Drugs

  • Home
  • Drugs
  • Elvitegravir / Cobicistat / Emtricitabine / Tenofovir Disoproxil Fumarate
Elvitegravir / Cobicistat / Emtricitabine / Tenofovir Disoproxil Fumarate

Elvitegravir / Cobicistat / Emtricitabine / Tenofovir Disoproxil Fumarate

Brand Name: Stribild Other Names: EVG / COBI / FTC / TDF, QUAD Drug Class: Combination Drugs

Drug Image(s):

(Click to enlarge)
What are the most important things to know about Stribild?

What are the most important things to know about Stribild?

Stribild can cause serious, life-threatening side effects. These include a buildup of lactic acid in the blood (lactic acidosis) and liver problems.

Contact your health care provider right away if you have any of the following symptoms that could be signs of lactic acidosis:

  • Weakness or tiredness
  • Unusual muscle pain
  • Shortness of breath or fast breathing
  • Stomach pain with nausea and vomiting
  • Cold or blue hands and feet
  • Dizziness or lightheadedness
  • Fast or abnormal heartbeat
Contact your health care provider right away if you have any of the following symptoms that could be signs of liver problems:
  • Yellowing of your skin or the whites of your eyes (jaundice)
  • Dark-colored urine
  • Light-colored bowel movements
  • Loss of appetite for several days or longer
  • Feeling sick to your stomach (nausea)
  • Pain in the stomach area (abdominal pain)

If you have both HIV and hepatitis B virus infection (HBV) and take Stribild, your HBV infection may get worse (flare up) if you stop taking Stribild. Do not stop taking Stribild without first talking to your health care provider.

Avoid taking Stribild with other HIV medicines. Certain HIV medicines, if taken with Stribild, may cause serious side effects.

While taking Stribild, it is important to keep all of your appointments with your health care provider.

What is Stribild?

What is Stribild?

Stribild is a prescription medicine approved by the U.S. Food and Drug Administration (FDA) for the treatment of HIV infection in adults and children 12 years of age and older who weigh at least 77 lbs (35 kg) and meet certain requirements, as determined by a health care provider.

Stribild is a complete regimen for the treatment of HIV infection and should not be used with other HIV medicines.

Stribild contains four different medicines: elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate.

HIV medicines can’t cure HIV/AIDS, but taking HIV medicines every day helps people with HIV live longer, healthier lives. HIV medicines also reduce the risk of HIV transmission. If you are taking HIV medicines, don't cut down on, skip, or stop taking them unless your health care provider tells you to.

What should I tell my health care provider before taking Stribild?

What should I tell my health care provider before taking Stribild?

Before taking Stribild, tell your health care provider:

  • If you are allergic to any of the HIV medicines in Stribild (elvitegravir, cobicistat, emtricitabine, or tenofovir disoproxil fumarate) or any other medicines.
  • If you have liver problems, including hepatitis B virus infection (HBV).
  • If you have kidney problems.
  • If you have bone problems.
  • If you have any other medical conditions.
  • If you are pregnant or plan to become pregnant. Stribild should not be used during pregnancy because there may not be enough of the drug in the body during pregnancy. Talk to your health care provider about possible risks with taking Stribild during pregnancy.
  • If you are breastfeeding or plan to breastfeed. Do not breastfeed if you have HIV or are taking Stribild.
  • If you are using hormone-based birth control (such as pills, implants, or vaginal rings). Your health care provider may recommend that you use additional or alternative forms of birth control while taking Stribild. For information about using birth control and HIV medicines at the same time, view the AIDSinfo HIV and Birth Control infographic.
  • About other prescription and nonprescription medicines, vitamins, nutritional supplements, and herbal products you are taking or plan to take, including any HIV medicines. Stribild may affect the way other medicines or products work, and other medicines or products may affect how Stribild works. Taking Stribild together with certain medicines or products may cause serious, life-threatening side effects.

How should I take Stribild?

How should I take Stribild?

Stribild comes in tablet form. Each tablet contains:

Take Stribild according to your health care provider’s instructions.

Take Stribild with food. Do not take Stribild with other HIV medicines.

If you need to take a medicine for indigestion (antacid) that contains aluminum and magnesium hydroxide or calcium carbonate during treatment with Stribild, take it at least 2 hours before or after you take Stribild.

If you take too much Stribild, contact your health care provider or local poison control center (1-800-222-1222) right away, or go to the nearest hospital emergency room.

For more information on how to take Stribild, see the FDA drug label.

What should I do if I forget a dose?

What should I do if I forget a dose?

If you miss a dose of Stribild, take the missed dose as soon as you remember it. But if it is almost time for your next dose, skip the missed dose and just take your next dose at the regular time. Do not take two doses at the same time to make up for a missed dose.

What side effects can Stribild cause?

What side effects can Stribild cause?

Stribild may cause side effects. Many side effects from HIV medicines, such as nausea or occasional dizziness, are manageable. See the AIDSinfo fact sheet on HIV Medicines and Side Effects for more information.

Some side effects of Stribild can be serious. Serious side effects of Stribild include a buildup of lactic acid in the blood (lactic acidosis) and liver problems. (See section above: What are the most important things to know about Stribild?).

Other possible side effects of Stribild include:

  • New or worsening kidney problems, including kidney failure.
  • Bone problems (bone pain, softening, or thinning [osteopenia]).
  • Changes in your immune system (called immune reconstitution inflammatory syndrome or IRIS). IRIS is a condition that sometimes occurs when the immune system begins to recover after treatment with an HIV medicine. As the immune system gets stronger, it may have an increased response to a previously hidden infection. 

Tell your health care provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Stribild. To learn more about possible side effects of Stribild, read the drug label or package insert or talk to your health care provider or pharmacist. 

You can report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088) or online.

How should Stribild be stored?

How should Stribild be stored?

  • Store Stribild at room temperature, 68°F to 77°F (20°C to 25°C).
  • Keep Stribild in the container that it came in and keep the container tightly closed. If the container has a small packet of drying agent (called a desiccant), do not remove it. The desiccant protects the medicine from moisture.
  • Do not use Stribild if the original seal over the container opening is broken or missing.
  • Throw away Stribild that is no longer needed or expired (out of date). Follow FDA guidelines on how to safely dispose of unused medicine. 
  • Keep Stribild and all medicines out of reach of children.

Where can I find more information about Stribild?

Where can I find more information about Stribild?

More information about Stribild is available:

Manufacturer Information

Gilead Sciences, Inc.
Main number: 800-445-3235
Patient assistance: 800-226-2056

The above Patient Version drug summary is based on the following FDA label(s): Tablet.

Last Reviewed: August 16, 2019

Print