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Molecule

Tenofovir disoproxil

Also known as tenofovir disoproxil fumarate
Available on requestOrphanHepatitis B and CHIV
Presentations
9
Brands
1
Manufacturers
1
Available from stock
0

Tenofovir disoproxil is a hepatitis B virus nucleoside analog reverse transcriptase inhibitor indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults, among other approved uses. MedsAcross supplies Tenofovir disoproxil 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
Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor, Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor, Nucleoside Reverse Transcriptase Inhibitors
ATC classification
J05AF07 Tenofovir disoproxil · Direct acting antiviral, subgroup J05AF
US FDA first approval
26 October 2001
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Oral powder
Identifiers
UNII W4HFE001U5RxCUI 117466CAS 147127-20-6DrugBank DB14126Q155954

Clinical information

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

Uses

VIREAD is a nucleotide analog HIV-1 reverse transcriptase inhibitor and an HBV reverse transcriptase inhibitor and is indicated: in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults and pediatric patients 2 years of age and older weighing at least 10 kg. for the treatment of chronic hepatitis B in adults and pediatric patients 2 years and older weighing at least 10 kg.

Source: US FDA prescribing information

Dosing overview

Testing: Prior to or when initiating VIREAD test for hepatitis B virus infection and HIV-1 infection. Prior to initiation and during use of VIREAD, on a clinically appropriate schedule, assess serum creatinine, estimated creatinine clearance, urine glucose, and urine protein in all patients. In patients with chronic kidney disease, also assess serum phosphorous. Recommended tablet dosage in adults and pediatric patients weighing at least 35 kg: One VIREAD 300 mg tablet once daily taken orally without regard to food. Recommended dosage in pediatric patients at least 2 years of age and adults: Tablets: For patients weighing at least 17 kg who can swallow an intact tablet, one VIREAD tablet (150 mg, 200 mg, 250 mg, or 300 mg based on body weight) once daily taken orally without regard to food.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (posttreatment acute exacerbation of hepatitis b): Severe acute exacerbations of hepatitis B virus (HBV) have been reported in HBV-infected patients who have discontinued anti-hepatitis B therapy, including VIREAD. Hepatic function should be monitored closely with both clinical and laboratory follow-up for at least several months in HBV-infected patients who discontinue anti-hepatitis B therapy, including VIREAD. New onset or worsening renal impairment: Can include acute renal failure and Fanconi syndrome. Avoid administering VIREAD with concurrent or recent use of nephrotoxic drugs. HIV testing: HIV antibody testing should be offered to all HBV-infected patients before initiating therapy with VIREAD. VIREAD should only be used as part of an appropriate antiretroviral combination regimen in HIV-infected patients with or without HBV coinfection.

Source: US FDA prescribing information

Side effects

The following adverse reactions are discussed in other sections of the labeling: Severe Acute Exacerbation of Hepatitis B in Patients with HBV Infection. New Onset or Worsening Renal Impairment. Immune Reconstitution Syndrome. Bone Loss and Mineralization Defects. Lactic Acidosis/Severe Hepatomegaly with Steatosis. In HIV-infected adult subjects: Most common adverse reactions (incidence greater than or equal to 10%, Grades 2–4) were rash, diarrhea, nausea, headache, pain, depression, and asthenia. In HBV-infected subjects with compensated liver disease: Most common adverse reaction (all grades) was nausea (9%). In HBV-infected subjects with decompensated liver disease: Most common adverse reactions (incidence greater than or equal to 10%, all grades) were abdominal pain, nausea, insomnia, pruritus, vomiting, dizziness, and pyrexia.

Source: US FDA prescribing information

Interactions

Tenofovir disoproxil fumarate increases didanosine concentrations. Dose reduction and close monitoring for didanosine toxicity are warranted. Coadministration decreases atazanavir concentrations. When coadministered with VIREAD, use atazanavir given with ritonavir. Coadministration of VIREAD with certain HIV-1 protease inhibitors or certain drugs to treat HCV increases tenofovir concentrations. Monitor for evidence of tenofovir toxicity. Consult Full Prescribing Information prior to and during treatment for important drug interactions.

Source: US FDA prescribing information

Storage

Store VIREAD tablets and oral powder at 25 °C (77 °F), excursions permitted to 15–30 °C (59–86 °F).

Source: US FDA prescribing information

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

All presentations

9 presentations of Tenofovir disoproxil, sorted by availability.

MedicineManufacturerRegisterAvailability
Tenofovir disoproxil 300 mg tabletOralGeneric name—US FDAAvailable on request
Tenofovir disoproxil 150 mg tabletOralGeneric name—US FDAAvailable on request
Tenofovir disoproxil 200 mg tabletOralGeneric name—US FDAAvailable on request
Tenofovir disoproxil 250 mg tabletOralGeneric name—US FDAAvailable on request
Viread 150 mg tabletOralGilead SciencesUS FDAAvailable on request
Viread 200 mg tabletOralGilead SciencesUS FDAAvailable on request
Viread 250 mg tabletOralGilead SciencesUS FDAAvailable on request
Viread 300 mg tabletOralGilead SciencesUS FDAAvailable on request
Viread 40 mg/g oral powderOralGilead SciencesUS 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 26 October 2001Drugs@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

Conditions

Conditions linked to Tenofovir disoproxil in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Tenofovir disoproxil available for export from India?

Yes, on request. MedsAcross lists 9 presentations of Tenofovir disoproxil and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Tenofovir disoproxil have?

The catalogue lists 1 brand names for Tenofovir disoproxil, including Viread.

Is Tenofovir disoproxil approved by the US FDA?

Yes. The US FDA first approved Tenofovir disoproxil on 26 October 2001, according to Drugs@FDA.

Is Tenofovir disoproxil authorised in the European Union?

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

Does Tenofovir disoproxil need cold chain shipping?

No listed presentation of Tenofovir disoproxil is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Tenofovir disoproxil in?

Tenofovir disoproxil is classified under ATC code J05AF07 (Tenofovir disoproxil).

References

  1. Viread prescribing information (Gilead Sciences). U.S. National Library of Medicine, DailyMed. Retrieved 18 February 2025
  2. Viread: European public assessment report (EPAR). European Medicines Agency. Retrieved 18 November 2025
  3. Tenofovir disoproxil Viatris (previously Tenofovir disoproxil Mylan): European public assessment report (EPAR). European Medicines Agency. Retrieved 14 October 2026

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