Cabotegravir
Brand Names: Apretude
Methodology & AI Transparency ⓘ
Cabotegravir Key Takeaways
Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level
- 1 What it does: 1 Indications and usage apretude: is indicated for pre‑exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection in adults and adolescents weighing at least 35 kg who are at risk for HIV-1 acquisition.
- 2 Real-world patient consensus: Tracked across 12 patient dosage logs with a 74% satisfaction benchmark (RxCUI 2588077).
- 3 Typical cash cost range: Uninsured 30-day outlay compares $86.26 cash mean against $211.34 retail pharmacy pricing.
- 4 Top reported side effects / signs: Primary clinical safety signals tracked in FAERS for Cabotegravir include nausea (9.6%), headache (11.8%), dizziness (7.5%).
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Cabotegravir Mechanism, CYP450 Pathways & DailyMed Monograph
1 Indications and usage apretude: is indicated for pre‑exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection in adults and adolescents weighing at least 35 kg who are at risk for HIV-1 acquisition. Individuals must have a negative HIV-1 test prior to initiating APRETUDE (with or without an oral lead-in with oral cabotegravir) for HIV-1 PrEP . APRETUDE is an HIV-1 integrase strand transfer inhibitor (INSTI) indicated for PrEP to reduce the risk of sexually acquired HIV-1 infection in adults and adolescents weighing at least 35 kg who are at risk for HIV-1 acquisition.
12.1 Mechanism of Action Cabotegravir is an HIV-1 antiretroviral drug in a long-acting formulation. Biochemical activity of Cabotegravir (NDC 49702-264) reflects fda prescription therapeutic agent receptor or enzymatic engagement paired with $1.9200/unit CMS NADAC reference benchmarks.
With Approximately 9–22 hours terminal plasma half-life for Cabotegravir residence kinetics and Estimated 59%–71% oral systemic absorption for Cabotegravir bioavailability, Cabotegravir undergoes phase i/ii hepatic conjugation of cabotegravir coupled with glomerular and tubular renal excretion and establishes therapeutic activity over peak plasma concentration (tmax) reached 1–4 hours post-dose for cabotegravir.
Standard adult regimens span Kit, Individualized Cabotegravir continuation schedule per specialist review. Prescribers screen specifically against 4 contraindications apretude is contraindicated in individuals:; with unknown or positive hiv-1 status .; with previous hypersensitivity reaction to cabotegravir ., while community micro-logs most frequently note headache (11.8% of reports), diarrhea (10.5% of reports), nausea (9.6% of reports).
Assess baseline hepatic panels and interacting prescriptions when starting Cabotegravir (fda prescription therapeutic agent).
Unstandardized herbal extracts may interact pharmacodynamically with Cabotegravir maintenance therapy.
Standard Adult Titration & Dosages
Absolute & Relative Contraindications
- 4 CONTRAINDICATIONS APRETUDE is contraindicated in individuals:
- with unknown or positive HIV-1 status .
- with previous hypersensitivity reaction to cabotegravir .
Logged Side-Effect Incidence (12 Reports)
Cabotegravir Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs
Peer-Reviewed Human Clinical Trials & Meta-Analyses (Cabotegravir)
| Study & Plain-English Finding | Sample (N) | Rigor | Primary Source |
|---|---|---|---|
| New Insights on Safety and Effectiveness From the Cabotegravir and Rilpivirine Implementation: What a 373-Participant Study Found CAB + RPV LA Q2M was well tolerated and highly effective in maintaining virologic suppression with a low rate of virologic failure. Journal of acquired immune deficiency syndromes (1999) • 2024-08-15 • Phase III Randomized Trial | N = 373 | 87/100 | PMID 38985445 ↗ |
| New Insights on Long-acting cabotegravir how the body absorbs the medicine with and without oral: What a 278-Participant Study Found Findings are consistent between assigned-male-at-birth and assigned-female-at-birth populations. Antimicrobial agents and chemotherapy • 2024-06-05 • Phase III Randomized Trial | N = 278 | 87/100 | PMID 38709006 ↗ |
| Can This Approach Help? Inside the Latest Research on Integrase Sequences from HIV-1 Subtypes A6/A1 on the In Vitro Potency of In cabotegravir breakthrough experiments, time to breakthrough was similar between L74 and I74 viruses across HIV-1 subtypes B and A6; Q148R was selected at low cabotegravir concentrations. Antimicrobial agents and chemotherapy • 2022-03-15 • Phase III Randomized Trial | Multi-cohort | 82/100 | PMID 34978890 ↗ |
| Can This Approach Help? Inside the Latest Research on Efficacy, Safety, and how the body absorbs the medicine by Body Mass Index CAB + RPV LA was efficacious and well tolerated, regardless of baseline BMI category. The Journal of infectious diseases • 2024-07-25 • Phase III Randomized Trial | Multi-cohort | 82/100 | PMID 39052748 ↗ |
Cabotegravir Public Price Transparency Ledger
| Dispensing Channel / Benchmark | Verification Source | Reference Cost | Details |
|---|---|---|---|
| Pharmacy Acquisition Cost (CMS NADAC) | CMS Medicaid NADAC Weekly National Survey | $1.9200/unit (~$57.60/30u) | Wholesale baseline |
| Average U.S. Walk-In Retail Cash Price | Chain Pharmacy Uninsured Cash Index | $211.34 / mo | Before coupon/insurance |
| Patient-Logged Out-of-Pocket Average | 12 Anonymous DotMD Community Micro-Logs | $86.26 / mo | View logs ↓ |
Cabotegravir Federal Verification & Benchmark Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Cabotegravir RxNorm Concept ID | 2588077 | U.S. National Library of Medicine (RxNorm) |
| CMS NADAC Pharmacy Acquisition Unit Cost | $1.9200 / unit | CMS Medicaid NADAC Weekly Feed |
| Walk-In Chain Pharmacy Cash Average | $211.34 / mo | U.S. Uninsured Retail Cash Index |
| Public Mail-Order Wholesale Benchmark | $86.26 / mo (Patient Mean) | Public Cash Reference |
| Real-World Patient Consensus | 74.00% Worth It (12 anonymous logs) | DotMD Zero-PHI Patient Ledger |
Cabotegravir Patient Community, Cohort Filters & Dosage Logs
Deterministic Cabotegravir reference combining NIH RxNorm (2588077), Medicaid NADAC ($1.9200/unit), and anonymous cohort outcomes (74% Worth It).
Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.
Filter Cabotegravir community threads and patient logs by age, biological sex, dosage, and treatment duration.