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Viramune XR (Nevirapine ER)

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Full information about Viramune XR

General Information on Viramune XR

Viramune XR, with the active ingredient Nevirapine, is prescribed for the treatment of HIV infections. This drug falls under a category of drugs known as reverse transcriptase inhibitors. You can buy Viramune XR online from a certified and reputable online prescription service, but you must note that it cannot cure HIV or AIDS.

Side effects of Viramune XR

You should not buy Viramune XR if you are hypersensitive to any of its constituents. This drug can cause life-threatening side effects in some cases. Your doctor may ask you to undergo certain tests before and during treatment to ensure that you do not experience any fatal side effects.

The use of Viramune XR in certain conditions may not be recommended, or patients may require special monitoring or dosage adjustments. Inform your doctor if you have a kidney disease, liver disease or malfunction, or skin problems.

In some patients, Viramune XR has been reported to cause fatal toxicity of the liver. Watch out for these signs of liver damage: loss of appetite, nausea, dark urine, low fever, dark or black stools, skin rash, or yellowing of the eyes or skin. If you experience any of these, consult your doctor immediately.

In some patients, Viramune XR has been reported to cause severe skin reactions. Consult your doctor if you experience any of the following symptoms: swelling in the tongue or face, skin pain, fever, sore throat, or burning in the eyes.

Mild side effects associated with Viramune XR may include:

  • Tiredness
  • Headache
  • Diarrhea, vomiting, stomach pain, or nausea
  • Muscle pain

Although this drug is considered safe to be taken during pregnancy, you should consult your doctor before you buy Viramune XR. You should not breastfeed if you are HIV positive as the virus may enter your baby’s body through breast milk.

Dosage of Viramune XR

The recommended dosage for adult patients is Viramune XR 200 mg daily for the first 2 weeks. After this period, the dosage should be increased to 200 mg twice daily.

Pediatric patients who are 15 days or older should be given 150 mg/m² for the first 2 weeks. After the first 14 days, the dosage should be doubled to 150 mg/m² two times per day. The maximum daily dosage is Viramune XR 400 mg. A daily dose in excess of 400 mg should not be administered.


You should not take the following drugs if you are using Viramune XR:

  • St. John’s wort
  • Efavirenz
  • Ketoconazole
  • Atazanavir
  • Itraconazole
  • Rifampin

The following drugs are expected to interact with Viramune XR:

  • Antifungal medicines such as voriconazole or fluconazole
  • Blood thinners
  • Antibiotics
  • Maraviroc
  • Other HIV drugs such as nelfinavir, darunavir, ritonavir, saquinavir, or indinavir
  • Anti-seizure medicines
  • Certain antibiotics such as rifabutin or clarithromycin
  • Methadone
  • Blood pressure or heart medicines such as ergonovine, ergotamine, methylergonovine, or dihydroergotamine

Drugs that are not listed above may also interact with this HIV medication. Your doctor will know about this, so inform him/her about all other medicines that you are taking. If you are using any drugs that have a potential to interact with Viramune XR, your doctor may reduces its dosage or ask you to stop taking that drug.

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