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Chemistry

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Also known as: 154598-52-4, Sustiva, Stocrin, Dmp-266, Dmp 266, Efv
Molecular Formula
C14H9ClF3NO2
Molecular Weight
315.67  g/mol
InChI Key
XPOQHMRABVBWPR-ZDUSSCGKSA-N
FDA UNII
JE6H2O27P8

Efavirenz
Efavirenz is a synthetic non-nucleoside reverse transcriptase (RT) inhibitor with antiviral activity. Efavirenz binds directly to the human immunodeficiency virus type 1 (HIV-1) RT, an RNA-dependent DNA polymerase, blocking its function in viral DNA replication. In combination with other antiretroviral drugs, this agent has been shown to significantly reduce HIV viral load, retarding or preventing damage to the immune system and reducing the risk of developing AIDS. Efavirenz induces activity of the cytochrome P450 system, accelerating its own metabolism.
Efavirenz is a Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor. The mechanism of action of efavirenz is as a Non-Nucleoside Reverse Transcriptase Inhibitor, and Cytochrome P450 3A Inducer, and Cytochrome P450 2B6 Inducer, and Cytochrome P450 2C9 Inhibitor, and Cytochrome P450 2C19 Inhibitor, and Cytochrome P450 3A4 Inhibitor.
1 2D Structure

Efavirenz

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(4S)-6-chloro-4-(2-cyclopropylethynyl)-4-(trifluoromethyl)-1H-3,1-benzoxazin-2-one
2.1.2 InChI
InChI=1S/C14H9ClF3NO2/c15-9-3-4-11-10(7-9)13(14(16,17)18,21-12(20)19-11)6-5-8-1-2-8/h3-4,7-8H,1-2H2,(H,19,20)/t13-/m0/s1
2.1.3 InChI Key
XPOQHMRABVBWPR-ZDUSSCGKSA-N
2.1.4 Canonical SMILES
C1CC1C#CC2(C3=C(C=CC(=C3)Cl)NC(=O)O2)C(F)(F)F
2.1.5 Isomeric SMILES
C1CC1C#C[C@]2(C3=C(C=CC(=C3)Cl)NC(=O)O2)C(F)(F)F
2.2 Other Identifiers
2.2.1 UNII
JE6H2O27P8
2.3 Synonyms
2.3.1 MeSH Synonyms

1. (s)-6-chloro-4-cyclopropylethynyl-4-trifluoromethyl-1,4-dihydro-2h-3,1-benzoxazin-2-one

2. Dmp 266

3. Dmp-266

4. Efavirenz, (r)-isomer

5. Efavirenz, (s)-isomer

6. L 743,726

7. L 743726

8. L-743,726

9. L-743726

10. Stocrin

11. Sustiva

2.3.2 Depositor-Supplied Synonyms

1. 154598-52-4

2. Sustiva

3. Stocrin

4. Dmp-266

5. Dmp 266

6. Efv

7. (4s)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2h-3,1-benzoxazin-2-one

8. (4s)-6-chloro-4-(2-cyclopropylethynyl)-4-(trifluoromethyl)-1h-3,1-benzoxazin-2-one

9. Viraday

10. Efavirenz Teva

11. L-743726

12. (rac)-efavirenz

13. L-743,726

14. (s)-efavirenz

15. (4s)-6-chloro-4-(2-cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2h-3,1-benzoxazin-2-one

16. (s)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2h-3,1-benzoxazin-2-one

17. Nsc-742403

18. (-)-6-chloro-4-cyclopropylethynyl-4-trifluoromethyl-1,4-dihydro-2h-3,1-benzoxazin-2-one

19. (4s)-6-chloro-4-(2-cyclopropylethynyl)-4-(trifluoromethyl)-2,4-dihydro-1h-3,1-benzoxazin-2-one

20. Je6h2o27p8

21. Chebi:119486

22. Nsc742403

23. (4s)-6-chloro-4-(cyclopropylethynyl)-4-(trifluoromethyl)-1,4-dihydro-2h-3,1-benzoxazin-2-one

24. (s)-6-chloro-4-cyclopropylethynyl-4-trifluoromethyl-1,4-dihydro-benzo[d][1,3]oxazin-2-one

25. Dsstox_cid_26029

26. Dsstox_rid_81298

27. Dsstox_gsid_46029

28. (s)-6-chloro-4-(cyclopropylethynyl)-4-(trifluoromethyl)-1,4-dihydro-2h-benzo[d][1,3]oxazin-2-one

29. (s)-6-chloro-4-(cyclopropylethynyl)-4-(trifluoromethyl)-1h-benzo[d][1,3]oxazin-2(4h)-one

30. 2h-3,1-benzoxazin-2-one, 6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-, (4s)-

31. 6-chloro-4-(2-cyclopropyl-1-ethynyl)-4-trifluoromethyl-(4s)-1,4-dihydro-2h-benzo[d][1,3]oxazin-2-one

