Joanne Strong, MD.


Side Effects

I'm a board-certified medical doctor specializing in individual with HIV and how I can help them with Biktarvy side effects in 2023.

How to reduce Biktarvy Side Effects?

Top Biktarvy Side Effects

Biktarvy is a brand-name solution antiviral drug used to treat human immunodeficiency infection (HIV). It consolidates three distinct meds into a solitary pill, including bictegravir, emtricitabine, and tenofovir. These meds work to reduce the HIV viral load after some time. It's anything but a remedy for HIV yet may assist with dealing with the contamination and slow the infection progress. It comes in tablet structure and is endorsed as a once-everyday three-in-one drug.

Biktarvy is a more up to date drug and has been FDA-endorsed to treat HIV-1 starting around 2018. There is restricted information on its drawn out wellbeing and viability. Nonetheless, up until this point, it has all the earmarks of being protected and all around endured. The most widely recognized aftereffects are looseness of the bowels, sickness, and cerebral pain. More extreme aftereffects are interesting and incorporate lactic acidosis and liver harmfulness.

What is Biktarvy?

Normal results of Biktarvy

The maker records the accompanying as normal secondary effects:

Loose bowels


Cerebral pain


Unusual dreams


A sleeping disorder

The producer additionally records the accompanying secondary effects as happening in under 2% of clinical preliminary subjects:



Acid reflux

Stomach torment



Other conceivable results of Biktarvy are recorded on Epocrates. They include:

Raised bilirubin levels in the blood

Raised creatine kinase (CK) levels in the blood

Raised cholesterol levels

Raised amylase levels

Unusually low neutrophil levels

Raised liver protein levels

Creatine increment

Deficiency of bone thickness

Joint solidness

Muscle hurts

Hack or stodgy nose

Consuming or prickling sensations

Fringe neuropathy

Hyperpigmentation of hands and feet

High fatty oils

Blood in pee

Raised blood glucose levels

Sugars in pee

Weight gain

Serious side effects of Biktarvy

Serious results of Biktarvy are more uncommon yet may require prompt clinical exhortation. The producer cautions about the accompanying serious responses:

Deteriorating of hepatitis side effects in those with both HIV and hepatitis B (HBV)

Changes in your safe framework including an extreme condition called

Resistant reconstitution disorder

Immune system problems

Kidney issues including kidney disappointment and kidney harmfulness

Expanded degrees of lactic corrosive in the blood (lactic acidosis)

Developed liver or liver poisonousness

Self-destructive contemplations

Serious skin responses like angioedema (expanding under the skin), Stevens-Johnson disorder (difficult rankle like rash joined by influenza like side effects), or harmful epidermal necrolysis (rankling/stripping skin rash).

Other serious aftereffects recorded on Epocrates include:


Low white platelet count

Rash and other skin aftereffects

Biktarvy might cause a rash in certain individuals. The rash might be gentle or serious, and it might disappear all alone or require quick treatment. As indicated by a clinical preliminary by GILEAD Sciences, the assembling organization of Biktarvy, under 2% of members had encountered a skin rash by week 48 of treatment.

Two rash-like unfavorable impacts of Biktarvy are Steven-Johnson Condition and poisonous epidermal necrolysis. The two circumstances are interesting yet require prompt clinical consideration.

Steven-Johnson Condition is the point at which the top layer of skin kicks the bucket and isolates from the lower layers, causing excruciating wounds or sores on the body. It's frequently joined by influenza like side effects like fever, chills, weakness, and muscle hurts.

Harmful epidermal necrolysis is one more difficult condition in which the top layer of the skin bites the dust and isolates from the lower layers, causing enormous rankles and far and wide stripping. It can likewise prompt broad scarring, vision misfortune, and even passing.

In the event that you experience a rash while taking Biktarvy, look for clinical consideration immediately.

Biktarvy and weight gain

Albeit not noted in the FDA-supported naming, Biktarvy might cause weight gain and changes in muscle versus fat. Studies have connected the utilization of antiretroviral treatment with weight gain. While it's not satisfactory why this happens, it could be because of changes in the body's digestion or the actual meds.

Despite the fact that Biktarvy has been connected to weight gain, it's essential to comprehend that each individual's experience is unique. The secondary effects recorded here depend on clinical examinations, however they're yet to be determined. Converse with your PCP assuming you are worried about your gamble of Biktarvy secondary effects.

How long do Biktarvy incidental effects endure?

Gentle Biktarvy incidental effects generally disappear on their own over the long haul, frequently inside a couple of months as the body changes. Notwithstanding, a few incidental effects might wait longer. These incorporate cerebral pain, exhaustion, looseness of the bowels, and stomach uneasiness.

