Ledipasvir / Sofosbuvir (Harvoni)

Antiviral (HCV Direct-Acting Antivirals)

Dosing & Administration

Adult Dose

1 tablet (90/400 mg) PO daily for 8-24 weeks depending on cirrhosis/prior treatment.

Pediatric Dose

Weight-based for children >= 3 years.

Renal Adjustment

No adjustment necessary even in ESRD (recent guideline updates).

Hepatic Adjustment

No adjustment necessary for Child-Pugh A, B, or C.

Safety & Special Populations

Pregnancy Category

B

Lactation Safety

Unknown.

Contraindications & Adverse Effects

Contraindications

  • Concurrent amiodarone use (fatal bradycardia)

Common Adverse Effects

  • Headache
  • Fatigue
  • Asthenia