2.	What should I know before I take CELSENTRI? 
            
         
            
            Do not use if you have ever had an allergic reaction to maraviroc or any of the ingredients
               listed at the end of the CMI. 
            
            
               Talk to your doctor if you have any other medical conditions, take any other medicines,
                  or are pregnant or plan to become pregnant or are breastfeeding. 
               
            
            
             
         
            
            
3.	What if I am taking other medicines? 
            
         
            
            Some medicines may interfere with CELSENTRI and affect how it works. 
            
            
             
         
            
            
4.	How do I take CELSENTRI? 
            
         
            
            
            The usual dosage is either 150 mg, 300 mg or 600 mg twice a day.
            
            The dose you take will depend on whether you are taking any other medicines with CELSENTRI.
            
            Swallow the tablets whole with a glass of water. Do not chew.
            
            CELSENTRI can be taken with or without food
            
            
            
             
         
            
            
5.	What should I know while taking CELSENTRI? 
            
         
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Things you should do
                            | Remind any doctor, dentist or pharmacist you visit that you are taking CELSENTRI. Tell your doctor immediately if you become pregnant whilst taking CELSENTRI. | 
                  
                     | 
                           Things you should not do
                            | 	Do not stop using this medicine suddenly or change the dose without talking to your
                           doctor. 	Do not take this medicine to treat any other complaints. | 
                  
                     | 
                           Driving or using machines
                            | Be careful before you drive or use any machines or tools until you know how CELSENTRI
                           affects you. CELSENTRI may cause dizziness and light-headedness in some people. | 
                  
                     | 
                           Looking after your medicine
                            | Store CELSENTRI below 30°C. Keep this medicine in the pack until it is time to take it. | 
               
            
            
            
             
         
            
            
6.	Are there any side effects? 
            
         
            
            Side effects that have been reported include diarrhoea, constipation, nausea or vomiting,
               stomach pain or discomfort, indigestion, dizziness, abnormal sense of taste, problems
               sleeping or abnormal sleep, rash, loss of appetite, muscle spasms or pain, cough,
               joint pain, fever, colds, upper respiratory tract infections or flu-like symptoms.
            
            
            
            
             
         
            
            
            
         
            
            
               Active ingredient(s):
                maraviroc
               
            
            
            
            
            
            Consumer Medicine Information (CMI) 
            
            This leaflet provides important information about using CELSENTRI. You should also speak to your doctor or pharmacist if you would like further information
                  or if you have any concerns or questions about using CELSENTRI.
                
               
            
            
               Where to find information in this leaflet:
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
             
         
            
            
1.	Why am I taking CELSENTRI? 
            
         
            
            
               CELSENTRI contains the active ingredient maraviroc. CELSENTRI belongs to a group of medicines called CCR5 blockers.
            
            
               CELSENTRI is used in combination with other medicines to treat human immunodeficiency
                  virus (HIV).
               
            
            CELSENTRI reduces the amount of HIV in your body and helps your immune system. It
               stops the HIV-1 virus entering the CD-4 cells in your blood (also called T-cells).
               These are the cells in your immune system that the HIV virus attacks.
            
            CELSENTRI works by blocking the most common entry point into the CD-4 cells – called
               the 'CCR5 receptor'. Because the virus cannot enter the cell, it cannot attack it,
               and this prevents further damage to your immune system.
            
            CELSENTRI only stops the HIV-1 virus entering the cell, not HIV-2 (another rarer kind
               of the HIV virus). CELSENTRI also only stops types of HIV-1 virus that enter using
               the CCR5 receptor. As a result, your doctor would have done a blood test to check
               what strain of HIV-1 virus you have before they prescribed you this medicine.
            
            You can still pass on HIV when taking this medicine through sexual activity or through
               passing on blood or bodily secretions which carry the HIV virus.
            
            CELSENTRI does not cure HIV. You should use proper precautions to prevent transmission
               of HIV to others from occurring. Discuss with your doctor the precautions needed to
               avoid infecting other people.
             
         
            
            
2.	What should I know before I take CELSENTRI? 
            
         
            
            Warnings 
            
            
               Do not use CELSENTRI if:
                
               
            
            
            you are allergic to maraviroc, or any of the ingredients listed at the end of this
               leaflet.
            
            
            Always check the ingredients to make sure you can use this medicine.
             
         
            
            Check with your doctor if you: 
            
            
            have any other medical conditions
            
            have liver problems, hepatitis B or hepatitis C infection so that your liver function
               can be monitored
            
            have a history of low blood pressure, low blood pressure upon standing up (known as
               postural hypotension) or are taking any medicine to lower your blood pressure
            
            have kidney problems
            
            have heart problems
            
            take any medicines for any other condition
            
            
            During treatment, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects? 
 
