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bictegravir / emtricitabine / tenofovir alafenamide


Biktarvy is a breakthrough medication for HIV treatment, combining three potent drugs—bictegravir, emtricitabine, and tenofovir alafenamide—into a single, once-daily tablet. By effectively suppressing HIV replication and maintaining an undetectable viral load, Biktarvy reduces the risk of HIV transmission and supports immune system health. Its convenient dosing regimen simplifies treatment, enhancing patient adherence. With fewer side effects compared to other regimens, Biktarvy offers individuals living with HIV a highly effective and well-tolerated option for managing their condition.

Product Overview 

Biktarvy is a highly effective medication used in the treatment of HIV, offering numerous benefits to individuals managing the condition. Composed of a combination of three potent HIV medications—bictegravir, emtricitabine, and tenofovir alafenamide—Biktarvy works by effectively suppressing HIV replication, thereby reducing the viral load in the body. Its once-daily dosing regimen simplifies treatment, enhancing patient adherence and overall management of HIV.

In addition to its convenience, Biktarvy helps maintain an undetectable viral load, significantly lowering the risk of HIV transmission to others. By supporting immune system health, it also reduces susceptibility to opportunistic infections, promoting overall well-being. Compared to other treatment regimens, Biktarvy may offer a more tolerable experience with fewer side effects, contributing to improved quality of life for individuals living with HIV.

However, potential side effects and interactions with other medications must be considered. Common side effects of Biktarvy include fatigue, diarrhea, headache, nausea, and dizziness. Healthcare providers must be informed of any allergies, medical history, or current medications to ensure safe and effective treatment. Overall, Biktarvy stands as a cornerstone therapy in HIV management, offering both efficacy and convenience for individuals seeking optimal control of their condition.

Uses of Biktarvy  

  • HIV

Benefits of Biktarvy

  • Effectively suppresses HIV replication, reducing viral load.
  • Simplifies treatment with once-daily dosing.
  • It contains a combination of three powerful HIV medications in a single tablet.
  • It helps maintain an undetectable viral load, reducing the risk of HIV transmission to others.
  • It supports immune system health and lowers the risk of opportunistic infections.
  • It may improve overall quality of life by effectively managing HIV infection with fewer side effects compared to other regimens.

Side Effects of Biktarvy 

Common side effects of Biktarvy may include:

  • Fatigue (low energy)
  • Diarrhea
  • Headache
  • Nausea
  • Dizziness
  • Insomnia
  • Unusual dreams
  • Bloating
  • Vomiting
  • Gas
  • Indigestion
  • Belly pain
  • Skin rash

[Note: This list is not exhaustive, if you notice any other symptoms that are not mentioned above, consult your doctor immediately.]

Biktarvy Dosage

Biktarvy comes in the following forms and strengths:

  • Tablet: 50mg, 60mg, and so on
  • Injection: 50mg, 90 mg, and so on

Recommended Dosages

  • Adults and children weighing at least 55 lbs (25 kg) should take Biktarvy, which contains 50 mg bictegravir, 200 mg emtricitabine, and 25 mg tenofovir.
  • Children weighing less than 55 lbs (25 kg) should take Biktarvy with 30 mg bictegravir, 120 mg emtricitabine, and 15 mg tenofovir.

How to Take Biktarvy? 

  • Take Biktarvy exactly as prescribed by your healthcare provider.
  • Typically, the recommended dose is one tablet once daily, with or without food.
  • Swallow the tablet whole with water; do not crush, break, or chew it.
  • Try to take Biktarvy at the same time each day to maintain consistency.
  • Do not double up on doses to make up for a missed one.
  • If you have difficulty swallowing pills or have any concerns about your medication regimen, discuss them with your healthcare provider.

Missed Dose 

If you forget to take a dose, take it as soon as you remember. However, if it’s close to the time for your next scheduled dose, skip the missed one. Resume your regular dosing schedule thereafter. Avoid taking double doses to compensate for the missed one.

[Note: Do not take two doses of Biktarvy at the same time to compensate for a missed dose. This can increase your risk of experiencing side effects.]


In the event of an overdose of Biktarvy, immediate medical attention is crucial. While specific symptoms of an overdose may vary, it’s essential to seek help from healthcare professionals or contact a poison control center right away. Overdosing on Biktarvy could potentially lead to an increased risk of adverse effects, such as gastrointestinal disturbances, dizziness, fatigue, or liver problems. It’s important not to take more than the prescribed dosage of Biktarvy to avoid such complications. If an overdose is suspected, it’s vital to inform medical personnel about the quantity of medication ingested and any symptoms experienced.  

[Note: If you notice you have taken too much medication, call your local emergency number immediately.]

How Does Biktarvy Work?