32. (-)-efavirenz

33. (rac)-dmp 266; (rac)-efv; (rac)-l-743726

34. Eravirenz

35. Smr000466351

36. Strocin (tm)

37. Sustiva (tm)

38. Sustiva (tn)

39. Cas-154598-52-4

40. L 743726

41. Hsdb 7163

42. Sr-01000759360

43. Efavirenz [usp:inn:ban]

44. Unii-je6h2o27p8

45. Efavirenzum

46. Met-sdf-1.beta. & Efavirenz

47. 1ikv

48. 1ikw

49. Efavirenz- Bio-x

50. Ncgc00159337-02

51. Efavirenz, (s)

52. Efavirenz & Plga

53. Mfcd05662344

54. Efavirenz & Ifnl1

55. Efavirenz & Ifnl2

56. Efavirenz & Ifnl3

57. Efavirenz & Il-29

58. Efavirenz [inn]

59. Efavirenz [jan]

60. Dmp-266; Efavirenz

61. Efavirenz & Il-28a

62. Efavirenz & Il-28b

63. Efavirenz [mi]

64. Efavirenz [hsdb]

65. Efavirenz [usan]

66. Efv & Interleukin 29

67. Efavirenz [vandf]

68. Efv & Interleukin 28a

69. Efv & Interleukin 28b

70. Efv & Plga

71. Efavirenz [mart.]

72. Efavirenz [usp-rs]

73. Efavirenz [who-dd]

74. Efavirenz [who-ip]

75. Efv & Ifnl1

76. Efv & Ifnl2

77. Efv & Ifnl3

78. Efavirenz (jan/usp/inn)

79. Efv & Interferon Lambda-1

80. Efv & Interferon Lambda-2

81. Efv & Interferon Lambda-3

82. Efavirenz & Interleukin 29

83. Schembl37762

84. Efavirenz [ema Epar]

85. Efavirenz & Interleukin 28a

86. Efavirenz & Interleukin 28b

87. Efavirenz Ready Made Solution

88. Mls000759465

89. Mls001424087

90. Bidd:gt0383

91. Amy229

92. Bdbm2483

93. Chembl223228

94. Dmp266

95. Efv & Il-28a

96. Efv & Il-28b

97. Efavirenz [orange Book]

98. Dtxsid9046029

99. Efavirenz, >=98% (hplc)

100. Efavirenz & Interferon Lambda-1

101. Efavirenz & Interferon Lambda-2

102. Efavirenz & Interferon Lambda-3

103. Efv & Il-29

104. Gtpl11287

105. Telura Component Efavirenz

106. Efavirenz [usp Monograph]

107. Atripla Component Efavirenz

108. Bcpp000245

109. Hms2051j08

110. Hms2090n16

111. Hms3393j08

112. Hms3713m14

113. Met-stromal Cell-derived Factor-1.beta. (human) & Efavirenz

114. Efavirenzum [who-ip Latin]

115. 2h-3,1-benzoxazin-2-one, 6-chloro-4-(2-cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-, (4s)-

116. Bcp27719

117. Zinc2020233

118. Tox21_111582

119. Dl-535

120. S4685

121. Efavirenz Component Of Atripla

122. Akos015894951

123. Efavirenz & Poly-lactide-co-glycolide

124. Tox21_111582_1

125. Ab21723

126. Bcp9000636

127. Ccg-101011

128. Db00625

129. Ks-5380

130. Nc00261

131. Nsc 742403

132. (s)-6-chloro-4-cyclopropylethynyl-4-trifluoromethyl-1,4-dihydro-2h-3,1-benzoxazin-2-one

133. Efavirenz 100 Microg/ml In Acetonitrile

134. Ncgc00159337-04

135. Ncgc00159337-12

136. Ncgc00271713-05

137. Ncgc00271713-08

138. Ac-25006

139. Bc164402

140. Hy-10572

141. E0997

142. C08088

143. D00896

144. F17329

145. Ab00639956-06

146. Ab00639956-08

147. 598e524

148. A809555

149. Q422645

150. J-520431

151. Sr-01000759360-4

152. Sr-01000759360-5

153. Z2186909878

154. Efavirenz, United States Pharmacopeia (usp) Reference Standard

155. Efavirenz Solution, 1.0 Mg/ml In Acetonitrile, Certified Reference Material

156. (4s)-6-chloranyl-4-(2-cyclopropylethynyl)-4-(trifluoromethyl)-1h-3,1-benzoxazin-2-one

157. 2h-3, 6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-, (4s)-

158. (s)-6-chloro-4-(cyclopropyl-ethynyl)-1,4-dihydro-4-(trifluoromethyl)-2h-3,1-benzoxazine-2-one

159. (s)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-(s)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2h-3,1-benzoxazin-2-one4-(trifluoromethyl)-2h-3,1-benzoxazin-2-one

160. (s)-6-chloro-4-(cyclopropylethynyl)-4-(trifluoromethyl)-1,4-dihydro-2h-3,1-ben Zoxazin-2-one

161. (s)-6-chloro-4-(cyclopropylethynyl)-4-(trifluoromethyl)-1,4-dihydro-2h-3,1-benzoxazin-2-one

