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efavirenz

Structure via PubChem · Public domain (PubChem)

EntityQ422645· pop 28· linked from 3,337 articles

Also known as (S)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2H-3,1-benzoxazin-2-one, (-)-6-chloro-4-cyclopropylethynyl-4-trifluoromethyl-1,4-dihydro-2H-3,1-benzoxazin-2-one, (S)-6-chloro-4-cyclopropylethynyl-4-trifluoromethyl-1,4-dihydro-benzo[d][1,3]oxazin-2-one, 6-chloro-4-(2-cyclopropyl-1-ethynyl)-4-trifluoromethyl-(4S)-1,4-dihydro-2H-benzo[d][1,3]oxazin-2-one

Efavirenz (EFV), sold under the brand names Sustiva among others, is an antiretroviral medication used to treat and prevent HIV/AIDS. It is generally recommended for use with other antiretrovirals. It may be used for prevention after a needlestick injury or other potential exposure. It is sold both by itself and in combination as efavirenz/emtricitabine/tenofovir. It is taken by mouth.

Key facts

Drug.Watchedfields
changed
Drug.verifiedrevid
458955867
Drug.image
Efavirenz.svg
Drug.image_class
skin-invert-image
Drug.width
200px
Drug.image2
Efavirenz ball-and-stick model.png
Drug.image_class2
bg-transparent
Drug.width2
150px
Drug.pronounce
or
Drug.tradename
Sustiva, Stocrin, others
Drug.MedlinePlus
a699004
Drug.DailyMedID
Efavirenz
Drug.pregnancy_AU
D
Drug.routes_of_administration
By mouth (capsules, tablets)
Drug.ATC_prefix
J05
Drug.ATC_suffix
AG03
Drug.legal_AU
S4
Drug.legal_CA
Rx-only

via Wikipedia infobox

Chemical data

Formula
C14H9ClF3NO2
Molecular weight
315.67 g/mol
IUPAC name
(4S)-6-chloro-4-(2-cyclopropylethynyl)-4-(trifluoromethyl)-1H-3,1-benzoxazin-2-one
SMILES
C1CC1C#C[C@]2(C3=C(C=CC(=C3)Cl)NC(=O)O2)C(F)(F)F
InChIKey
XPOQHMRABVBWPR-ZDUSSCGKSA-N
XLogP
4
Polar surface area
38.3 Ų
H-bond donors
1
H-bond acceptors
5
Formal charge
0

via PubChem

Research

5,803 papers

via PubMed

Wikidata facts

Mass
315.027
Show 6 more facts
chemical formula
C₁₄H₉ClF₃NO₂
Commons category
Efavirenz
World Health Organisation international non-proprietary name
efavirenz
isomeric SMILES
C1CC1C#C[C@]2(C3=C(C=CC(=C3)Cl)NC(=O)O2)C(F)(F)F
canonical SMILES
C1CC1C#CC2(C3=C(C=CC(=C3)Cl)NC(=O)O2)C(F)(F)F
defined daily dose
0.6
Sources (8)

via Wikidata · CC0

~12 min read

Article

17 sections
Contents
  • Medical uses
  • Pregnancy and breastfeeding
  • Contraindications
  • Adverse effects
  • Interactions
  • Pharmacology
  • Pharmacodynamics
  • Anti-HIV effects
  • Neuropsychiatric effects
  • Pharmacokinetics
  • Chemistry
  • History
  • Society and culture
  • Pricing information
  • Recreational use
  • Brands
  • References

Efavirenz (EFV), sold under the brand names Sustiva among others, is an antiretroviral medication used to treat and prevent HIV/AIDS. It is generally recommended for use with other antiretrovirals. It may be used for prevention after a needlestick injury or other potential exposure. It is sold both by itself and in combination as efavirenz/emtricitabine/tenofovir. It is taken by mouth.

Common side effects include rash, nausea, headache, feeling tired, and trouble sleeping. Some of the rashes may be serious such as Stevens–Johnson syndrome. Other serious side effects include depression, thoughts of suicide, liver problems, and seizures. It is not safe for use during pregnancy. It is a non-nucleoside reverse transcriptase inhibitor (NNRTI) and works by blocking the function of reverse transcriptase.

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