Truvada

Truvada is an HIV and AIDS medication that is often prescribed with other drugs as part of an HIV "cocktail." It is a combination drug that has components from two different classes of HIV medicines. While Truvada is not a cure, it can help prevent HIV from affecting uninfected cells in the body. Side effects may include diarrhea, dizziness, nausea, and fatigue.

 

What Is Truvada?

Truvada® (emtricitabine and tenofovir disoproxil fumarate) is a prescription medication used as a treatment for HIV and AIDS. It is approved for use only in combination with other HIV medications. Truvada contains two different medications: emtricitabine (Emtriva®) and tenofovir (Viread®).
 
(Click Truvada Uses for more information, including possible off-label uses.)
 

Who Makes Truvada?

Truvada is made by Gilead Sciences, Inc.
 

How Does Truvada Work?

Tenofovir (one of the components of Truvada) is currently the only medication in a class of HIV medications known as nucleotide reverse transcriptase inhibitors (NtRTIs). Emtricitabine (the other component) belongs to a group of medications known as nucleoside reverse transcriptase inhibitors (NRTIs). Truvada works by blocking a process that the HIV virus needs in order to multiply.
 
HIV (human immunodeficiency virus) is the virus that causes AIDS. Like other viruses, it must use a person's own cells to reproduce. However, HIV is a little different from many other viruses because it must first convert its genetic material from RNA to DNA. It is the DNA genes that allow HIV to multiply.
 
HIV converts its genetic material by using a special protein called the reverse transcriptase enzyme. To create DNA, this enzyme uses several different protein building-blocks.
 
Truvada works by tricking reverse transcriptase into thinking it is one of these protein building-blocks. However, it is just different enough that when used to create DNA, Truvada actually stops the DNA from being made. Without DNA, HIV cannot multiply. Truvada is not a cure for HIV or AIDS, however. It can help stop HIV from infecting healthy cells in the body, but it does not help cells that have already been infected.
 
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;