2.4 Create Date
2005-06-24
3 Chemical and Physical Properties
Molecular Weight 315.67 g/mol
Molecular Formula C14H9ClF3NO2
XLogP34
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count5
Rotatable Bond Count1
Exact Mass315.0273907 g/mol
Monoisotopic Mass315.0273907 g/mol
Topological Polar Surface Area38.3 Ų
Heavy Atom Count21
Formal Charge0
Complexity519
Isotope Atom Count0
Defined Atom Stereocenter Count1
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 4  
Drug NameEfavirenz
PubMed HealthEfavirenz (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelSUSTIVA (efavirenz) is an HIV-1 specific, non-nucleoside, reverse transcriptase inhibitor (NNRTI). Efavirenz is chemically described as (S)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2H-3,1-benzoxazin-2-one. Its empirical formu...
Active IngredientEfavirenz
Dosage FormTablet; Capsule
Routeoral
Strength200mg; 100mg; 50mg; 600mg
Market StatusTentative Approval
CompanyMatrix Labs; Macleods Pharms; Hetero Drugs; Strides; Aurobindo; Par Formulations Private; Emcure Pharma; Aurobindo Pharma; Cipla; Micro Labs

2 of 4  
Drug NameSustiva
PubMed HealthEfavirenz (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelSUSTIVA (efavirenz) is an HIV-1 specific, non-nucleoside, reverse transcriptase inhibitor (NNRTI). Efavirenz is chemically described as (S)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2H-3,1-benzoxazin-2-one. Its empirical formu...
Active IngredientEfavirenz
Dosage FormTablet; Capsule
RouteOral
Strength200mg; 600mg; 50mg
Market StatusPrescription
CompanyBristol Myers Squibb

3 of 4  
Drug NameEfavirenz
PubMed HealthEfavirenz (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelSUSTIVA (efavirenz) is an HIV-1 specific, non-nucleoside, reverse transcriptase inhibitor (NNRTI). Efavirenz is chemically described as (S)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2H-3,1-benzoxazin-2-one. Its empirical formu...
Active IngredientEfavirenz
Dosage FormTablet; Capsule
Routeoral
Strength200mg; 100mg; 50mg; 600mg
Market StatusTentative Approval
CompanyMatrix Labs; Macleods Pharms; Hetero Drugs; Strides; Aurobindo; Par Formulations Private; Emcure Pharma; Aurobindo Pharma; Cipla; Micro Labs

4 of 4  
Drug NameSustiva
PubMed HealthEfavirenz (By mouth)
Drug ClassesAntiretroviral Agent
Drug LabelSUSTIVA (efavirenz) is an HIV-1 specific, non-nucleoside, reverse transcriptase inhibitor (NNRTI). Efavirenz is chemically described as (S)-6-chloro-4-(cyclopropylethynyl)-1,4-dihydro-4-(trifluoromethyl)-2H-3,1-benzoxazin-2-one. Its empirical formu...
Active IngredientEfavirenz
Dosage FormTablet; Capsule
RouteOral
Strength200mg; 600mg; 50mg
Market StatusPrescription
CompanyBristol Myers Squibb

4.2 Therapeutic Uses

Anti-HIV Agents; Reverse Transcriptase Inhibitors

National Library of Medicine's Medical Subject Headings. Efavirenz. Online file (MeSH, 2014). Available from, as of November 19, 2013: https://www.nlm.nih.gov/mesh/2014/mesh_browser/MBrowser.html


Due to ongoing neuropsychiatric adverse events in some efavirenz (EFV)-treated patients, a switch to an alternative non-nucleoside reverse transcriptase inhibitor may be considered. Rilpivirine (RPV) has been coformulated as a single-tablet regimen (STR) with emtricitabine/tenofovir disoproxil fumarate (FTC/TDF), and the components have demonstrated noninferior efficacy to EFV+FTC/TDF, good tolerability profile, and high adherence. After discontinuation, EFV has an extended inductive effect on cytochrome P450 (CYP) 3A4 that, after switching, may reduce RPV exposures and adversely impact clinical outcomes. This study examines the clinical implications of reduced RPV exposures with concomitant FTC/TDF and declining EFV exposures when patients, intolerant to EFV, switch from EFV/FTC/TDF to RPV/FTC/TDF. This 48-week, phase 2b, open-label, multicenter study evaluated the efficacy and safety of switching from EFV/FTC/TDF (>/= 3 months duration) to RPV/FTC/TDF. Virologic suppression (HIV-1 RNA <50 copies/mL), safety, and EFV and RPV pharmacokinetics were assessed. At weeks 12 and 24, all 49 dosed subjects remained suppressed on RPV/FTC/TDF. At week 48, 46 (93.9%) subjects remained suppressed and virologic failure occurred in 2/49 (4.1%) subjects with no emergence of resistance. EFV concentrations were above the 90th percentile for inhibitory concentration (IC90) for several weeks after EFV discontinuation, and RPV exposures were in the range observed in phase 3 studies by approximately 2 weeks post switch. No subjects discontinued the study due to an adverse event. Switching from EFV/FTC/TDF to RPV/FTC/ TDF was a safe, efficacious option for virologically suppressed HIV-infected patients with EFV intolerance wishing to remain on an STR.