Biktarvy works by combining three active ingredients: bictegravir, emtricitabine, and tenofovir alafenamide. Bictegravir inhibits HIV integrase, preventing viral DNA from integrating into the host cell’s DNA. Emtricitabine and tenofovir alafenamide are nucleoside reverse transcriptase inhibitors (NRTIs) that block an enzyme essential for HIV replication. Together, these components effectively suppress HIV replication, reducing the viral load in the body.

Important Safety Precautions 

  • Inform your doctor or pharmacist about any allergies to bictegravir, emtricitabine, tenofovir, or other substances.
  • Discuss your medical history, particularly liver problems, alcohol use, and kidney disease, with your healthcare provider before using Biktarvy.
  • Inform your healthcare provider about all medications you use, including prescription, non-prescription, and herbal products, before undergoing surgery.
  • During pregnancy, use Biktarvy only if necessary, as it can reduce the risk of transmitting HIV to your baby. Discuss the risks and benefits with your doctor.
  • Consult your doctor before breastfeeding while using Biktarvy, as it can pass into breast milk, potentially transmitting HIV.


  • Store Biktarvy at room temperature between 68-77 degrees Fahrenheit (20-25 degrees Celsius).
  • Keep the medication in its original container, tightly closed, and away from moisture and heat.
  • Do not store Biktarvy in the bathroom or near the kitchen sink where it might be exposed to moisture.
  • Keep Biktarvy out of reach of children and pets, preferably in a secure location.
  • Do not use Biktarvy if the expiration date on the packaging has passed.

Biktarvy Interactions

  • Antacids: Taking antacids containing aluminum, magnesium hydroxide, or calcium carbonate with Biktarvy may decrease the absorption of bictegravir. It is recommended to take Biktarvy at least 2 hours before or 6 hours after taking an antacid.
  • Proton Pump Inhibitors (PPIs): PPIs such as omeprazole, esomeprazole, and pantoprazole may decrease the absorption of bictegravir. It is recommended to take Biktarvy at least 2 hours before or 6 hours after taking a PPI.
  • Histamine H2 Receptor Antagonists: Drugs such as famotidine, ranitidine, and cimetidine may decrease the absorption of bictegravir. It is recommended to take Biktarvy at least 2 hours before or 6 hours after taking an H2 receptor antagonist.
  • Rifampin: Rifampin, a medication used to treat tuberculosis and other bacterial infections, may decrease the levels of bictegravir in the blood. This can make Biktarvy less effective.
  • Certain Anticonvulsants: Drugs such as carbamazepine, phenytoin, and phenobarbital may decrease the levels of bictegravir in the blood, potentially reducing the effectiveness of Biktarvy.
  • St. John’s Wort: St. John’s Wort, a herbal supplement used for depression and other conditions, may decrease the levels of bictegravir in the blood, reducing the effectiveness of Biktarvy.

[Note: This list of interactions isn’t complete. Talk to your doctor if you notice any interaction with food, over-the-counter drugs, prescriptions or supplements.]

Biktarvy Alternatives 

  • Descovy (emtricitabine/tenofovir alafenamide)
  • Genvoya (elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide)
  • Triumeq (abacavir/dolutegravir/lamivudine)
  • Tivicay (dolutegravir)
  • Truvada (emtricitabine/tenofovir disoproxil fumarate)

[Note: Your healthcare provider will choose which Biktarvy alternative is best for you. Taking or consuming them by yourself may cause serious side effects.] 

Frequently Asked Questions 

How long should I continue taking Biktarvy?

You should keep taking Biktarvy and other HIV antiretroviral medications unless directed otherwise by your healthcare provider. Currently, there is no cure for HIV, but these medications are highly effective at managing the infection and maintaining an undetectable viral load.

Is it safe to take Biktarvy while pregnant?

The safety of Biktarvy during pregnancy is not well-established due to insufficient data. Similar medications have been associated with birth defects. If you are planning to become pregnant or are pregnant, it’s important to discuss this with your healthcare provider. They may recommend other HIV treatment options that have been more thoroughly studied for safety during pregnancy.

Can Biktarvy reduce my HIV viral load to undetectable levels?

Yes, Biktarvy is capable of reducing the HIV levels in your body to the point where it becomes undetectable in laboratory tests, known as achieving an undetectable viral load. The primary aim of HIV treatment is to reach this undetectable status, which helps strengthen your immune system to ward off infections and significantly reduces the risk of transmitting HIV to others.

Can I take Biktarvy while breastfeeding?

Generally, it is advised against breastfeeding if you are living with HIV due to the risk of transmitting the virus to the infant through breast milk.

Our Guarantee

At Arctic Meds, we guarantee that you will find the most competitive prices for purchasing Biktarvy through our platform. As the best Canadian online pharmacy, we are committed to delivering only the highest quality products. Each order is fulfilled through a reputable and licensed Canada pharmacy online, ensuring that every product we ship meets stringent standards of quality and authenticity. Our reliable service ships your medications directly from Canada right to your doorstep. For seamless access to buy Biktarvy online from Canada at a low price contact us.


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