An Overview of Selzentry (Maraviroc, Celsentri)June 3, 2010 mah-RAV-er-rock Selzentry Maraviroc, also known as Selzentry, is a type of medicine called an entry inhibitor. Entry inhibitors work by blocking HIV from entering human cells. Indications and UsageMaraviroc received accelerated approval on August 6, 2007, and traditional approval on November 25, 2008, by the FDA for the treatment of CCR5-tropic HIV-1 in treatment-experienced adults, combined with other antiretroviral treatment. On November 20, 2009, the FDA approved the expanded use of maraviroc to include adults with the CCR5-tropic HIV-1 virus who have not received prior antiretroviral treatment. This medicine does not cure or prevent HIV infection or AIDS and does not reduce the risk of passing the virus to other people. Dosage Form/AdministrationMaraviroc comes in tablet form and is taken by mouth. Maraviroc may be taken with or without food. Maraviroc is available in 150-mg and 300-mg tablets and should be given 300 mg twice daily in most individuals. Some individuals, such as those taking drugs that affect levels of maraviroc or those with kidney failure, require different doses of maraviroc. Recommended Daily DoseThe recommended dose is 300 mg twice daily for most individuals. However, dosing may change depending on what other medications an individual is taking. Patients should always take maraviroc as prescribed by their doctors. ContraindicationsIndividuals should tell a doctor about any medical problems before taking this medicine. Possible Side EffectsAlong with its desired effects, maraviroc may cause some unwanted effects. The most common side effects seen in studies so far include cough, fever, dizziness, headache, lowered blood pressure, nausea, and bladder irritation. Two Phase III studies reported possible liver problems and cardiac events, an increased risk for some infections, and a slight increase in cholesterol levels. Itchiness, rash, and abnormal blood levels may precede liver problems. If these issues are experienced, a doctor should be seen immediately and discontinuation of maraviroc should be considered. Drug InteractionsDrug interaction studies show changes in maraviroc exposure when given with other anti-HIV medications, including efavirenz and lopinavir/ritonavir. These changes require different doses of maraviroc to be used.A doctor should be notified of any other medications being taken, including prescription, nonprescription (over-the-counter), or herbal medications. Clinical TrialsClick here to search ClinicalTrials.gov for trials that use Maraviroc. Manufacturer InformationMaraviroc Selzentry This article was provided by AIDSinfo.
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