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Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor • Prescription (Rx)

Emtricitabine and Tenofovir Disoproxil Fumarate

Brand Names: Truvada

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-08-20 • RxNorm RxCUI 476556 • 9 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Emtricitabine and Tenofovir Disoproxil Fumarate Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

93%
Patient “Worth It” (20)
$185.00
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Emtricitabine and Tenofovir Disoproxil Fumarate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 476556 • NDC 61958-0701

1 Indications and usage hiv:-1 Treatment ( 1.1 ) Emtricitabine and tenofovir disoproxil fumarate tablets are a two-drug combination of emtricitabine (FTC) and tenofovir disoproxil fumarate (TDF), both HIV-1 nucleoside analog reverse transcriptase inhibitors, and is indicated: in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients weighing at least 17 kg.

12.1 Mechanism of Action Emtricitabine and tenofovir disoproxil fumarate tablets are a fixed-dose combination of antiviral drugs FTC and TDF . Biochemical activity of Emtricitabine and Tenofovir Disoproxil Fumarate (NDC 61958-0701) reflects human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor receptor or enzymatic engagement paired with $59.5926/unit CMS NADAC reference benchmarks.

Systemic exposure to Emtricitabine and Tenofovir Disoproxil Fumarate reflects Oral fraction absorbed ranges from 50% to 62% (Emtricitabine and Tenofovir Disoproxil Fumarate 200) absorption kinetics and dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of emtricitabine and tenofovir disoproxil fumarate, sustaining receptor engagement across a Mean elimination half-life of 4 to 14 hours across adult Emtricitabine and Tenofovir Disoproxil Fumarate dosing half-life window (peak plasma tmax within 1 to 2 hours (emtricitabine and tenofovir disoproxil fumarate) response profile).

Dosing protocols (200 mg/1 / 300 mg/1 Tablet, Film Coated or 200 mg/1 / 300 mg/1 Tablet or 100 mg/1 / 150 mg/1 Tablet, Film Coated or 133 mg/1 / 200 mg/1 Tablet, Film Coated or 167 mg/1 / 250 mg/1 Tablet, Film Coated) balance efficacy (93.00% patient satisfaction across 20 logs) against nausea (12.7% of reports), headache (11.3% of reports), diarrhea (10% of reports), with strict avoidance in emtricitabine and tenofovir disoproxil fumarate for hiv-1 prep is contraindicated in individuals with unknown or positive hiv-1 status .; emtricitabine and tenofovir disoproxil fumarate for hiv-1 prep is contraindicated in individuals with unknown or positive hiv-1 status..

Key Monitored Interactions:
Potent CYP3A4 Inhibitors (Azoles, Clarithromycin, Ritonavir) Major

Azole antifungals or ritonavir can markedly raise Emtricitabine and Tenofovir Disoproxil Fumarate plasma peaks; dose reduction may be warranted.

Renally Cleared Narrow-Index Co-Medications Moderate

Reconcile eGFR-adjusted medications before escalating Emtricitabine and Tenofovir Disoproxil Fumarate in polypharmacy regimens.

Half-Life
Mean elimination half-life of 4 to 14 hours across adult Emtricitabine and Tenofovir Disoproxil Fumarate dosing
Bioavailability
Oral fraction absorbed ranges from 50% to 62% (Emtricitabine and Tenofovir Disoproxil Fumarate 200)
Metabolism & Clearance
Dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of Emtricitabine and Tenofovir Disoproxil Fumarate
Clinical Onset
Peak plasma Tmax within 1 to 2 hours (Emtricitabine and Tenofovir Disoproxil Fumarate)

Standard Adult Titration & Dosages

200 mg/1 / 300 mg/1 Tablet, Film Coated 200 mg/1 / 300 mg/1 Tablet 100 mg/1 / 150 mg/1 Tablet, Film Coated 133 mg/1 / 200 mg/1 Tablet, Film Coated 167 mg/1 / 250 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • Emtricitabine and tenofovir disoproxil fumarate for HIV-1 PrEP is contraindicated in individuals with unknown or positive HIV-1 status .
  • Emtricitabine and tenofovir disoproxil fumarate for HIV-1 PrEP is contraindicated in individuals with unknown or positive HIV-1 status.

Logged Side-Effect Incidence (20 Reports)

Nausea 12.7%
Headache 11.3%
Diarrhea 10%
Insomnia 7%
Dizziness 7%
Fatigue 6.8%
Cutaneous rash 4.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Emtricitabine and Tenofovir Disoproxil Fumarate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (20)
Nausea FAERS: 12.7% • Logs: 12.7%
Fatigue FAERS: 6.8% • Logs: 6.8%
Diarrhea FAERS: 10% • Logs: 10%
Headache FAERS: 11.3% • Logs: 11.3%
Insomnia FAERS: 7% • Logs: 7%
Dizziness FAERS: 7% • Logs: 7%
Cutaneous rash FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Emtricitabine and Tenofovir Disoproxil Fumarate)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Efficacy of bictegravir/emtricitabine/tenofovir alafenamide versus: What a 1,306-Participant Study Found

Participants with suboptimal (<85%) staying on track with medication to B/F/TAF maintained high levels of VS, whereas suboptimal DTG + 2 NRTI staying on track with medication was associated with lower VS.

The Journal of antimicrobial chemotherapy • 2025-01-03 • Phase III Randomized Trial
N = 1,306 96/100 PMID 39556192 ↗
New Insights on Week 96 resistance analyses of the once-daily, single-tablet regimen (STR): What a 1,125-Participant Study Found

D/C/F/TAF has a high barrier to resistance; no darunavir, primary PI, or tenofovir RAMs occurred through 96 weeks in AMBER and EMERALD.

Journal of medical virology • 2021-06-15 • Phase III Randomized Trial
N = 1,125 90/100 PMID 33300183 ↗
Can This Approach Help? Inside the Latest Research on Treatment staying on track with medication on efficacy of dolutegravir plus

Methods: staying on track with medication was estimated using pill counts and categorized as ≥90% vs Results: In each.

HIV research & clinical practice • 2021-12-09 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 34913844 ↗
Can This Approach Help? Inside the Latest Research on Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate (TDF) Versus

Of 734 participants randomized, 728 received study drugs and were included in analyses.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America • 2021-07-01 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 33336698 ↗
Can This Approach Help? Inside the Latest Research on Brief Report: HIV-1 Resistance Analysis of Participants With HIV-1 and Hepatitis

In people with HIV-1 and hepatitis B virus treated with first-line B/F/TAF or DTG + F/TDF, preexisting HIV-1 resistance was uncommon and did not affect virologic suppression.

Journal of acquired immune deficiency syndromes (1999) • 2024-08-01 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 40788226 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Emtricitabine and Tenofovir Disoproxil Fumarate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 476556
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $59.5926/unit (~$1787.78/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $453.25 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 20 Anonymous DotMD Community Micro-Logs $185.00 / mo View logs ↓

Emtricitabine and Tenofovir Disoproxil Fumarate Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Emtricitabine and Tenofovir Disoproxil Fumarate RxNorm Concept ID 476556 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $59.5926 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $453.25 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $185.00 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 93.00% Worth It (20 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Emtricitabine and Tenofovir Disoproxil Fumarate Patient Community, Cohort Filters & Dosage Logs

Evidence synthesis for Emtricitabine and Tenofovir Disoproxil Fumarate: FDA labeling (2025-08-20, NDC 61958-0701), CYP/interaction screening, and public pharmacy acquisition costs.

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