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Drug Dosing Tool: Stribild

for Veterans and the Public

Stribild (Quad pill; Elvitegravir + Cobicistat + Viread + Emtriva)

Type of Drug: Fixed-Dose Combination

Fixed-dose combinations combine the most commonly prescribed doses of several medications into 1 pill.

Approved adult dosing

Elvitegravir 150 mg + Cobicistat 150 mg + Viread 300 mg + Emtriva 200 mg in a single tablet

Stribild

  • image of a Stribild pill

    one tablet

Notes on taking this medication

  • Take with a full meal (do not take without food)
  • Stribild interacts with some over the counter antacid medicines; check with your medical provider before using these medicines
  • Stribild can interact with other drugs; consult your medical provider
  • Persons with kidney problems may need an adjustment to their doses of the component drugs, and have to take them separately, not as a single pill

Side effects

    Stribild has not been studied during pregnancy; tell your medical provider if you become pregnant while taking this drug

Same side effects as

Elvitegravir

  • Diarrhea, headache

Cobicistat

  • Nausea, diarrhea
  • Headache
  • Fatigue
  • Elevation in blood creatinine levels (this is used to assess kidney function; your provider will monitor creatinine)

Viread

  • Gassiness; abdominal discomfort; nausea; diarrhea
  • Kidney impairment
  • Viread is active against hepatitis B, and stopping it can cause "flare-up" of hepatitis B

Emtriva

  • Skin discoloration (particularly in dark-skinned people)
  • Headache; diarrhea; nausea
  • Emtriva is active against hepatitis B, and stopping it can cause "flare-up" of hepatitis B

See accompanying chart: Tips for Common Side Effects

My doctor's instructions

Disclaimer: This information is not meant to substitute for advice from your medical provider or pharmacist. If you have any questions about your medication dosing, talk to your medical provider or pharmacist.