Additionally, osteomalacia has been reported with postmarketing use of tenofovir. Call your doctor right away if you or child have abdominal or stomach discomfort, cramping, nausea, vomiting, diarrhea, or a decreased appetite, muscle cramping or pain, unusual tiredness or weakness, trouble breathing, or yellow skin or eyes.This medicine may cause a hepatitis B infection to worsen if you stop using it. In studies of pediatric patients with HIV, bone effects were similar to those noted in adult patients. meloxicam naproxen 2 lozenge § NSAIDs, COMBINATIONS diclofenac sodium-misoprostol minocycline § NSAIDs, TOPICAL diclofenac sodium gel 1% (except NDC^ 69499031866) diclofenac sodium solution oxycodone § COX-2 INHIBITORS ... SYMFI LO SYMTUZA TEMIXYS TRIUMEQ TRUVADA INTEGRASE INHIBITORS

However, elderly patients are more likely to have age-related kidney, liver, or heart problems, which may require caution in patients receiving efavirenz, lamivudine, and tenofovir combination.There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. This combination product allows for once daily dosing using a single tablet.

If you notice any other effects, check with your healthcare professional.Call your doctor for medical advice about side effects.

Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. https://www.webmd.com/drugs/2/drug-174914/symfi-lo-oral/details Follow your doctor's orders or the directions on the label. Uses for efavirenz, lamivudine, and tenofovir. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. The FDA approved package labeling has a Black Box Warning stating that severe, acute exacerbations of hepatitis B have been reported in patients with HBV and HIV coinfection and have discontinued either lamivudine or tenofovir. Talk to your pharmacist about the potential option(s) noted below. Efavirenz; lamivudine; tenofovir is administered orally.You may find alternative ways to save with this medication. Ask your doctor about this if you have any concerns.Your immune system may get stronger when you start taking HIV medicines. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. To help you remember, take this medication at the same time every day.Do not take more or less of this drug than prescribed or stop taking it even for a short time unless directed to do so by your doctor. However, if a short-term treatment interruption is anticipated in the case of elective surgery, the pharmacokinetic properties and food requirements of specific drugs should be considered. Except for bone-specific alkaline phosphatase, these changes resulted in values that remained within the normal range. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. The following information includes only the average doses of this medicine. SYMFI LO . Efavirenz is a non-nucleoside reverse transcriptase inhibitor (NNRTI), lamivudine is a nucleoside reverse transcriptase inhibitor (NRTI), and tenofovir disoproxil fumarate is an acyclic nucleoside analog (i.e., nucleotide reverse transcriptase inhibitor). Symfi Lo contains a lower dose of efavirenz (400 mg) compared with Symfi (600 mg). Symfi Lo contains a lower dose of efavirenz (400 mg) compared with Symfi (600 mg).