More serious Biktarvy aftereffects might require quick clinical consideration, including rash, liver harmfulness, kidney poisonousness, pancreatitis, lactic acidosis, expanded liver, aggravation of the pancreas (pancreatitis), and new or deteriorating hepatitis B side effects in the people who are tainted with both hepatitis B infection and HIV.

Biktarvy contraindications and alerts

Misuse and reliance

Biktarvy isn't known to be habit-forming. There is no proof of actual reliance or withdrawal side effects when the drug is halted. In any case, halting treatment could prompt an expansion in HIV levels in your blood. Take constantly Biktarvy except if prescribed to do as such by your clinical group.

Go too far

The standard grown-up dose of Biktarvy is one everyday tablet containing 50 mg of bictegravir, 200 mg of emtricitabine, and 25 mg of tenofovir alafenamide. The standard pediatric measurement in youngsters, gauging no less than 55 pounds, is one tablet day to day containing 30 mg of bictegravir, 120 mg of emtricitabine, and 15 mg of tenofovir alafenamide.

It's feasible to take a lot of this drug coming about in an excess. Side effects of excess include:

Shortcoming or torpidity

Stomach torment or potentially retching


Quick heartbeat


Muscle torment

Assuming you assume you or another person has ingested too much Biktarvy, call the toxic substance control focus at 1 (800) 222-1222 or stand out immediately.


Likewise with most prescriptions, Biktarvy may not be ok for everybody. A few ailments and prescriptions might keep you from taking Biktarvy. To stay away from serious difficulties, consistently check with your PCP prior to beginning or halting any prescription.

Try not to take Biktarvy in the event that you've had an unfavorably susceptible response to any of its fixings before.

Those with renal disability who have a creatinine freedom of under 30 ought to try not to take Biktarvy.

Biktarvy isn't suggested for those with serious liver hindrance. In the event that you have a background marked by liver issues, your primary care physician might suggest liver capability tests prior to starting treatment. Let your primary care physician know if you have any deficiency of hunger, yellowing of the skin or eyes, or obscuring of the pee.

Use alert in patients with hepatitis B. An expansion in hepatitis B side effects has been accounted for in patients who are coinfected with HIV and hepatitis B. Patients ought to be firmly observed during treatment, as well as subsequent to halting this prescription.

Use alert in the people who are large.

Those with existing mental problems ought to look for a specialist's recommendation prior to taking Biktarvy. This medicine might expand side effects of wretchedness as well as contemplations of self destruction. Cautious checking by a medical services proficient is suggested.

Pregnant ladies ought to converse with their PCP prior to taking Biktarvy, as it is obscure in the event that the medication is ok for use during pregnancy. There is restricted human information to decide if Biktarvy influences the creating hatchling.

Abstain from breastfeeding. Ladies who have HIV shouldn't breastfeed as a result of the gamble that a HIV-positive lady can pass HIV disease to her child through bosom milk. There is no information to decide if the prescription influences lactation or milk creation.

Biktarvy Drug Interactions

Drug interactions are conceivable while taking Biktarvy, as indicated by the endorsing data. Abstain from taking:

Antivirals, including cidofovir, may expand the serum levels of the two medications, causing unfavorable impacts.

Antiarrhythmics Biktarvymay increment levels of dofetilide in the body bringing about cardiovascular difficulties.

Barbiturates, including phenobarbital, may diminish tenofovir alafenamide levels in the body.

Anticonvulsants including carbamazepine and phenytoin might diminish tenofovir alafenamide levels in the body.

Antimycobacterials including rifampin and rifapentine may diminish tenofovir alafenamide levels in the body.

St. John's wort might diminish bictegravir and tenofovir alafenamide levels in the body.

Step by step instructions to keep away from Biktarvy secondary effects

Likewise with any drug, there is dependably an opportunity for secondary effects. Be that as it may, there are a few different ways you can limit your gamble of unfriendly responses.

1. Inform yo ur PCP concerning all prior ailments.

A few ailments might keep you from taking Biktarvy. Make a point to educate your primary care physician concerning all prior ailments prior to beginning HIV treatment. Those with a past filled with kidney infection, liver illness, hepatitis B, weight, and mental problems ought to be checked intently.

2. Inform your PCP concerning all meds you are taking.

A few meds are contraindicated while taking Biktarvy. Try to educate your PCP regarding all meds you are presently taking, including any physician endorsed drugs, over-the-counter items, and natural enhancements.