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Viraday® Tablets for HIV-1
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$104.00
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Viraday® is a once-daily combination tablet used to treat HIV-1 in adults and adolescents as prescribed. It combines three antiretrovirals in one pill to help suppress the virus. This page explains access, typical use, safety basics, and options for Viraday without insurance.
What Viraday Is and How It Works
With US shipping from Canada, you can request this therapy through a licensed partner pharmacy network. The tablet contains efavirenz, emtricitabine, and tenofovir disoproxil fumarate, which act at different steps of HIV replication. Efavirenz reduces reverse transcriptase activity, while emtricitabine and tenofovir are nucleoside/nucleotide analogs that help block viral DNA synthesis.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Efavirenz Emtricitabine Tenofovir tablets have been widely used as part of guideline-supported care. This medicine is generally taken once daily, preferably at bedtime, and usually on an empty stomach to lower central nervous system side effects. Your clinician may tailor timing and supportive measures based on your history and other medicines.
For broader context on the condition and care approaches, explore our category for HIV and our overview of Antivirals. You can also see evolving perspectives in HIV Treatment 2024.
Who It’s For
This treatment is indicated for adults and certain adolescents with HIV-1 infection, under a prescriber’s supervision. It may be considered for people starting therapy or continuing therapy when the regimen’s components remain appropriate. Efavirenz Emtricitabine Tenofovir DF tablets may not be suitable for individuals with significant liver disease, reduced kidney function, or a history of serious psychiatric symptoms linked to efavirenz. People with hepatitis B coinfection require close monitoring during and after therapy, as stopping the nucleos(t)ide components can precipitate HBV flares.
Review medicine choices with your healthcare professional. For background on other modern options, you can read our Biktarvy Guide and a comparison of backbone agents in Tenvir EM Vs Truvada.
Dosage and Usage
The standard schedule is one tablet by mouth once daily. Many clinicians recommend taking it at bedtime and on an empty stomach to reduce dizziness, abnormal dreams, and other CNS effects associated with efavirenz. Swallow the tablet whole with water. Establish a steady routine and set reminders to support adherence. If a dose is missed, take it when remembered unless it is close to the next dose; in that case, skip the missed dose. Do not take two doses at once.
Alcohol or sedatives can increase dizziness and drowsiness. Avoid grapefruit and St John’s wort due to interaction concerns. If you experience new mood changes, severe rash, or yellowing of the eyes or skin, seek medical help promptly. Always follow the official label and your prescriber’s guidance for individualized instructions.
Strengths and Forms
Available as film-coated tablets. The common presentation is Viraday 600/200/300 mg. Availability can vary by supply and manufacturer; your prescriber will confirm suitability.
Missed Dose and Timing
If you forget a dose, take it as soon as you remember that day. If it is almost time for the next dose, skip the missed dose and return to your schedule. Do not double up. Taking the tablet at bedtime, without food, may help limit certain side effects such as dizziness or vivid dreams. If nighttime dosing is not tolerated, your prescriber may adjust timing while balancing side effects and adherence.
Storage and Travel Basics
Store tablets at room temperature in the original container, closed tightly and away from moisture and light. Keep out of reach of children and pets. For travel, carry your prescription label and a small supply in your hand luggage. Bring a copy of your medication list and your prescriber’s contact details. If crossing time zones, plan your dosing window with your clinician in advance to maintain consistent intervals. When in doubt, consult the official label for storage specifics.
Benefits
This single-tablet regimen simplifies therapy by combining three active agents. Once-daily dosing can make adherence easier for many people. The treatment has extensive real-world use, and components are familiar to clinicians. Using a complete regimen in one pill may reduce pill burden compared with taking the ingredients separately.
Side Effects and Safety
- CNS effects: dizziness, insomnia, abnormal dreams, drowsiness
- Gastrointestinal: nausea, diarrhea, abdominal discomfort
- Skin: rash or pruritus
- General: headache, fatigue
Serious risks can include severe rash, liver problems, mood changes or depression, suicidal thoughts or behavior, and rare psychosis. The tenofovir component can affect kidneys and bone mineral density; monitoring may be needed. Lactic acidosis and severe hepatomegaly with steatosis are rare but serious risks associated with nucleos(t)ide analogs. If you have hepatitis B, discontinuation can cause a serious flare; do not stop on your own. Seek urgent help for symptoms such as shortness of breath, persistent vomiting, yellowing skin, or a widespread blistering rash.
Drug Interactions and Cautions
Efavirenz is a CYP3A/2B6 inducer and can significantly interact with many medicines. Contraindicated or not recommended combinations include certain benzodiazepines (triazolam, midazolam), pimozide, ergot derivatives, elbasvir/grazoprevir, and St John’s wort. Levels of some drugs for heart rhythm, seizures, or transplants can change. Rifampin and rifabutin may alter efavirenz exposure. Methadone requirements can shift. Antacids do not meaningfully affect absorption, but adherence to bedtime dosing on an empty stomach is still advised. Report all prescription, OTC, and herbal products to your prescriber and pharmacist.
