{"id":51044,"date":"2022-05-06T09:30:11","date_gmt":"2022-05-06T13:30:11","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=51044"},"modified":"2022-05-09T12:56:47","modified_gmt":"2022-05-09T16:56:47","slug":"biktarvy-and-alcohol","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/biktarvy-and-alcohol\/","title":{"rendered":"Is it safe to mix Biktarvy and alcohol?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">There are no warnings or precautions about mixing <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/biktarvy\"><span style=\"font-weight: 400;\">Biktarvy<\/span><\/a><span style=\"font-weight: 400;\"> and alcohol according to the<\/span> <a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2021\/210251s014lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">FDA label<\/span><\/a><span style=\"font-weight: 400;\">. There are also no reported drug interactions between <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hiv-treatment-and-medications\"><span style=\"font-weight: 400;\">HIV drugs<\/span><\/a><span style=\"font-weight: 400;\">, like Biktarvy, and alcohol. HIV drugs will work just as well whether you drink alcohol or not. However, drinking alcohol can indirectly cause problems with HIV treatment and affect overall health for people living with HIV\u2014especially with long-term alcohol use and binge drinking.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">HIV and alcohol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">HIV, or human immunodeficiency virus, attacks and weakens the immune system. Left untreated, HIV can lead to acquired immunodeficiency syndrome (AIDS), which can increase the risk of life-threatening infections and cancers.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4590612\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Alcohol has been shown<\/span><\/a><span style=\"font-weight: 400;\"> to disrupt immune processes in the body that help fight against infections. Long-term alcohol use, and even <\/span><a href=\"https:\/\/www.niaaa.nih.gov\/alcohol-health\/overview-alcohol-consumption\/moderate-binge-drinking\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">alcohol use in moderation<\/span><\/a><span style=\"font-weight: 400;\">, can slow recovery from injuries, promote inflammation, and impair overall defenses to infections and diseases. Alcohol\u2019s effects on the immune system may be particularly damaging to someone who may already have a weakened immune system, such as someone with HIV.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On top of that, people who drink more than the daily or weekly recommended limits are <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5564671\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">more likely to miss their dose of medication<\/span><\/a><span style=\"font-weight: 400;\">. Because HIV drugs must be taken consistently on a daily basis, it\u2019s best to avoid alcohol. Missing a dose of an HIV drug can increase the risk of HIV resistance, which may require additional HIV drugs to treat. Alcohol use can have negative effects on decision making, influencing whether you\u2019ll engage in risky activities and making it harder to remember to take your medications.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with HIV are usually on several different medications designed to help stop the growth of the virus and support the immune system. Someone who is living with HIV may also be taking other medications. Alcohol can interact with certain <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/alcohol-with-antibiotics\/\"><span style=\"font-weight: 400;\">antibiotics<\/span><\/a><span style=\"font-weight: 400;\"> and antidepressants, making them less effective or more likely to cause side effects.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Can you take Biktarvy with alcohol?<\/span><\/h2>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/biktarvy\/what-is\"><span style=\"font-weight: 400;\">Biktarvy<\/span><\/a><span style=\"font-weight: 400;\"> is a brand-name medication that contains a combination of different active ingredients including bictegravir, emtricitabine, and tenofovir alafenamide.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Biktarvy and drinking alcohol does not involve any drug interactions. If you drink alcohol, Biktarvy will continue to work as intended. However, people with HIV, who may be taking Biktarvy or other antiviral drugs, are not advised to drink alcohol even in moderation. Alcohol use in moderation is defined as two drinks or less per day for men and one drink or less per day for women.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Binge drinking may cause you to vomit or forget to take Biktarvy. The NIAAA defines binge drinking as consuming, within two hours, five or more drinks for men or four or more drinks for women. After vomiting, there may not be enough Biktarvy in your system to sufficiently do its job. You may need to <\/span><a href=\"https:\/\/www.aidsmap.com\/about-hiv\/alcohol-and-hiv\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">retake a dose<\/span><\/a><span style=\"font-weight: 400;\"> of Biktarvy, especially if it\u2019s only been an hour after taking the drug.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/biktarvy-side-effects\/\"><span style=\"font-weight: 400;\">Biktarvy can cause side effects<\/span><\/a><span style=\"font-weight: 400;\"> such as headaches and nausea. Drinking alcohol may lead to worsened headaches or nausea caused by Biktarvy.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-50967 size-full\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622.png\" alt=\"A chart showing the safety of Biktarvy and alcohol\" width=\"1920\" height=\"900\" srcset=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622.png 1920w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622-300x141.png 300w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622-1024x480.png 1024w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622-768x360.png 768w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/04\/Mixup_Chart_050622-1536x720.png 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">The effects of alcohol and Biktarvy on the liver<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Alcohol use can lead to liver damage. People with HIV may also have hepatitis B or C, which are inflammatory conditions of the liver. Drinking alcohol can increase the damage to the liver caused by these conditions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many HIV drugs, including Biktarvy, are processed in the liver. Without a healthy functioning liver, HIV drugs may be processed differently, leading to increased side effects. Biktarvy is not recommended for people with severe liver problems.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6436537\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\"> suggest that alcohol use can increase the production of cholesterol in the liver, which can cause high cholesterol levels in the blood. HIV drugs like Biktarvy may also cause high cholesterol levels as a side effect. Mixing Biktarvy and alcohol can worsen liver health and overall cholesterol levels.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK547914\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Clinical trials<\/span><\/a><span style=\"font-weight: 400;\"> have shown that Biktarvy can cause elevated liver enzyme levels. However, there were no clinical symptoms of liver injury reported.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The FDA has posted a black-box warning on the label of Biktarvy for potential liver damage in people with hepatitis B. People with hepatitis B have experienced worsened liver damage after discontinuing the use of emtricitabine or tenofovir, the main ingredients found in Biktarvy. Still, the likelihood of liver damage developing after stopping the use of Biktarvy is rare and yet to be reported.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The bottom line\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It\u2019s best to avoid mixing Biktarvy and alcohol. Alcohol can weaken the immune system and make it difficult to remember to take your medication, especially after a night of heavy drinking. Talk with your healthcare provider about any concerns you may have about the effects of alcohol on HIV and HIV drugs.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There are no warnings or precautions about mixing Biktarvy and alcohol according to the FDA label. There are also no reported drug interactions between HIV drugs, like Biktarvy, and alcohol. HIV drugs will work just as well whether you drink alcohol or not. However, drinking alcohol can indirectly cause problems with HIV treatment and affect [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":50966,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[8742,788,8905],"coauthors":[8669],"class_list":["post-51044","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-alcohol-interactions","tag-drug-safety","tag-seasonal","franchise-the-mix-up","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What happens when you mix Biktarvy and alcohol?<\/title>\n<meta name=\"description\" content=\"There are no Biktarvy and alcohol interactions, but there are risks associated with HIV and alcohol like missed doses, immune 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