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Pifeltro® Tablets for HIV-1
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$789.99
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This medicine is a non-nucleoside reverse transcriptase inhibitor used with other HIV medicines. It helps lower viral load as part of a complete regimen. We offer US delivery from Canada, and options exist if you pay without insurance.
What Pifeltro Is and How It Works
Pifeltro® contains doravirine, an NNRTI used to treat HIV-1 infection. It blocks the reverse transcriptase enzyme, which the virus needs to replicate. The treatment is taken with other antiretrovirals to build a full regimen and support durable viral suppression. You can explore the broader HIV care context while planning your regimen with your prescriber.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine can be taken with or without food. It is not for monotherapy or HIV prevention. When used consistently, it may help reduce viral load and support immune recovery as measured by CD4 counts, guided by your care team.
Who It’s For
This treatment is indicated for adults and for pediatric patients who meet weight thresholds as described on the official label. It is used in combination with other antiretroviral medicines. People with known hypersensitivity to any component should avoid it. Those taking strong enzyme inducers should discuss alternatives, because some drugs can lower blood levels of this therapy. Individuals with significant liver disease need careful evaluation by a clinician before starting therapy. Breastfeeding is generally not recommended in the context of HIV.
Dosage and Usage
The standard schedule for doravirine is once daily, taken consistently at the same time each day. Some partner medicines have food requirements, so follow your full regimen’s label instructions. If you also take rifabutin or other inducers, the label may outline a different schedule; your prescriber will determine the plan.
Patients start this therapy as part of a complete regimen. Swallow tablets whole with water. Keep a daily routine, and set reminders if needed. Do not change your dose or stop treatment without medical guidance. Review the official label for the specific instructions that apply to doravirine 100 mg tablets in combination therapy.
Strengths and Forms
Available as Pifeltro 100 mg tablets. Pack sizes and packaging may vary by supplier. The medicine also exists in a fixed-dose combination with other agents under a separate brand; your prescriber may consider that option if appropriate. Availability can differ by partner pharmacy and timing.
Missed Dose and Timing
If you miss a dose, take it as soon as you remember the same day. If it is almost time for the next dose, skip the missed dose and take the next dose at the regular time. Do not take two doses at once. If vomiting occurs soon after a dose, follow label guidance or ask your prescriber or pharmacist for instructions.
Storage and Travel Basics
Store tablets at room temperature and protect them from moisture. Keep them in the original container with the desiccant and close the cap tightly. Keep out of reach of children and pets. Do not store in the bathroom or near sinks.
When you travel, pack your medicine in your carry-on. Keep the pharmacy label with your name and dose visible. Bring enough supply for the trip plus a buffer. Time zone changes may affect scheduling; a simple reminder app helps you stay consistent. If you use a pill organizer, keep the original labeled bottle for security checks and refills. We use encrypted checkout, and temperature-controlled handling when required.
Benefits
This NNRTI class option is taken once daily and can be used with or without food. It is generally well tolerated compared with some older non-nucleoside agents. The regimen flexibility helps your prescriber tailor a background of nucleoside and integrase or protease agents to your needs. Consistent use can support viral suppression as part of comprehensive HIV care.
Side Effects and Safety
- Headache
- Nausea
- Dizziness
- Tiredness
- Diarrhea
- Abdominal discomfort
- Abnormal dreams or sleep changes
- Rash
Serious reactions are uncommon but can include severe skin reactions or liver problems. Immune reconstitution syndrome may occur as your body responds to effective therapy. People with hepatitis B or C should be monitored. Seek urgent care for signs of severe rash, yellowing of the skin or eyes, dark urine, severe abdominal pain, or swelling of the face or throat.
Drug Interactions and Cautions
Strong CYP3A inducers can substantially reduce drug levels. This includes rifampin, carbamazepine, oxcarbazepine, phenytoin, phenobarbital, enzalutamide, mitotane, and St. John’s wort. Rifabutin is a moderate inducer and may require a modified schedule per label. Review all medicines, supplements, and herbal products with your prescriber and pharmacist. Use caution with significant hepatic impairment. This therapy is not for HIV pre-exposure prophylaxis.
What to Expect Over Time
With steady daily use and a complete background regimen, viral load may decrease over time. Your care team will monitor labs and assess for side effects. Many patients find once-daily scheduling easier to maintain. Building habits, like linking your dose to a daily routine, can support adherence. If your treatment plan changes, your prescriber will guide any adjustments.
