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Daclatasvir

DAKLINZA

What it isA CYP3A4-metabolized HCV NS5A replication-complex inhibitor.

Why this oneGiven with sofosbuvir (with or without ribavirin) for pan-genotypic chronic hepatitis C, including decompensated cirrhosis.

What limits itNeeds dose adjustment with strong CYP3A inhibitors/inducers and can cause symptomatic bradycardia when combined with amiodarone.

⚠ BOXED WARNING

Principal riskBoxed warning: risk of hepatitis B virus reactivation in HCV/HBV co-infected patients, sometimes fulminant.

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Daclatasvir ballicule

Daclatasvir ballicule: receptor binding, kinetics and half-life diagram

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