PMID:24144898 Mills AM et al; HIV Clin Trials 14 (5): 216-23 (2013)


Efavirenz is indicated in combination with other antiretroviral agents for the treatment of HIV-1 infection. /Included in US product labeling/

MICROMEDEX Thomson Health Care. USPDI - Drug Information for the Health Care Professional. 23rd ed. Volume 1. MICROMEDEX Thomson Health Care, Greenwood Village, CO. 2003. Content Reviewed and Approved by the U.S. Pharmacopeial Convention, Inc., p. 1184


4.3 Drug Warning

To report a case of acquired long QT syndrome that, after exclusion of all other possible causes, was probably related to therapy with efavirenz, a novel nonnucleoside reverse transcriptase inhibitor.

PMID:12022902 Castillo R et al; Ann Pharmacother 36 (6): 1006-8 (2002)


About 53% of adults receiving efavirenz (600 mg once daily) in controlled clinical studies reported adverse CNS effects such as abnormal dreams, abnormal thinking, agitation, amnesia, confusion, depersonalization, dizziness, euphoria, hallucinations, impaired concentration, insomnia, somnolence, and stupor; these adverse effects were reported in 25% of adults in the control groups not receiving efavirenz. These effects were described as mild (do not interfere with daily activities) in 33.3%, moderate (may interfere with daily activities) in 17.4%, or severe (interrupt usual daily activities) in 2% of patients receiving efavirenz and required discontinuance of the drug in 2.1%. Dizziness was reported in 28.1% and insomnia was reported in 16.3% of patients receiving the drug. Impaired concentration, somnolence, or abnormal dreams were reported in 6.2-8.3% and hallucinations were reported in 1.2% of patients.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 660


Serious adverse psychiatric symptoms have been reported rarely in adults receiving efavirenz. Severe depression, suicidal ideation, nonfatal suicide attempts, aggressive behavior, paranoid reactions, or manic reactions have been reported in 0.4-1.6% of patients receiving efavirenz in controlled clinical studies; these psychiatric symptoms were reported in up to 0.6% of those in the control groups not receiving the drug. The incidence of each of these psychiatric symptoms ranges from 0.3% (for manic reactions) to 2% (for severe depression or suicidal ideation) in patients with a prior history of psychiatric disorders, and these individuals appear to be at greater risk of such symptoms than other individuals. Other psychiatric symptoms reported in controlled clinical studies in adults receiving efavirenz include depression (15.8%), anxiety (11.1%), and nervousness (6.3%); these symptoms were reported in 13.1, 7.6, or 2%, respectively, of those in the control groups not receiving the drug. Although a causal relationship with efavirenz has not been established, there have been occasional postmarketing reports of death by suicide, delusions, or psychosis-like behavior in patients receiving efavirenz. In addition, aggressive reactions, agitation, emotional lability, mania, neurosis,and paranoia have been reported during postmarketing surveillance. There is no evidence that patients who develop adverse CNS effects (e.g., dizziness, insomnia, impaired concentration, abnormal dreams) during efavirenz therapy are at greater risk of developing psychiatric symptoms.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 661


Fatigue has been reported in up to 7% of adults receiving efavirenz in clinical studies. Other adverse nervous system effects reported during postmarketing surveillance include abnormal coordination, ataxia, seizures, hypoesthesia, paresthesia, neuropathy, and tremor. Adverse CNS effects occurred in 18% of children receiving efavirenz in clinical studies.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 661


For more Drug Warnings (Complete) data for EFAVIRENZ (21 total), please visit the HSDB record page.


4.4 Drug Indication

For use in combination treatment of HIV infection (AIDS)


FDA Label


Stocrin is indicated in antiviral combination treatment of human-immunodeficiency-virus-1 (HIV-1)-infected adults, adolescents and children three years of age and older.

Stocrin has not been adequately studied in patients with advanced HIV disease, namely in patients with CD4 counts < 50 cells/mm3, or after failure of protease-inhibitor (PI)-containing regimens. Although cross-resistance of efavirenz with PIs has not been documented, there are at present insufficient data on the efficacy of subsequent use of PI-based combination therapy after failure of regimens containing Stocrin.


Efavirenz is indicated in antiviral combination treatment of human-immunodeficiency-virus-1 (HIV-1)-infected adults, adolescents and children 3 years of age and older.

Efavirenz has not been adequately studied in patients with advanced HIV disease, namely in patients with CD4 counts < 50 cells/mm3, or after failure of protease inhibitor (PI)-containing regimens. Although cross-resistance of efavirenz with protease inhibitors (PIs) has not been documented, there are at present insufficient data on the efficacy of subsequent use of PI-based combination therapy after failure of regimens containing efavirenz.


Sustiva is indicated in antiviral combination treatment of human-immunodeficiency-virus-1 (HIV-1)-infected adults, adolescents and children three years of age and older.

Sustiva has not been adequately studied in patients with advanced HIV disease, namely in patients with CD4 counts < 50 cells/mm3, or after failure of protease-inhibitor (PI)-containing regimens. Although cross-resistance of efavirenz with PIs has not been documented, there are at present insufficient data on the efficacy of subsequent use of PI-based combination therapy after failure of regimens containing Sustiva.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Efavirenz (dideoxyinosine, ddI) is an oral non-nucleoside reverse transcriptase inhibitor (NNRTI). It is a synthetic purine derivative and, similar to zidovudine, zalcitabine, and stavudine. Efavirenz was originally approved specifically for the treatment of HIV infections in patients who failed therapy with zidovudine. Currently, the CDC recommends that Efavirenz be given as part of a three-drug regimen that includes another nucleoside reverse transcriptase inhibitor (e.g., lamivudine, stavudine, zidovudine) and a protease inhibitor or efavirenz when treating HIV infection.