Compare With Alternatives
Some patients may use the doravirine-based fixed-dose combination Delstrigo when appropriate. Others may use protease inhibitor–based regimens such as Kaletra Oral Solution in specific clinical contexts. Your prescriber will match agents to your resistance profile, comorbidities, and co-medications. To learn more about testing and regimen choice, see our guides on Types Of HIV Tests and common symptom patterns in HIV AIDS Symptoms.
Pricing and Access
Our marketplace highlights Canadian options with transparent information for U.S. patients. If you are comparing the Pifeltro price, you can view current offers and see how it fits your budget. We also publish details for doravirine cost where available so you can compare therapies across the class.
Orders include US shipping from Canada after your prescription is verified. You can browse related categories like Antivirals and origin information via Country Of Origin Canada. If you have a coupon, see Promotions for current notices.
Availability and Substitutions
Supply can vary. If this item is temporarily unavailable, a prescriber may recommend an alternative NNRTI regimen or a different drug class suited to your history. If you are comparing doravirine price with other options, consider the full regimen components, interaction profile, and your monitoring plan.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults who need a non-nucleoside as part of a full regimen and who are not taking strong inducers. It is not a fit for those with hypersensitivity to components or for HIV prevention. Ask your prescriber about multi-month fills to reduce pharmacy trips. You can set refill reminders in your account so you do not run out during travel. Consider background agents with generic availability to help manage overall regimen costs. For broader context on treatment selection, review Biktarvy Guide, and for awareness initiatives see National HIV Testing Day and the overview Aptivus For HIV.
Questions to Ask Your Clinician
- Regimen fit: How does this NNRTI complement my current background agents?
- Interactions review: Are any of my medicines strong CYP3A inducers?
- Monitoring plan: Which labs and follow-up schedule should I expect?
- Side effects: What symptoms should prompt a call or visit?
- Resistance history: Do my prior results support use of this therapy?
- Adherence support: What reminders or tools can help me take doses daily?
Authoritative Sources
Ready when your prescriber approves? You can buy Pifeltro online with prompt, express shipping and US shipping from Canada. This content is educational and not a substitute for professional medical advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How does this medicine work with other HIV treatments?
It belongs to the NNRTI class and blocks the reverse transcriptase enzyme. Clinicians pair it with other antiretrovirals to make a complete regimen, often nucleoside analogs and sometimes an integrase or protease agent. The combination is chosen based on your lab history, other conditions, and interaction risks. Your prescriber will review your records to confirm the right background therapy and monitoring plan.
Can I take it with food or on an empty stomach?
You can take it with or without food. Try to take it at the same time every day. Some partner medicines have food requirements, so follow your full regimen’s labels. If you are unsure, ask your pharmacist to review the timing for each component to keep your routine simple and consistent.
What medicines should not be taken with it?
Avoid strong CYP3A inducers, which can lower drug levels and reduce effectiveness. Examples include rifampin, carbamazepine, oxcarbazepine, phenytoin, phenobarbital, enzalutamide, mitotane, and St. John’s wort. Rifabutin may require a different schedule. Share a complete list of prescriptions, over-the-counter drugs, and supplements with your clinician and pharmacist.
What are the common side effects?
Common effects include headache, nausea, diarrhea, dizziness, tiredness, abdominal discomfort, rash, and sleep changes. Serious reactions are uncommon but can include severe skin reactions or liver problems. Contact a healthcare professional if you develop severe rash, yellowing of the skin or eyes, dark urine, or swelling of the face or throat.
What should I do if I miss a dose?
Take the missed dose as soon as you remember the same day. If it is close to your next dose, skip the missed dose and take the next dose at the usual time. Do not double up. If you vomit shortly after a dose, consult the label or contact your pharmacist for specific guidance.
Is this suitable during pregnancy or breastfeeding?
Treatment decisions in pregnancy require individualized clinician guidance, weighing benefits and risks. Breastfeeding is generally not recommended with HIV due to transmission risk. If you are pregnant, planning to become pregnant, or nursing, discuss options with your prescriber to determine the safest approach for you and your baby.
How is this different from the single-tablet combination option?
This product contains only doravirine, while the single-tablet combination includes doravirine plus two nucleoside analogs. Your clinician may choose the combination to simplify dosing, or the separate tablet to allow more flexibility in your backbone regimen. The decision depends on resistance patterns, other conditions, and interaction considerations.
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