Harvoni is a medication used to treat hepatitis C. It is a combination of two drugs, sofosbuvir and ledipasvir, in one pill. While it is approved for use in adults, its safety during pregnancy is uncertain. Animal studies have not shown evidence of fetal harm, but there are no controlled data in human pregnancy. Therefore, the recommendation is that Harvoni should be used during pregnancy only if the benefit outweighs the risk to the fetus. Effective contraception is advised during treatment and for a period after, and it is recommended to consult a healthcare provider to discuss the risks and benefits of Harvoni treatment during pregnancy.
Characteristics | Values |
---|---|
Safety Classification | Likely Safe, Possibly Safe, Possibly Unsafe, Likely Unsafe, Insufficient Reliable Information Available, Not Assigned |
FDA Pregnancy Category | Not Assigned, A, B, B1, C, D, X |
Risk | No data available on use of this drug in pregnant women to inform a drug-related risk |
Animal Studies | Animal studies have failed to reveal evidence of fetal harm |
Human Studies | There are no controlled data in human pregnancy |
What You'll Learn
- Harvoni is a combination of two drugs, ledipasvir and sofosbuvir, used to treat Hepatitis C
- Harvoni is not recommended for pregnant women or women who are breastfeeding
- Ribavirin, a drug used in combination with Harvoni, is contraindicated in pregnant women and the male partners of women who are pregnant
- Ribavirin has been shown to cause miscarriages and birth defects
- The safety of Harvoni during pregnancy has not been established
Harvoni is a combination of two drugs, ledipasvir and sofosbuvir, used to treat Hepatitis C
Harvoni is a brand-name prescription medication used to treat Hepatitis C. It is a combination of two drugs, ledipasvir and sofosbuvir, in one pill. Harvoni is a type of drug called a direct-acting antiviral (DAA) that attacks the hepatitis C virus. It is one of the most effective treatments for Hepatitis C, with a cure rate of 94% to 99% when the patient does not have other serious illnesses.
The FDA approved Harvoni to treat Hepatitis C genotypes 1, 4, 5, and 6 in adults and children. It can be prescribed for patients with uncontrolled cirrhosis (if they have only genotype 1) or a liver transplant (if they have genotype 1 or 4). Harvoni is typically taken once daily for 8 to 24 weeks, depending on the patient's treatment history, the severity of cirrhosis, and the amount of the virus in their bloodstream.
While Harvoni is generally well-tolerated, some patients may experience side effects such as fatigue, headache, nausea, diarrhea, and insomnia. More rarely, serious side effects such as hepatitis B reactivation, serious allergic reactions, and suicidal thoughts or actions have been reported. It is important to note that Harvoni should not be used with certain drugs, as combining medications can increase or decrease drug levels and worsen side effects.
Regarding its safety during pregnancy, there is limited data available. Animal studies have not shown evidence of fetal harm, but there are no controlled data in human pregnancy. It is recommended to consult with a healthcare provider to weigh the risks and benefits of using Harvoni during pregnancy.
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Harvoni is not recommended for pregnant women or women who are breastfeeding
Harvoni is a combination of two drugs, sofosbuvir and ledipasvir, used to treat Hepatitis C. While the drug is approved for use in adults, it is not recommended for pregnant women or women who are breastfeeding.
The US Food and Drug Administration (FDA) has not assigned a pregnancy category for Harvoni. However, the Australian Therapeutic Goods Administration (TGA) has classified Harvoni as Category B1, meaning it has been taken by a limited number of pregnant women without an increase in the frequency of malformations or other harmful effects on the fetus.
Despite this, Harvoni is not recommended for pregnant women as there is no data available on its use in pregnant women, and animal studies have shown that ribavirin, which is sometimes used in combination with Harvoni, causes significant teratogenic and embryocidal effects. As such, ribavirin is contraindicated in pregnant women and the male partners of women who are pregnant.
Additionally, while it is not known whether Harvoni passes into breast milk, some authorities recommend against breastfeeding when this drug is used with ribavirin.
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Ribavirin, a drug used in combination with Harvoni, is contraindicated in pregnant women and the male partners of women who are pregnant
Ribavirin is a drug that is used in combination with Harvoni to treat hepatitis C. While Harvoni has been approved for use during pregnancy, ribavirin is contraindicated in pregnant women and the male partners of women who are pregnant. This means that it is not recommended for use during pregnancy.
Ribavirin has been shown to cause significant teratogenic and embryocidal effects in all animal species exposed to the drug. Teratogenic effects refer to the ability of a substance to cause developmental abnormalities in a foetus, resulting in deformities or malfunctions. Embryocidal effects refer to the ability of a substance to cause the death of a foetus. Due to these serious risks, the Food and Drug Administration (FDA) has classified ribavirin as Pregnancy Category X, indicating that it should not be used during pregnancy.
Effective contraception is required during ribavirin therapy and for at least six months after the last dose to avoid any potential harm to the foetus. This extended period is necessary because ribavirin stays in a person's body for several months. The use of two forms of birth control is recommended to prevent pregnancy while taking ribavirin and for the following six months.
In summary, ribavirin is a drug that should not be used during pregnancy due to its potential to cause harm to the foetus. It is important for both pregnant women and their male partners to avoid ribavirin to ensure the safety of the unborn child.
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Ribavirin has been shown to cause miscarriages and birth defects
The Food and Drug Administration (FDA) has classified ribavirin as Pregnancy Category X, requiring manufacturers to put a warning on the label that states:
> "Significant teratogenic and embryocidal effects have been demonstrated in all animal species exposed to ribavirin. Therefore, ribavirin is contraindicated in women who are pregnant and in the male partners of women who are pregnant. Extreme care must be taken to avoid pregnancy during therapy and for 6 months after completion of treatment in both female patients and in female partners of male patients who are taking ribavirin."
Effective contraception is required during ribavirin therapy and for 6 months after the last dose.
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The safety of Harvoni during pregnancy has not been established
The US FDA has not assigned a pregnancy category for Harvoni, meaning there is no data available on the use of this drug in pregnant women to inform a drug-related risk. The manufacturer product information for ribavirin, which is sometimes used in combination with Harvoni, states that ribavirin is contraindicated in pregnant women and in the male partners of women who are pregnant. All animal species exposed to ribavirin have shown significant teratogenic and/or embryocidal effects.
If you are pregnant or planning a pregnancy, it is important to talk with your healthcare provider about the risks and benefits of Harvoni treatment.
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Frequently asked questions
Harvoni is a combination of two drugs, sofosbuvir and ledipasvir, used to treat hepatitis C. It is not known whether Harvoni causes harm to unborn babies. However, it is not recommended for use during pregnancy unless the benefit outweighs the risk to the fetus. It is also not known whether Harvoni passes into breast milk.
The most common side effects of Harvoni are fatigue, headache, nausea, diarrhea, and insomnia. Some people have also reported skin swelling, rash, or blisters.
If you are pregnant or planning a pregnancy and are taking Harvoni, talk to your healthcare provider about the risks and benefits of hepatitis C treatment. It is important to weigh the potential benefits of Harvoni against the potential risks to the fetus.