Sofokast-Plus (Sofosbuvir 400 mg + Daclatasvir 60 mg)
Sofokast-Plus is a fixed-dose combination antiviral for the treatment of Hepatitis C. Active ingredients: Sofosbuvir (400 mg) + Daclatasvir (60 mg).
Manufacturer: Aprazer Healthcare (India).
Why "Pan-Genotypic"?
Unlike older therapies, this combination works against ALL Hepatitis C genotypes (1 through 6). It is the preferred "universal cure" recommended by the EASL and AASLD guidelines, especially for Genotype 3, which is harder to treat.
✅ Success Rate: Offers a cure rate of over 95-98% with a standard 12-week course.
Indicated for the treatment of chronic Hepatitis C virus (HCV) infection in adults:
- Genotypes 1, 2, 3, 4, 5, and 6.
- Patients with or without cirrhosis (compensated).
- Patients coinfected with HIV-1.
Dosage: One tablet taken orally once daily.
Treatment Duration:
- 12 Weeks: Standard duration for non-cirrhotic patients.
- 24 Weeks: May be required for patients with decompensated cirrhosis (often combined with Ribavirin).
⚠️ Administration: Swallow the tablet whole. Do not crush or chew due to bitter taste. Can be taken with or without food.
🚫 CRITICAL INTERACTION: AMIODARONE.
Co-administration with Amiodarone is contraindicated due to the risk of severe symptomatic bradycardia (heart slowing) or fatal cardiac arrest.
Other Contraindications:
- Pregnancy and breastfeeding.
- Strong inducers of P-gp (e.g., Rifampin, St. John's Wort, Carbamazepine) – they reduce the drug's effectiveness.
Side effects are generally mild and manageable:
- Fatigue and Headache.
- Nausea.
- HBV Reactivation Warning: Hepatitis B virus reactivation has been reported in HCV/HBV coinfected patients. Screening for HBV is mandatory prior to therapy.
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