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Fixed-dose combination

Dolutegravir and Rilpivirine

Also known as dolutegravir sodium, rilpivirine hydrochloride
Available on requestHIV
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Dolutegravir and Rilpivirine is a fixed-dose combination of a human immunodeficiency virus 1 non-nucleoside analog reverse transcriptase inhibitor and a human immunodeficiency virus integrase strand transfer inhibitor. It is available as tablets for oral use. MedsAcross supplies Dolutegravir and Rilpivirine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor, Human Immunodeficiency Virus Integrase Strand Transfer Inhibitor, Non-Nucleoside Analog, HIV Integrase Inhibitors, Multidrug and Toxin Extrusion Transporter 1 Inhibitors, Non-Nucleoside Reverse Transcriptase Inhibitors, Organic Cation Transporter 2 Inhibitors
ATC classification
J05AR21 Dolutegravir and Rilpivirine · Efavirenz/lamivudine/tenofovir
US FDA first approval
21 November 2017
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Fixed-dose combination of
Dolutegravir, Rilpivirine
Identifiers
RxCUI 1989499Q48566731

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

JULUCA is indicated as a complete regimen for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults to replace the current antiretroviral regimen in those who are virologically suppressed (HIV-1 RNA less than 50 copies/mL) on a stable antiretroviral regimen for at least 6 months with no history of treatment failure and no known substitutions associated with resistance to the individual components of JULUCA.

Source: US FDA prescribing information

How it works

JULUCA is a fixed-dose combination of the HIV-1 antiretroviral agents, dolutegravir and rilpivirine.

Source: US FDA prescribing information

Dosing overview

• One tablet taken orally once daily with a meal. • Rifabutin coadministration: Take an additional 25-mg tablet of rilpivirine with JULUCA once daily with a meal for the duration of the rifabutin coadministration.

Source: US FDA prescribing information

Contraindications

JULUCA is contraindicated in patients: • with previous hypersensitivity reaction to dolutegravir or rilpivirine. • receiving dofetilide due to the potential for increased dofetilide plasma concentrations and the risk for serious and/or life-threatening events. • receiving other coadministered drugs in Table 1 that significantly decrease rilpivirine plasma concentrations. Table 1. Drugs That Are Contraindicated with JULUCA Drug Class Contraindicated Drugs in Class Clinical Comment Antiarrhythmic Dofetilide Potential for serious and/or life-threatening events due to the potential for increased dofetilide plasma concentrations.

Source: US FDA prescribing information

Warnings and precautions

• Severe skin and hypersensitivity reactions characterized by rash, constitutional findings, and sometimes organ dysfunction, including liver injury, have been reported with the individual components. Discontinue JULUCA immediately if signs or symptoms of severe skin or hypersensitivity reactions develop, as a delay in stopping treatment may result in a life-threatening reaction. • Hepatotoxicity has been reported in patients receiving a dolutegravir- or rilpivirine-containing regimen. Monitoring for hepatotoxicity is recommended. • Depressive disorders have been reported with the use of rilpivirine- or dolutegravir-containing regimens. Immediate medical evaluation is recommended for severe depressive symptoms.

Source: US FDA prescribing information

Side effects

The following adverse reactions are described below and in other sections of the labeling: • Skin and hypersensitivity reactions. • Hepatotoxicity. • Depressive disorders. The most common adverse reactions (all grades) observed in at least 2% of subjects were diarrhea, headache, and nausea.

Source: US FDA prescribing information

Interactions

• Because JULUCA is a complete regimen, coadministration with other antiretroviral medications for the treatment of HIV-1 infection is not recommended. • Refer to the full prescribing information for important drug interactions with JULUCA. • Drugs that induce or inhibit cytochrome P450 (CYP)3A4 or uridine diphosphate glucuronosyltransferase (UGT)1A1 may affect the plasma concentrations of the components of JULUCA. • Drugs that increase gastric pH or containing polyvalent cations may decrease plasma concentrations of the components of JULUCA. • Consider alternatives to prescribing JULUCA with drugs with a known risk of Torsade de Pointes.

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C and 30°C (59°F and 86°F). Store and dispense in the original package, protect from moisture, and keep the bottle tightly closed.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Dolutegravir and Rilpivirine, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Juluca 50 mg/25 mg tabletOralDolutegravir and RilpivirineViiV HealthcareUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 21 November 2017Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Dolutegravir and Rilpivirine available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Dolutegravir and Rilpivirine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Dolutegravir and Rilpivirine have?

The catalogue lists 1 brand names for Dolutegravir and Rilpivirine, including Juluca.

Is Dolutegravir and Rilpivirine approved by the US FDA?

Yes. The US FDA first approved Dolutegravir and Rilpivirine on 21 November 2017, according to Drugs@FDA.

Is Dolutegravir and Rilpivirine authorised in the European Union?

Yes. Dolutegravir and Rilpivirine has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Dolutegravir and Rilpivirine need cold chain shipping?

No listed presentation of Dolutegravir and Rilpivirine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Dolutegravir and Rilpivirine in?

Dolutegravir and Rilpivirine is classified under ATC code J05AR21 (Dolutegravir and Rilpivirine).

References

  1. Juluca prescribing information (ViiV Healthcare). U.S. National Library of Medicine, DailyMed. Retrieved 29 October 2025
  2. Juluca: European public assessment report (EPAR). European Medicines Agency. Retrieved 14 November 2025

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