Atazanavir (Reyataz) New Recommendations If Combined with Tenofovir (Viread) -- and Warning on Viagra, Cialis, and Levitra

Summary: On March 19 the FDA notified the public of new prescribing information and precautions for atazanavir (brand name Reyataz), if taken in combination with tenofovir (Viread) -- and warned of risks with Viagra or similar drugs.

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If atazanavir is taken with tenofovir, the blood level of atazanavir is decreased. Therefore it is now recommended that a small dose of ritonavir be taken in addition, to raise the blood level of atazanavir to compensate. All three drugs are taken together once a day, with food.

Also, Reyataz increases the blood level of tenofovir, which could increase the risk of side effects of tenofovir, including certain kidney disorders. As a precaution, patients combining the drugs should be monitored for tenofovir side effects.

The new Patient Information flyer also warns that if atazanavir is combined with Viagra, Cialis, or Levitra, it could increase the risk of serious side effects of those drugs. Patients are advised not to combine atazanavir with any of these drugs unless their doctor tells them it is OK.

For more information see the new prescribing information for atazanavir, which will be posted at: http://www.reyataz.com. Also see the Patient Information flyer, which may be posted at the end of the prescribing information.

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