5.2 MeSH Pharmacological Classification

Cytochrome P-450 CYP2C19 Inhibitors

Drugs and compounds which inhibit or antagonize the biosynthesis or actions of CYTOCHROME P-450 CYP2C19. (See all compounds classified as Cytochrome P-450 CYP2C19 Inhibitors.)


Cytochrome P-450 CYP3A Inducers

Drugs and compounds that induce the synthesis of CYTOCHROME P-450 CYP3A. (See all compounds classified as Cytochrome P-450 CYP3A Inducers.)


Reverse Transcriptase Inhibitors

Inhibitors of reverse transcriptase (RNA-DIRECTED DNA POLYMERASE), an enzyme that synthesizes DNA on an RNA template. (See all compounds classified as Reverse Transcriptase Inhibitors.)


Cytochrome P-450 CYP2B6 Inducers

Drugs and compounds that induce the synthesis of CYTOCHROME P-450 CYP2B6. (See all compounds classified as Cytochrome P-450 CYP2B6 Inducers.)


Cytochrome P-450 CYP2C9 Inhibitors

Drugs and compounds which inhibit or antagonize the biosynthesis or actions of CYTOCHROME P-450 CYP2C9. (See all compounds classified as Cytochrome P-450 CYP2C9 Inhibitors.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
EFAVIRENZ
5.3.2 FDA UNII
JE6H2O27P8
5.3.3 Pharmacological Classes
Cytochrome P450 2C19 Inhibitors [MoA]; Cytochrome P450 2C9 Inhibitors [MoA]; Cytochrome P450 3A Inducers [MoA]; Cytochrome P450 3A4 Inhibitors [MoA]; Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor [EPC]; Non-Nucleoside Analog [EXT]; Non-Nucleoside Reverse Transcriptase Inhibitors [MoA]; Cytochrome P450 2B6 Inducers [MoA]
5.4 ATC Code

J05AG03


J05AG03


J05AG03


J05AG03

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


J - Antiinfectives for systemic use

J05 - Antivirals for systemic use

J05A - Direct acting antivirals

J05AG - Non-nucleoside reverse transcriptase inhibitors

J05AG03 - Efavirenz


5.5 Absorption, Distribution and Excretion

Route of Elimination

Nearly all of the urinary excretion of the radiolabeled drug was in the form of metabolites.


Oral bioavailability of efavirenz may be affected by administration with food. Administration of a single 600-mg dose of efavirenz as capsules with a high-fat, high-calorie meal (894 kcal, 54 g fat, 54% of calories from fat) or a reduced-fat, normal-calorie meal (440 kcal, 2 g fat, 4% of calories from fat) increases peak plasma concentrations of the drug by 39 or 51%, respectively, and AUC by 22 or 17%, respectively, compared with administration in the fasting state. Administration of a single 600-mg dose of efavirenz as tablets with a high-fat, high-calorie meal (approximately 1000 kcal, 500-600 kcal from fat) increases peak plasma concentrations and AUC of the drug by 79 and 28%, respectively, compared with administration in the fasting state.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 667


Efavirenz is excreted principally in the feces, both as unchanged drug and metabolites. Excretion of efavirenz has been evaluated in individuals receiving 400 mg daily for 1 month. Following oral administration of 400 mg of radiolabeled efavirenz on day 8, 14-34% of the dose was excreted in urine (less than 1% as unchanged drug), and 16-61% was excreted in feces (predominantly as unchanged drug).

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 667


Efavirenz is about 99.5-99.75% bound to plasma proteins, principally albumin.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 667


In HIV-infected adults receiving efavirenz 200, 400, or 600 mg once daily, peak plasma concentrations of the drug generally occur in 3-5 hours and steady-state plasma concentrations are achieved in 6-10 days. Following continued administration of efavirenz, plasma concentrations are lower than expected from single-dose studies, presumably because of increased clearance of the drug. In one study in individuals receiving efavirenz 200-400 mg once daily for 10 days, plasma concentrations of the drug were 22-42% lower than those predicted from single-dose studies. Following oral administration of efavirenz 600 mg once daily in HIV-infected adults, peak plasma concentration, trough plasma concentration, and AUC of the drug at steady-state averaged 4.1 mcg/mL, 1.8 mcg/mL, and 58. mcg*hour/mL, respectively.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 666


For more Absorption, Distribution and Excretion (Complete) data for EFAVIRENZ (8 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Efavirenz is principally metabolized by the cytochrome P450 system to hydroxylated metabolites with subsequent glucuronidation of these hydroxylated metabolites. These metabolites are essentially inactive against HIV-1.


