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Velpanat is contraindicated to pregnancy condition due to concomitant use with ribavirin. Some anaphylactic reactions are acquired during the therapy, while the patients are contraindicated to the component of Velpanat.
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Velpanat with st Johns wort causes losing the anti-viral activity of Velpanat by decreasing the concentration of either sofosbuvir or Velpatasvir. Velpanat combined with HMG CoA reductase inhibitors causes increasing the concentration of these drugs.
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Velpanat co administered with acid reducing agents causes decreasing the effect of concentration of sofosbuvir & Velpatasvir leads to loss of activity of Velpanat.
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Fetal damage condition is due to the concomitant use of Velpanat with ribavirin during pregnancy period. 
Fatigue, Nausea, Asthenia, Insomnia, Irritability, Headache.
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Velpanat tablets are combined with P-gp inducers either potent or moderate, causes loss of activity of Velpanat by decreasing the sofosbuvir plasma concentration. 

DRUG SUMMERY 

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