HIV integrase inhibitor
VOCABRIA (cabotegravir sodium) is a prescription medicine used for the short-term treatment of HIV-1 infection in adults and adolescents, or as a preventive measure (PrEP) to reduce the risk of getting HIV-1 through sex. It is taken as an oral tablet and must be used in combination with another medicine called EDURANT. It can also be used as a starting step before switching to injectable versions of these medicines.
How it worksCabotegravir works as an HIV-1 integrase strand transfer inhibitor, which helps stop the virus from making copies of itself in the body.
Brand names:VOCABRIA
How to take
For HIV treatment, one 30 mg tablet of VOCABRIA and one 25 mg tablet of EDURANT are taken once daily with a meal. For PrEP, one 30 mg tablet of VOCABRIA is taken once daily for about one month.
Always use VOCABRIA with EDURANT for HIV treatment. If using for PrEP, you must have a negative HIV-1 test before starting.
Missed dose: VOCABRIA can be used as an oral therapy for patients who miss planned injection dosing with CABENUVA or APRETUDE.
Key warnings
- ·Severe skin rashes or reactions may occur; stop use and contact a doctor immediately if these happen.
- ·This medicine may cause liver issues; doctors should monitor liver health during use.
- ·Depression or mood changes have been reported when used for HIV treatment.
- ·For PrEP, this should be part of a full prevention plan including condoms and consistent dosing.
Do not use if
- ·Do not use if you have had a serious allergic reaction to cabotegravir.
- ·Do not use if you are taking drugs that significantly lower cabotegravir levels, such as certain anti-seizure medications or rifampin.
Side effects
Common
Serious
- ·Severe skin reactions (like Stevens-Johnson syndrome)
- ·Liver problems (hepatotoxicity)
- ·Depressive disorders
Seek help if
- ·Signs of hypersensitivity reactions (skin rash)
- ·Signs of liver issues
- ·Depressive symptoms
Interactions
- ·Medicines that affect the UGT1A1 enzyme (like certain anti-seizure drugs or rifampin) may make VOCABRIA less effective.
- ·Common interacting drugs include Carbamazepine, Oxcarbazepine, Phenobarbital, Phenytoin, and Rifampin.
Special populations
PregnancyThere is not enough information about the risks of using VOCABRIA during pregnancy. Doctors may use a registry to track pregnancy outcomes in people taking this medicine.
PediatricVOCABRIA is used in adolescents aged 12 to 17 who weigh at least 35 kg.
GeriatricUse with caution in elderly patients, as they may have different levels of liver, kidney, or heart function.
Talk to your doctor
Monitor
- ·Liver chemistry
- ·Signs of hypersensitivity/skin reactions
- ·Depressive symptoms
Questions to ask
- ·Should I monitor my liver enzymes while taking VOCABRIA?
- ·Are there any specific signs of a skin reaction I should watch for?
- ·How will VOCABRIA interact with my other medications?
- ·Is VOCABRIA appropriate for my current HIV treatment plan?
Pharmacokinetics
Practical
OverdoseThere is no specific treatment for an overdose. If an overdose is suspected, seek medical help and monitor the patient's clinical status.
Ingredients
Allergens
Inactive
Educational summary derived from FDA labeling, AI-assisted. Not medical advice — consult a healthcare professional. Updated 2026-04-25.
