Drug information

Audio
Brand Name:
Triumeq
Other Names:
ABC / DTG / 3TC, abacavir sulfate / dolutegravir sodium / lamivudine
Drug Class:
Combination Drugs
Integrase Strand Transfer Inhibitor (dolutegravir)
Nucleoside Reverse Transcriptase Inhibitor (abacavir, lamivudine)
Drug Image(s): (Click to enlarge)
 
What are the most important things to know about Triumeq?What are the most important things to know about Triumeq?

What are the most important things to know about Triumeq?

Triumeq can cause serious, life-threatening side effects. These include allergic reactions, a buildup of lactic acid in the blood (lactic acidosis), liver problems, and drug interactions.

Triumeq contains abacavir, an HIV medicine. People who take abacavir-containing products, including Triumeq, may have a serious allergic reaction (hypersensitivity reaction) that can cause death. Your risk of this allergic reaction is much higher if you have a gene variation called HLA-B*5701. Your health care provider can determine with a blood test if you have this gene variation.

If you get a symptom from two or more of the following groups while taking Triumeq, contact your health care provider right away to find out if you should stop taking Triumeq.

  • Group 1 Symptoms: Fever
  • Group 2 Symptoms: Rash
  • Group 3 Symptoms: Nausea, vomiting, diarrhea, stomach/abdominal pain
  • Group 4 Symptoms: General ill feeling, extreme tiredness, or achiness
  • Group 5 Symptoms: Shortness of breath, cough, sore throat

Your pharmacist will give you a Warning Card with a list of these symptoms. Carry this Warning Card with you at all times. If you stop taking Triumeq because of an allergic reaction, never take Triumeq or any other medicine that contains abacavir or dolutegravir again. If you take Triumeq or any other abacavir-containing medicine again after you have had an allergic reaction, within hours you may have life-threatening symptoms that may include very low blood pressure or lead to death.

If you stop Triumeq for any other reason, even for a few days, and you are not allergic to Triumeq, talk with your health care provider before taking it again. Taking Triumeq again can cause a serious allergic or life-threatening reaction, even if you never had an allergic reaction to Triumeq before. If your health care provider tells you that you can take Triumeq again, start taking it when you are around medical help or people who can call a health care provider if you need one.

Contact your health care provider right away if you have any of the following symptoms that could be signs of lactic acidosis:

  • Weakness or tiredness
  • Unusual muscle pain
  • Shortness of breath or fast breathing
  • Stomach pain with nausea and vomiting
  • Cold or blue hands and feet
  • Dizziness or lightheadedness
  • Fast or abnormal heartbeat

Some people taking Triumeq have had liver problems. People with a history of hepatitis B virus infection (HBV) or hepatitis C virus infection (HCV) may have an increased risk of developing new or worsening liver problems while taking Triumeq. Liver problems have also occurred in people taking Triumeq who have no history of liver disease. Liver function tests may be done before and during treatment with Triumeq.

Contact your health care provider right away if you have any of the following symptoms that could be signs of liver problems:

  • Yellowing of your skin or the whites of your eyes (jaundice)
  • Dark-colored urine
  • Light-colored bowel movements
  • Loss of appetite for several days or longer
  • Nausea or vomiting
  • Pain, aching, or tenderness on the right side of your stomach/abdominal area
  • Itching

If you have both HIV and HBV infection and take Triumeq, your HBV infection may get worse (flare-up) if you stop taking Triumeq. Do not stop taking Triumeq without talking to your health care provider.

Taking Triumeq with certain other medicines may cause serious, life-threatening side effects. Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

While taking Triumeq, it is important to keep all of your appointments with your health care provider.

What is Triumeq?What is Triumeq?

What is Triumeq?

Triumeq is a prescription medicine approved by the U.S. Food and Drug Administration (FDA) for the treatment of HIV infection in adults and children. Triumeq can be used alone as a complete treatment regimen or with other HIV medicines.

Triumeq contains three different medicines: abacavirdolutegravir, and lamivudine.

For more information on the use of Triumeq in people with HIV, please refer to the Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV and the Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection.

HIV medicines cannot cure HIV/AIDS, but taking HIV medicines every day helps people with HIV live longer, healthier lives. HIV medicines also reduce the risk of HIV transmission. If you are taking HIV medicines, do not cut down on, skip, or stop taking them unless your health care provider tells you to. 

