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Drug Dosing Toolkit: Genvoya

for Veterans and the Public

Genvoya (Elvitegravir + Cobicistat + tenofovir alafenamide + Emtriva)

Type of Drug: Fixed-Dose Combination
Fixed-dose combinations combine the most commonly prescribed doses of 2 or more medications into a single pill.

Bring a printout of this page to discuss with your doctor during your next visit. List your questions at the bottom of the page.

Approved adult dosing

Elvitegravir 150 mg + Cobicistat 150 mg + tenofovir alafenamide 10 mg + Emtriva 200 mg in a single tablet


  • one tablet


Note: Stribild

Notes on taking this medication

  • Take with food (do not take without food)
  • Genvoya interacts with some over the counter antacid medicines; check with your medical provider before using these medicines
  • Genvoya can interact with other drugs; consult your medical provider
  • Persons with kidney problems may need an adjustment to their doses of the component drugs, so may not be able to take this combination 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


  • Diarrhea, headache


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

Tenofovir alafenamide (TAF)

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


  • 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


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.