Efavirenz was metabolized extensively by all the species as evidenced by the excretion of none or trace quantities of parent compound in urine. Significant species differences in the metabolism of efavirenz were observed. The major metabolite excreted in the urine of all species was the O-glucuronide conjugate (M1) of the 8-hydroxylated metabolite. Efavirenz was also metabolized by direct conjugation with glucuronic acid, forming the N-glucuronide (M2) in all five species. The sulfate conjugate of 8-OH efavirenz (M3) was found in the urine of rats and cynomolgus monkeys but not in humans. In addition to the aromatic ring-hydroxylated products, metabolites with a hydroxylated cyclopropane ring (at C14) were also isolated. GSH-related products of efavirenz were identified in rats and guinea pigs. The cysteinylglycine adduct (M10), formed from the GSH adduct (M9), was found in significant quantities in only rat and guinea pig urine and was not detected in other species. In vitro metabolism studies were conducted to show that the GSH adduct was produced from the cyclopropanol intermediate (M11) in the presence of only rat liver and kidney subcellular fractions and was not formed by similar preparations from humans or cynomolgus monkeys. These studies indicated the existence of a specific glutathione-S-transferase in rats capable of metabolizing the cyclopropanol metabolite (M11) to the GSH adduct, M9.

PMID:10534318 Mutlib AE et al; Drug Metab Dispos 27 (11): 1319-33 (1999)


Efavirenz is a substrate for cytochrome p450 isoforms, particularly CYP3A4 and CYP2B6. The 8-hydroxy metabolite is excreted in the urine, and the glucuronide conjugate of 8-hydroxy-efavirenz is present in plasma and urine. Sixty percent of the dose is excreted in urine as the glucuronide conjugate.

Hardman, J.G., L.E. Limbird, P.B., A.G. Gilman. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 10th ed. New York, NY: McGraw-Hill, 2001., p. 1363


Efavirenz has known human metabolites that include 8-hydroxyefavirenz.

S73 | METXBIODB | Metabolite Reaction Database from BioTransformer | DOI:10.5281/zenodo.4056560


5.7 Biological Half-Life

40-55 hours


The terminal elimination half-life of efavirenz is prolonged in patients with chronic liver disease. Following oral administration of a single 400-mg dose of efavirenz, an elimination half-life of 152 or 118 hours was reported in individuals with or without chronic liver disease, respectively.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 667


The terminal elimination half-life of efavirenz reported in single-dose studies is longer than that reported in multiple-dose studies and has averaged 52-76 hours after a single oral dose and 40-55 hours following administration of 200-400 mg daily for 10 days.

American Society of Health-System Pharmacists 2013; Drug Information 2013. Bethesda, MD. 2013, p. 667


5.8 Mechanism of Action

Similar to zidovudine, efavirenz inhibits the activity of viral RNA-directed DNA polymerase (i.e., reverse transcriptase). Antiviral activity of efavirenz is dependent on intracellular conversion to the active triphosphorylated form. The rate of efavirenz phosphorylation varies, depending on cell type. It is believed that inhibition of reverse transcriptase interferes with the generation of DNA copies of viral RNA, which, in turn, are necessary for synthesis of new virions. Intracellular enzymes subsequently eliminate the HIV particle that previously had been uncoated, and left unprotected, during entry into the host cell. Thus, reverse transcriptase inhibitors are virustatic and do not eliminate HIV from the body. Even though human DNA polymerase is less susceptible to the pharmacologic effects of triphosphorylated efavirenz, this action may nevertheless account for some of the drug's toxicity.


Efavirenz diffuses into the cell where it binds adjacent to the active site of reverse transcriptase. This produces a conformational change in the enzyme that inhibits function.

Hardman, J.G., L.E. Limbird, P.B., A.G. Gilman. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 10th ed. New York, NY: McGraw-Hill, 2001., p. 1363


USDMF

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Efavirenz (IH)

Date of Issue : 2022-06-06

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Address of the Firm : Unit No. VIII, Sy. No. 10 & 13, Gaddapotharam Village, I,D.A. Kazipally, Jinnara...

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Date of Issue : 2019-06-26

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Date of Issue : 2019-06-26

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Written Confirmation Number : WC-0141

Address of the Firm : D-27, MIDC, Kurkumbh, Dist. Pune-413 802

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Date of Issue : 2024-02-19

Valid Till : 2027-02-19

Written Confirmation Number : WC-0578

Address of the Firm : Sy.No.405 & 408, Veliminedu (Village), Chityal (Mandal), Nalgonda District — 5...

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Efavirenz (IH/USP)

Date of Issue : 2022-09-16

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Address of the Firm : Unit-I, Survey No.10, I.D.A, Gaddapotharam Village, Jinnaram Mandal,Medak Dist, ...

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Date of Issue : 2019-08-16

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Written Confirmation Number : WC-0065a

Address of the Firm : (Unit-IX), Plot No. 2, Hetero Infra structure SEZ Ltd, Nrasapuram Village, Nakka...

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Date of Issue : 2019-08-16

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Written Confirmation Number : WC-0065

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Efavirenz (USP/IH/Ph.Int)

Date of Issue : 2023-07-03

Valid Till : 2025-07-02

Written Confirmation Number : WC-0213

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Date of Issue : 2019-11-28

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Written Confirmation Number : WC-0079

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Date of Issue : 2019-08-05

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Registrant Name : Pharmapia Co., Ltd.

