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Antivirals

Sofosbuvir

Also sold as: Sovaldi, Hepcinat

Prescription neededAntivirals
Comes as:Tablet

Usual adult dose

Dose is set by your doctor. Usual adult dose for hepatitis C: 400 mg once a day, always together with another hepatitis C medicine such as daclatasvir, usually for 12 weeks.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • tiredness
  • headache
  • nausea
  • trouble sleeping

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • very slow heartbeat (especially with amiodarone)
  • hepatitis B flare in people who also carry hepatitis B

Do not take it, or take care, if

  • Taking amiodarone
  • Pregnancy (especially when combined with ribavirin)
  • Severe kidney disease (ask your doctor)
  • Hepatitis B carriers (need monitoring)

Interactions

Medicines that can react with this one.

Serious3 medicinesDo not take these together unless your doctor says so.
  • Amiodarone

    Sofosbuvir with amiodarone can cause dangerously slow heartbeat; avoid the combination.

  • Carbamazepine

    Carbamazepine lowers sofosbuvir levels so treatment may fail.

  • Rifampicin

    Rifampicin lowers sofosbuvir levels so treatment may fail.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Daclatasvir
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.