diagnosis of HIV-1 who require a once-daily, single-tablet regimen.
  • Patients without hypersensitivity to any of the three components.

Absolute Contraindications

  • Known hypersensitivity to abacavir, dolutegravir, lamivudine, or any excipients in the tablet.
  • *HLA-B57:01 positivity** - patients who test positive for this allele have a markedly increased risk of a severe, potentially life-threatening hypersensitivity reaction to abacavir. Testing is required before initiating therapy.
  • Severe renal impairment (creatinine clearance < 30 mL/min) - dose adjustment of abacavir and lamivudine is required, and Triumeq is not recommended in this setting.
  • Pregnancy: dolutegravir exposure in early pregnancy has been associated with a small increase in the risk of neural-tube defects. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternative regimens with their healthcare provider.

Relative Contraindications

  • Moderate hepatic impairment (Child-Pugh B) - careful monitoring is advised, especially for dolutegravir.
  • Concomitant use of strong CYP3A4 inducers (e.g., rifampicin, carbamazepine) which can reduce dolutegravir plasma concentrations. Dose adjustment or alternative therapy may be needed.
  • Elderly patients (> 65 years) - monitor renal function and potential drug-drug interactions more closely.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Nausea - frequently reported, usually mild and transient.
  • Headache - often occurs early in treatment.
  • Fatigue - may improve as viral suppression is achieved.
  • Diarrhoea - generally mild; stay hydrated.

Patients should report any persistent or worsening symptoms to their clinician.

Serious Adverse Events

  • Abacavir hypersensitivity reaction - characterized by fever, rash, gastrointestinal symptoms, and respiratory distress. Immediate discontinuation and medical evaluation are required.
  • Severe skin reactions (e.g., Stevens-Johnson syndrome) - rare but require urgent care.
  • Elevated liver enzymes - monitor in patients with underlying hepatic disease.

Drug Interactions

  • Major: Co-administration with strong CYP3A4 inducers (rifampicin, St. John’s wort) significantly lowers dolutegravir levels; alternative antiretrovirals are preferred.
  • Moderate: Anti-acid agents (e.g., proton pump inhibitors, antacids) may reduce dolutegravir absorption; spacing doses or adjusting timing can mitigate the effect.
  • Potential: Concomitant use of other NRTIs or INSTIs may increase risk of overlapping toxicities; clinicians should review the full medication list.

Food and Lifestyle Interactions

  • Triumeq can be taken with or without food; however, a high-fat meal may slightly delay dolutegravir absorption.
  • Alcohol does not directly interact with the drug, but excessive intake can impair adherence and liver health.
  • Patients should avoid driving or operating machinery if they experience dizziness or severe fatigue until they know how the medication affects them.

How to Take Triumeq

  • Standard dosing: One tablet (600 mg/50 mg/300 mg) taken once daily, preferably at the same time each day.
  • Renal adjustment: In patients with creatinine clearance 30-49 mL/min, a reduced-dose formulation of abacavir/lamivudine (300 mg/150 mg) may be used, but this is not available as a combined Triumeq tablet. Consult a prescriber for an appropriate regimen.
  • Hepatic adjustment: No dosage change is required for mild to moderate hepatic impairment, but close monitoring is advised.
  • Administration: Swallow the tablet whole with water. Do not crush, chew, or split the tablet.
  • Missed dose: Take the missed dose as soon as remembered unless it is close to the time of the next scheduled dose; do not double-dose.
  • Overdose: Symptoms may include nausea, vomiting, and dizziness. Seek urgent medical care; supportive measures are the mainstay of treatment.
  • Discontinuation: Triumeq should not be stopped abruptly without medical guidance, as interruption can lead to viral rebound and resistance. A supervised switch to an alternative regimen is standard practice.

Monitoring and Follow-Up

  • Baseline labs: HIV viral load, CD4+ count, renal and hepatic function, HLA-B*57:01 testing before starting abacavir.
  • Viral monitoring: Check HIV RNA levels at 4 weeks after initiation, then every 3-6 months once suppressed.
  • Safety labs: Renal function every 6 months; liver enzymes if clinically indicated.
  • Clinical review: Assess adherence, side effects, and any new medications at each visit. Promptly address any hypersensitivity signs.

Storage and Handling

  • Store tablets at controlled room temperature (15 °C-30 °C), protected from moisture and direct sunlight.
  • Keep the container tightly closed and out of reach of children.
  • Do not use tablets after the expiry date printed on the packaging.
  • Dispose of unused medication according to local pharmacy take-back programs or NHS guidelines for safe drug disposal.

Medication-Specific Glossary

Integrase Strand Transfer Inhibitor (INSTI)
A class of antiretrovirals that block the HIV integrase enzyme, preventing viral DNA from integrating into the host genome. Dolutegravir belongs to this class.
Nucleoside Reverse Transcriptase Inhibitor (NRTI)
Antiretroviral agents that mimic natural nucleosides, become incorporated into viral DNA, and terminate chain elongation. Abacavir and lamivudine are NRTIs.
*HLA-B57:01 Testing**
A genetic screen performed before prescribing abacavir to identify patients at risk for a severe hypersensitivity reaction. A positive result contraindicates abacavir use.

Medical Disclaimer

This article provides educational information about Triumeq and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Triumeq is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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