Registration Date : 2023-03-23

Registration Number : 20230323-209-J-1464

Manufacturer Name : Cipla Limited

Manufacturer Address : D-27, MIDC Industrial Area KurKumbh, Taluka-Daund District-Pune-413 802, Maharashtra,...

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Registrant Name : Korea MSD Co., Ltd.

Registration Date : 2009-04-29

Registration Number : No. 906-8-ND

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NDC Package Code : 65862-324

Start Marketing Date : 2024-01-12

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NDC Package Code : 69988-0008

Start Marketing Date : 1997-07-01

End Marketing Date : 2025-12-31

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Marketing Category : DRUG FOR FURTHER PROCESSING

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NDC Package Code : 48087-0131

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NDC Package Code : 48087-0062

Start Marketing Date : 2010-04-08

End Marketing Date : 2025-12-31

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Marketing Category : BULK INGREDIENT

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NDC Package Code : 68554-0042

Start Marketing Date : 1998-09-17

End Marketing Date : 2025-12-31

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Marketing Category : BULK INGREDIENT

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NDC Package Code : 68554-0018

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Marketing Category : BULK INGREDIENT

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NDC Package Code : 70366-002

Start Marketing Date : 2016-02-29

End Marketing Date : 2025-12-31

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NDC Package Code : 84206-0034

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NDC Package Code : 84206-0033

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NDC Package Code : 65015-868

Start Marketing Date : 2015-02-17

End Marketing Date : 2025-12-31

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LGM Pharma is a global leader in sourcing hard-to-find APIs and intermediates for the pharmaceutical and biotech industries. LGM is also a full service CDMO providing formulation, analytical method development and testing, and commercial manufacturing. LGM Pharma offers custom API synthesis, analytical development, and regulatory services. With a network of over 300 accredited CGMP manufacturing partners, LGM provides unparalleled supply chain security. And, with over 100,000 square feet of FDA-inspected cGMP manufacturing and warehouse capacity, LGM Pharma provides a one-stop solution for solid dose, powder, semi-solid and liquid drugs.
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About the Company : Gonane Pharma, is a contract pharmaceutical company located in Gujarat, India, specializing in the manufacturing and marketing of Corticosteroids, Hormones, Antivirals, and Oncolog...

Gonane Pharma, is a contract pharmaceutical company located in Gujarat, India, specializing in the manufacturing and marketing of Corticosteroids, Hormones, Antivirals, and Oncology products. The company's core strength lies in its dedicated team, and its promoters bring over 25 years of experience in manufacturing, promoting products, and managing audits for regulated markets such as the EU, Mexico, China, Korea, and Russia. GONANE PHARMA is actively engaged in discussions with Japanese customers and anticipates further expansion into additional markets.
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About the Company : Jai Radhe Sales was founded in 1999 as an out-of-the-box distribution firm specializing in the global supply of high-quality pharmaceutical ingredients. The firm provides complete ...

Jai Radhe Sales was founded in 1999 as an out-of-the-box distribution firm specializing in the global supply of high-quality pharmaceutical ingredients. The firm provides complete sourcing solutions for pharmaceutical products from India, including technical and regulatory assistance. It believes in providing its customers with high-quality products at reasonable prices. It has always endeavored to achieve global standards in the field of pharmaceuticals and has carved out a niche for itself through new methods based on current market needs. Today, it has established itself as a truly global company, with exports to almost every continent.
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About the Company : HRV Global is a leading global manufacturer, seller & exporter of a wide range of APIs, advanced intermediates, pellets, food grade chemicals, food additives & food ingredients. It...

HRV Global is a leading global manufacturer, seller & exporter of a wide range of APIs, advanced intermediates, pellets, food grade chemicals, food additives & food ingredients. It offers services such as sourcing, manufacturing & supply, helping partners enter new markets worldwide. Its strong partnerships with major players in the pharma and food additive industries help HRV Global effectively promote projects and products. HRV Global represents over 30 large Indian drugmakers, primarily targeting Europe, the US & the Middle East markets. Headquartered in India, HRV Global has offices in the US, Switzerland, Dubai, Lithuania & Turkey.
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About the Company : Dasami Lab Private Limited incorporated with MCA on 24 July 2015. The Dasami Lab Private Limited is listed in the class of pvtltd company and classified as Non Govt Company. This c...

Dasami Lab Private Limited incorporated with MCA on 24 July 2015. The Dasami Lab Private Limited is listed in the class of pvtltd company and classified as Non Govt Company. This company is registered at Registrar of Companies(ROC), Hyderabad with an Authorized Share Capital of Rs. 110 CR and its paid up capital is 110 CR.
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About the Company : Guangzhou Topwork Chemical Co., Ltd. Specializes in manufacturing corticosteroid and relative intermediates. We provide high quality products and excellent service to our clients a...

Guangzhou Topwork Chemical Co., Ltd. Specializes in manufacturing corticosteroid and relative intermediates. We provide high quality products and excellent service to our clients and have gained a high business reputation in the world market. Topwork gathers a group of energetic, hardworking and much experienced experts. They dedicate their entire efforts to research and development of new products. To guarantee the quality of our products, we have established an international standard quality control system. All of our products conform the latest standard of USP, EP, BP and CP.
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About the Company : Guangzhou Tosun Pharmaceutical was founded in 1999, which mainly focuses on importation & exportation of Active Pharmaceutical Ingrediants, Chemical Raw Materials, Intermediate, Ex...