         
            
            Pregnancy and breastfeeding 
            
            Check with your doctor if you are pregnant or intend to become pregnant.
            
            It is not known if CELSENTRI can harm your unborn child. Your doctor can discuss with
               you the benefits and risks of taking CELSENTRI whilst pregnant.
            
            Talk to your doctor if you are breastfeeding or intend to breastfeed. You should not
               breastfeed if you are infected with HIV because the virus can be transmitted through
               breastmilk. It is not known whether the active ingredient in CELSENTRI can pass into
               your breastmilk. Therefore, you should not breastfeed whilst taking CELSENTRI.
             
         
            
            Children 
            
            
            CELSENTRI has not been studied in children less than 18 years of age.
            
             
         
            
            Clinical Trials 
            
            More treatment-naïve patients in clinical trials using CELSENTRI had treatment failures
               and developed resistance to lamivudine compared to patients using efavirenz.
             
         
            
            
3.	What if I am taking other medicines? 
            
         
            
            Tell your doctor or pharmacist if you are taking any other medicines, including any
               medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
               supermarket or health food shop.
            
            
               Some medicines may interfere with CELSENTRI and affect how it works.
               
            
            
            efavirenz, etravirine, raltegravir, lopinavir, darunavir, delavirdine, elvitegravir,
               atazanavir, nelfinavir, indinavir, saquinavir, boceprevir, telaprevir – medicines
               used to treat HIV or hepatitis C infections
            
            ketoconazole, itraconazole – medicines used to treat fungal infections
            
            clarithromycin, telithromycin, rifampicin, rifabutin – medicines used to treat bacterial
               infections
            
            medicines containing St John’s Wort (hypericum perforatum). St John’s Wort can prevent
               CELSENTRI from working properly. Therefore, you should not take St John’s Wort together
               with CELSENTRI
            
            carbamazepine, phenobarbital, phenytoin – medicines used to treat seizures
            
            
            
               Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
                  or supplements you are taking and if these affect CELSENTRI.
               
             
         
            
            
4.	How do I take CELSENTRI? 
            
         
            
            How much to take 
            
            
            The usual dosage is either 150 mg, 300 mg or 600 mg twice a day.
            
            The dose you take will depend on whether you are taking any other medicines with CELSENTRI.
               Your doctor will tell you the dose to take and when to take these others medicines.
            
            
            
            Follow the instructions provided and use CELSENTRI until your doctor tells you to
               stop.
            
            
            It is important to take all your anti-HIV medicines as prescribed and at the right
               time of day. This can help your medicines to work better. It also lowers the chance
               of your medicines becoming less effective in fighting HIV (also known as drug resistance).
             
         
            
            How to take CELSENTRI 
            
            
            Swallow the tablet whole with a drink of water. Do not chew the tablet.
            
            You can take CELSENTRI with or without food.
            
             
         
            
            If you forget to take CELSENTRI 
            
            CELSENTRI should be taken regularly at the same time each day.
            
            
               If it is almost time for your next dose, skip the dose you missed and take your next
                  dose when you are meant to. 
               
            
            
               Otherwise take it as soon as you remember and then go back to taking CELSENTRI as
                  you would normally.
               
            
            
               Do not take a double dose to make up for the dose you missed.
               
             
         
            
            If you take too much CELSENTRI 
            
            If you think that you have used too much CELSENTRI, you may need urgent medical attention.
            
            
               You should immediately:
               
            
            
            phone the Poisons Information Centre 
(by calling
               13 11 26), or
            
            contact your doctor, or
            
            go to the Emergency Department at your nearest hospital.
            
            
            
               You should do this even if there are no signs of discomfort or poisoning.
               
            
            Symptoms of an overdose may include dizziness or light-headedness when you stand up.
               If this happens, lie down until you feel better and when you get up, get up slowly.
             
         
            
            
5.	What should I know while taking CELSENTRI? 
            
         
            
            
Things you should do 
            
         
            
            Call your doctor straight away if you: 
            
            
            become pregnant whilst taking CELSENTRI
            
            
            Remind any doctor, dentist or pharmacist you visit that you are using CELSENTRI.
             
         
            
            Stay in regular contact with your doctor 
            
            CELSENTRI helps to control your condition, but it is not a cure for HIV infection.
               You need to keep taking it everyday to stop your illness from getting worse. Because
               CELSENTRI does not cure HIV infections, you may still develop other infections and
               illnesses linked to HIV.
             
         
            
            Things you should not do 
            
            
            Do not stop using this medicine or change the dose
            
            Do not start taking any other medicines without first speaking to your doctor
            
            Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
            
            Do not use this medicine to treat any other complaints unless your doctor tells you
               to.
            
             
         
            
            Driving or using machines 
            
            
               Be careful before you drive or use any machines or tools until you know how CELSENTRI
                  affects you.
               