What to Expect Over Time
With consistent daily use, many people see improving lab markers as advised by their clinicians. You may notice early CNS effects that often lessen after the first weeks. Skin rash is usually mild, though clinicians monitor for severe reactions. Ongoing kidney, liver, and bone checks may be recommended based on your history. Staying on schedule, using reminders, and planning refills in advance can help maintain suppression. If side effects persist or new symptoms appear, contact your healthcare professional.
Compare With Alternatives
Some patients transition to newer regimens when appropriate. Doravirine-based therapy is one option; see Pifeltro for details on that NNRTI component. Your prescriber may also consider integrase-inhibitor–based combinations when clinically suitable. Explore condition resources such as HIV and learn about backbone choices in Tenvir AF Uses and Tenvir EM Uses.
Pricing and Access
We feature Canadian pricing with US delivery from Canada, subject to a valid prescription. Compare options, review availability, and see typical cash-pay ranges before you place an order. For the latest Viraday price, use the product page tools to view current supply information and request a quote. Checkout is secure with encrypted processing, and support can assist if you have questions. Savings may vary by fill size and prescriber directions.
If you’re looking for seasonal deals, visit our Promotions page for current offers when available.
Availability and Substitutions
Supply can vary by manufacturer and lot. If this item is temporarily unavailable, your prescriber may recommend a clinically appropriate alternative or a different regimen. Buy Efavirenz Emtricitabine Tenofovir online only with guidance from your clinician and a valid prescription. Country-of-origin details are listed on each item; see India for many products sourced from that market. Therapeutic substitutions are made only with prescriber approval.
Patient Suitability and Cost-Saving Tips
Good candidates can swallow tablets, manage a consistent daily schedule, and have baseline labs suitable for this regimen. Those with reduced kidney function, active liver disease, uncontrolled depression, or a history of severe rash may need different options. If you and your prescriber decide this therapy fits, consider multi-month supplies when appropriate to reduce per-fill costs and pharmacy fees. Set refill reminders, align deliveries ahead of travel, and keep a small buffer supply as advised.
Questions to Ask Your Clinician
- Baseline tests: what labs should I complete before starting?
- Side effect plan: how will we manage CNS symptoms if they occur?
- Interaction check: are any of my current medicines unsafe with this therapy?
- Kidney and bone health: what monitoring will I need over time?
- Hepatitis B: how will we prevent a flare if my regimen changes?
- Adherence plan: what dosing time best fits my routine?
- Pregnancy and family planning: what precautions should I consider?
Authoritative Sources
Health Canada Drug Product Database
Official Label Components Reference
Ready to proceed? You can request this medicine today with prompt, express shipping that Ships from Canada to US. Always use as directed by your prescriber. This information is educational and not a substitute for medical advice.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
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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 tablet work in HIV treatment?
It combines three antiretroviral agents that target HIV reverse transcriptase. Efavirenz impairs the enzyme’s function, while emtricitabine and tenofovir act as nucleoside and nucleotide analogs to block viral DNA building. Taken together once daily, the regimen helps lower viral load when used as prescribed. Your clinician will monitor labs, side effects, and interactions, and may adjust supportive care if needed.
What are common side effects I should know about?
The most common effects include dizziness, trouble sleeping, abnormal dreams, headache, nausea, and rash. These are often mild to moderate. Some people feel drowsy the next day, especially if taken with food. Serious reactions can occur, such as severe rash, mood changes, liver problems, and kidney issues. Seek urgent care for yellowing eyes or skin, worsening depression, or a blistering rash.
Can I take it with my other medicines?
This regimen has many potential interactions, especially due to efavirenz. Some sedatives, certain heart rhythm drugs, rifamycins, ergot derivatives, and St John’s wort can be unsafe. Always provide a complete list of prescriptions, OTC items, and supplements. Your pharmacist and prescriber will check for interactions and decide on timing or alternatives when needed. Do not start or stop medicines without professional guidance.
What happens if I miss a dose?
Take the missed dose when you remember the same day. If it’s almost time for the next dose, skip the missed one and resume your regular schedule. Do not double up. Setting reminders or linking the dose to a consistent bedtime routine can help. If you frequently miss doses, contact your healthcare professional to discuss strategies and whether your schedule needs adjustment.
How should I store the tablets, and what about travel?
Keep the tablets in the original container at room temperature and away from moisture and light. Store out of reach of children. For travel, pack your prescription-labeled bottle in hand luggage, bring your medication list, and carry prescriber contact details. If crossing time zones, ask your clinician how to adjust timing while keeping doses about 24 hours apart. Do not store in a bathroom or a hot car.
Is this option suitable during pregnancy or breastfeeding?
Your clinician will weigh benefits and risks, using current guidelines and label information. Efavirenz has historically raised concerns in early pregnancy, though recommendations have evolved. Discuss family planning, contraception, and preferred regimens before conception. For breastfeeding, recommendations vary by region and viral suppression status. Follow local guidance and your prescriber’s advice for infant safety and HIV transmission prevention.
Will stopping suddenly cause problems?
Do not stop without medical guidance. Viral rebound can occur when antiretroviral therapy is interrupted. If you also have hepatitis B, the emtricitabine and tenofovir components can suppress HBV; stopping them may cause a serious flare. If a change is needed due to side effects or interactions, your prescriber will plan a safe transition and monitoring. Always keep enough tablets on hand and request refills early.
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