CABOTEGRAVIR, 200mg/ml, prolonged-release, 3ml, vial
Valid Article
CABOTEGRAVIR prolonged-released
- Not in the WHO list of Essential Medicines 2025
Therapeutic Action
Antiretroviral, Integrase Strand Transfer Inhibitor (INSTI)
Prolonged-release suspension for injection
Indications
Pre-exposure prophylaxis (PrEP) of HIV infection in at-risk adults and adolescents weighing at least 35 kg.
Instructions for use
Single-dose vial containing 600 mg cabotegravir in 3 ml.
Hold the vial firmly, and vigorously shake for a full 10 seconds. Invert the vial and confirm the suspension is uniform. If the suspension is not uniform, shake the vial again. Small air bubbles are normal.
Must be given as slow IM injection into the ventrogluteal site (recommended) or the dorsogluteal sites.
Use a 5 ml Luer-lock syringe (SINSSYLL05-) and two Luer needles (one for drawing up the suspension and one for the IM injection). Some manufacturers provide a pack containing one adaptor, one syringe and one injection needle along with the cabotegravir vial. In such case, refer to the manufacturer's instructions.
Posology: one injection every month for the first 2 months, then once every 2 months.
Perform HIV-1 testing prior to each injection.
Prolonged-release cabotegravir is indicated for pre-exposure prophylaxis (PrEP) as part of an overall HIV-1 infection prevention strategy, including adherence to the administration schedule and safer sex practices (e.g., condoms use).
Precautions for Use
Do not administer by IV route.
Contraindicated in unknown or positive HIV-1 status.
Contraindicated in patients receiving:
- anticonvulsants: carbamazepine, oxcarbazepine, phenytoin or phenobarbital
- antimycobacterials: rifampicin, rifapentine
The safety of cabotegravir use in pregnant or breastfeeding women has not been evaluated. It should only be used during pregnancy or breastfeeding if the expected benefit justifies the potential risk to the foetus or infant.
Storage
- Below 25ºC
- Do not freeze.
- Once the suspension is drawn into the syringe, use the product immediately.