Drug information

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Brand Name
Idvynso
Other Names
DOR/ISL
Drug Class
Combination Drugs
Non-Nucleoside Reverse Transcriptase Inhibitor (doravirine)
Nucleoside Reverse Transcriptase Inhibitor (islatravir)

What are the most important things to know about Idvynso?

Idvynso can cause serious or life-threatening side effects. These include severe skin rash and allergic reactions and drug interactions.

Contact your health care provider right away if you develop a rash while taking Idvynso. Stop taking Idvynso and get medical help right away if you develop a rash with any of the following symptoms:

  • General ill feeling (malaise)
  • Extreme tiredness
  • Muscle or joint aches
  • Fever
  • Blistering or peeling skin
  • Blisters or sores in your mouth
  • Redness or swelling of the eyes (conjunctivitis)
  • Swelling of your face, lips, mouth, tongue, throat, or lymph nodes
  • Trouble breathing or swallowing

Taking Idvynso with certain other medicines may cause serious 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 Idvynso, it is important to keep all your appointments with your health care provider.

What is Idvynso?What is Idvynso?

What is Idvynso?

Idvynso is a prescription medicine approved by the U.S. Food and Drug Administration (FDA) for the treatment of HIV in adults who meet certain requirements, as determined by a health care provider.

Idvynso is a complete HIV treatment regimen and should not be used with other HIV medicines.

Idvynso contains two different medicines: doravirine and islatravir.

For more information on the use of Idvynso in people with HIV, please refer to the Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents With HIV. (The Adult and Adolescent ARV Guidelines may not yet be updated at the time this drug record is published. Please refer to the Guidelines for new updates.)

HIV medicines cannot cure HIV, but using HIV medicines as directed by a health care provider helps people with HIV live longer, healthier lives. HIV medicines also reduce the risk of HIV transmission. If you are using HIV medicines, do not cut down on, skip, or stop using them unless your health care provider tells you to.

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

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

Before taking Idvynso, tell your health care provider:

  • If you are allergic to any of the HIV medicines in Idvynso (doravirine or islatravir) or any other medicines.
  • If you have ever had liver problems, including hepatitis B virus infection (HBV).
  • If you have kidney problems.
  • If you have any other medical conditions.
  • If you are pregnant or plan to become pregnant. Talk to your health care provider about the risks and benefits of taking Idvynso during pregnancy. For more information on the use of Idvynso during pregnancy, please refer to the Recommendations for the Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States. (The Perinatal Guidelines may not yet be updated at the time this drug record is published. Please refer to the Guidelines for new updates.)
  • If you are breastfeeding or plan to breastfeed. For mothers with HIV in the United States, the Guideline recommends speaking with your health care provider to discuss options for feeding your baby. Mothers with suppressed viral load have a less than 1% chance of transmitting HIV to their baby via their own milk. Although most medicines are safe to use while breastfeeding, some medicines should be avoided. Always let your health care provider know about all the medicines and supplements you are using before you start breastfeeding.
  • If you are using hormone-based birth control (such as injections, vaginal rings, implants, contraceptive patches, or birth control pills). Idvynso may make these forms of birth control less effective. Your health care provider can help you decide how to adjust your birth control while you are taking Idvynso. 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 you are taking or plan to take. Idvynso may affect the way other medicines or products work, and other medicines or products may affect how Idvynso works. Taking Idvynso together with certain medicines or products may cause serious side effects. For a list of medicines that may interact with Idvynso, see the drug label or ask your health care provider or pharmacist. You can also look up potential interactions between your HIV medicines and other drugs using the HIV Drug Interaction Checker online.

Idvynso comes in tablet form. Each tablet contains:

Take Idvynso according to your health care provider’s instructions. Do not miss a dose of Idvynso, and do not change your dose or stop taking Idvynso without first talking with your health care provider.

Take Idvynso by mouth with or without food. Do not take Idvynso with other HIV medicines.

If you also take the medicine rifabutin during treatment with Idvynso, you may not have enough doravirine in your blood. (Doravirine is one of the medicines in Idvynso.) Your health care provider will prescribe an additional dose of doravirine for you to take. Follow your health care provider’s instructions about when to take doravirine and how much to take. This is usually one tablet of doravirine about 12 hours after your last dose of Idvynso.

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

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

If you miss a dose of Idvynso, 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 just take your next dose at the regular time. Do not take two doses at the same time to make up for a missed dose.

What side effects can Idvynso cause?What side effects can Idvynso cause?

What side effects can Idvynso cause?

Idvynso may cause side effects. Some side effects of Idvynso 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 Idvynso include:

  • Diarrhea
  • Tiredness
  • Stomach (abdominal) bloating
  • Headache
  • Weight gain

Tell your health care provider if you have any side effects that bother you or that do not go away.

These are not all the possible side effects of Idvynso. To learn more about possible side effects of Idvynso, 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 Idvynso be stored?How should Idvynso be stored?

How should Idvynso be stored?

  • Store Idvynso at room temperature, 68°F to 77°F (20°C to 25°C).
  • Keep Idvynso in the container that it came in and keep the container tightly closed. 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 eat the desiccant.
  • Do not use Idvynso if the original seal over the container opening is broken or missing.
  • Throw away Idvynso that is no longer needed or expired (out of date). Follow FDA guidelines on how to safely dispose of unused medicine.
  • Keep Idvynso and all medicines out of reach of children.

Where can I find more information about Idvynso?Where can I find more information about Idvynso?

Where can I find more information about Idvynso?

Manufacturer Information

Merck & Co., Inc.
Main number: 908-740-4000
Patient assistance: 800-727-5400

Last Reviewed: April 23, 2026