            
            CELSENTRI may cause dizziness and light-headedness in some people.
             
         
            
            Looking after your medicine 
            
            Follow the instructions in the carton on how to take care of your medicine properly.
            
            Store it in a cool dry place (below 30°C) away from moisture, heat or sunlight; for
               example, do not store it:
            
            
            in the bathroom or near a sink, or
            
            in the car or on window sills.
            
            
            
               Keep it where young children cannot reach it.
               
             
         
            
            Getting rid of any unwanted medicine 
            
            If you no longer need to use this medicine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            Do not use this medicine after the expiry date.
             
         
            
            
6.	Are there any side effects? 
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
               
            
            Within the first few weeks of treatment with anti-HIV medicines, some people, particularly
               those that have been HIV positive for some time, may develop inflammatory reactions
               (e.g. pain, redness, swelling, high temperature) which may resemble an infection and
               may be severe. It is thought that these reactions are caused by a recovery in the
               body's ability to fight infections, previously suppressed by HIV. 
            
            If you become concerned about any new symptoms, or any changes in your health after
               starting HIV treatment, discuss with your doctor immediately.
            
            See the information below and, if you need to, ask your doctor or pharmacist if you
               have any further questions about side effects.
             
         
            
            Less serious side effects 
            
            
            
            
             
         
            
            Serious side effects
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Serious side effects
                            | 
                           What to do
                            | 
               
               
                  
                     | weakness, tiredness, headaches, being short of breath, dizziness and looking pale,
                           fainting signs of frequent infections such as fever, severe chills, sore throat or mouth ulcers loss of appetite, vomiting and/or upper right stomach pain, feeling generally unwell,
                           fever, itching yellowing of the skin and eyes passing less or more urine than normal or a change in the colour of your urine, dark
                           coloured urine unexpected muscle aches or pain, paralysis or weakness signs of infection such as- meningitis – fever, nausea, vomiting, headache, stiff neck and sensitivity to bright
                           light
 - pneumonia – fever, chills, shortness of breath, cough, phlegm and occasionally blood
 bleeding problems such as- bleeding or bruising more easily than normal, nosebleeds
 - bleeding from the back passage (rectum)
 convulsions, fits or seizures, shaking or tremors swollen glands in the neck, armpit or groin any mental problems, such as- epilepsy or fits
 - loss of reflexes
 - hallucinations
 inability to move the muscles in the face tingling or burning sensation in the hands or feet lower back pain feeling dizzy, faint or light headed when standing up | 
                           Call your doctor straight away.
                            | 
               
            
            
             
             
         
            
            Very serious side effects 
            
            
            
            
            
            
               Possible chance of infection or cancer
               
            
            Although there is no evidence from clinical trials of an increase in serious infections
               or cancer, CELSENTRI affects other immune system cells and therefore may potentially
               increase your chance of getting other infections or cancer.
            
            
               Tell your doctor or pharmacist if you notice anything else that may be making you
                  feel unwell. 
               
            
            Other side effects not listed here may occur in some people.
             
         
            
            Reporting side effects 
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
               this medicine.
               Always make sure you speak to your doctor or pharmacist before you decide to stop
                  taking any of your medicines.
               
             
         
            
            
7.	Product details 
            
         
            
            This medicine is only available with a doctor's prescription.
             
         
            
            What CELSENTRI contains 
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Active ingredient 
                            
                           (main ingredient)
                            | maraviroc | 
                  
                     | 
                           Other ingredients
                            
                           (inactive ingredients)
                            | calcium hydrogen phosphate magnesium stearate microcrystalline cellulose sodium starch glycollate The film-coating (Opadry II Blue (85G20583)) contains: indigo carmine CI73015 macrogol 3350 polyvinyl alcohol soya lecithin talc titanium dioxide | 
               
            
            
            
            
            
               Do not take this medicine if you are allergic to any of these ingredients.
               
             
         
            
            What CELSENTRI looks like 
            
            150 mg film-coated tablets are blue in colour, oval shaped and marked "MVC 150" on
               one side.
            
            Available in blister packs of 60 tablets. AUST R 137329.
            
            300 mg film-coated tablets are blue in colour, oval shaped and marked "MVC 300" on
               one side.
            
            Available in blister packs of 60 tablets. AUST R 137331 
             
         
            
            Who distributes CELSENTRI 
            
            ViiV Healthcare Pty Ltd
            
            Level 4, 436 Johnston Street
            
            Abbotsford, VIC 3067
            
            Australia
            
            
            
            Trademarks are owned by or licenced to the ViiV Healthcare group of companies. 
            
            © 2022 ViiV Healthcare group of companies or its licensor.
            
            
            
            This leaflet was prepared in October 2022.
            
            
            
            Version 9.0.