What should I tell my health care provider before taking Triumeq?What should I tell my health care provider before taking Triumeq?

What should I tell my health care provider before taking Triumeq?

Before taking Triumeq, tell your health care provider:

  • If you are allergic to any of the HIV medicines in Triumeq (abacavir, dolutegravir, or lamivudine) or any other medicines.
  • If you have been tested and know whether you have a particular gene variation called HLA-B*5701.
  • If you have or have had liver problems, including hepatitis B virus infection (HBV) or hepatitis C virus infection (HCV).
  • If you have kidney problems.
  • If you have heart problems; smoke; or have diseases that increase your risk of heart disease, such as high blood pressure, high cholesterol, or diabetes.
  • If you have any other medical conditions.
  • If you drink alcoholic beverages or take medicines that contain alcohol.
  • If you are pregnant or plan to become pregnant. Talk to your health care provider about the risks and benefits of taking Triumeq during pregnancy. For more information on the use of Triumeq during pregnancy, please refer to the Recommendations for the Use of Antiretroviral Drugs in Pregnant Women with HIV Infection and Interventions to Reduce Perinatal HIV Transmission in the United States.
  • If you are breastfeeding or plan to breastfeed. For women with HIV in the United States, the Guideline does not recommend breastfeeding. Before your baby is born, or if you are already breastfeeding, talk to your health care provider to discuss alternative options for feeding your baby.
  • If you are using hormone-based birth control (such as pills, implants, or vaginal rings). For more information about using birth control and HIV medicines at the same time, view the HIVinfo HIV and Birth Control infographic.
  • About other prescription and nonprescription medicines, vitamins, nutritional supplements, and herbal products (including St. John’s wort) you are taking or plan to take. Triumeq may affect the way other medicines or products work, and other medicines or products may affect how Triumeq works. Taking Triumeq together with certain medicines or products may cause serious, life-threatening side effects.
How should I take Triumeq?How should I take Triumeq?

How should I take Triumeq?

Triumeq comes in tablet form. Each tablet contains: 

Take Triumeq according to your health care provider’s instructions.

Take Triumeq by mouth and with or without food. If you are taking any other medicines, carefully follow instructions on how to take them with Triumeq. 

If you have taken too much Triumeq, contact your health care provider or local poison control center (1-800-222-1222) right away, or go to the nearest hospital emergency room.

For more information on how to take Triumeq, see the FDA drug label.

What should I do if I forget a dose?What should I do if I forget a dose?

What should I do if I forget a dose?

If you miss a dose of Triumeq, take the missed dose as soon as you remember it. But if it is almost time for your next dose, skip the missed dose and take the next dose at your regular time. Do not take two doses at the same time to make up for a missed dose.

What side effects can Triumeq cause?What side effects can Triumeq cause?

What side effects can Triumeq cause?

Triumeq may cause side effects. Some side effects of Triumeq can be serious as noted above. Many side effects from HIV medicines, such as nausea or occasional dizziness, are manageable. See the HIVinfo fact sheet on HIV Medicines and Side Effects for more information.

Other possible side effects of Triumeq include:

Tell your health care provider if you have any side effect that bothers you or that does not go away. 

These are not all the possible side effects of Triumeq. To learn more about possible side effects of Triumeq, read the drug label or package insert or talk to your health care provider or pharmacist.

You can report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088) or online.

How should Triumeq be stored?How should Triumeq be stored?

How should Triumeq be stored?

  • Store Triumeq at room temperature, 68°F to 77°F (20°C to 25°C).
  • Keep Triumeq in the container that it came in and keep the container tightly closed and protected from moisture. If the container has a small packet of drying agent (called a desiccant), do not remove it. The desiccant protects the medicine from moisture.
  • Do not use Triumeq if the original seal over the container opening is broken or missing.
  • Throw away Triumeq that is no longer needed or expired (out of date). Follow FDA guidelines on how to safely dispose of unused medicine.  
  • Keep Triumeq and all medicines out of reach of children.
Where can I find more information about Triumeq?Where can I find more information about Triumeq?

Where can I find more information about Triumeq?

Manufacturer Information

ViiV Healthcare

Main number: 877-844-8872
Patient assistance (ViiV Connect): 844-588-3288

 

Last Reviewed: September 2, 2021