Guangzhou Tosun Pharmaceutical was founded in 1999, which mainly focuses on importation & exportation of Active Pharmaceutical Ingrediants, Chemical Raw Materials, Intermediate, Excipients, Herbal extracts, Formulation of Chinese & Western Medicine. With abundant economic strength, the group has successfully developed to a pharmaceutical group enterprise wich intergrets operation of medicine & related products, processing & manufacturing, and importation & exportation together.
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About the Company : Hetero is a research based global pharmaceutical company focused on development, manufacturing and marketing of Active Pharmaceutical Ingredients (APIs), Intermediate Chemicals & F...

Hetero is a research based global pharmaceutical company focused on development, manufacturing and marketing of Active Pharmaceutical Ingredients (APIs), Intermediate Chemicals & Finished Dosages. Ever since its establishment in 1993, Hetero showed a tradition of excellence and deep sense of commitment in developing cost effective processes to offer wide range of affordable drugs. Hetero is building on the strengths of vertical integration in discovery research, process chemistry, API manufacturing, formulation development and commercialization.
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About the Company : Laurus Labs is a leading research and development-driven pharmaceutical company in India. The company has grown consistently to become one of the leading manufacturers of Active Ph...

Laurus Labs is a leading research and development-driven pharmaceutical company in India. The company has grown consistently to become one of the leading manufacturers of Active Pharmaceutical Ingredients (APIs) for anti-retroviral (ARV) and Hepatitis C. Laurus Labs also manufactures APIs in oncology and other therapeutic areas. Its strategic and early investments in R&D and manufacturing infrastructure have enabled it to become one of the leading suppliers of APIs in the ARV therapeutic area. Out of Ten largest generic pharmaceutical companies in the world, by revenues, are our customers.
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About the Company : Mangalam Drugs & Organics Limited started manufacturing APIs and intermediates in 1977 in Gujarat, India. It has a multi-product manufacturing facility and an in-house R&D lab reco...

Mangalam Drugs & Organics Limited started manufacturing APIs and intermediates in 1977 in Gujarat, India. It has a multi-product manufacturing facility and an in-house R&D lab recognized by the Department of Scientific and Industrial Research, India. Mangalam has established a reputation as a one-stop shop for anti-malaria API and its API manufacturing plant is approved by WHO-GENEVA GMP and EDQM. Mangalam has an agreement with the Clinton Health Access Initiative for the supply of anti-malaria APIs worldwide. It has a wide range of products and is the largest manufacturer of some products in the world. It is among the top companies in Asia.
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D6 & D8, SY.NO. 234\/2,234\/3, ,235\/2 & 542\/2, IKP KNOWLEDGE PARK,"},{"dataSource":"API Import","activeIngredients":"","year":"2022","qtr":"Q2","strtotime":1651689000,"product":"EFAVIRENZ RELATED COMPOUND B (QTY:2X10 MG,PRICE: USD 877\/EACH)(FOC)","address":"P.NO. D6 & D8, SY.NO. 234\/2,234\/3, ,235\/2 & 542\/2, IKP KNOWLEDGE PARK,","city":"TURKAPALLY-V SHAMIRPET HYDERABAD,TE","supplier":"USP","supplierCountry":"INDIA","foreign_port":"NA","customer":"UNITED STATES PHARMACOPEIA - INDIA PRIVATE LIMITED","customerCountry":"INDIA","quantity":"0.00","actualQuantity":"0.00002","unit":"KGS","unitRateFc":"87700000","totalValueFC":"1784.6","currency":"USD","unitRateINR":"6896169000","date":"05-May-2022","totalValueINR":"137923.38","totalValueInUsd":"1784.6","indian_port":"HYDERABAD AIR","hs_no":"29349990","bill_no":"8552789","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"NA","supplierAddress":"","customerAddress":"P.NO. D6 & D8, SY.NO. 234\/2,234\/3, ,235\/2 & 542\/2, IKP KNOWLEDGE PARK,"},{"dataSource":"API Import","activeIngredients":"","year":"2023","qtr":"Q3","strtotime":1692729000,"product":"EFAVIRENZ USP (MICRONIZED GRADE I)","address":"PLOT NO.2, MAITRIVIHAR,","city":"HYDERABAD\/ANDHRA PRADESH","supplier":"DESANO LIMITED","supplierCountry":"CHINA","foreign_port":"SHANGHAI","customer":"AUROBINDO PHARMA LIMITED","customerCountry":"INDIA","quantity":"1800.00","actualQuantity":"1800","unit":"KGS","unitRateFc":"110.1","totalValueFC":"200646.3","currency":"USD","unitRateINR":"9233.8","date":"23-Aug-2023","totalValueINR":"16620797","totalValueInUsd":"200646.3","indian_port":"SEZ\/Mahaboobnagar","hs_no":"29419019","bill_no":"1002335","productDescription":"API","marketType":"REGULATED MARKET","country":"CHINA","selfForZScoreResived":"Micronized","supplierPort":"SHANGHAI","supplierAddress":"NO.1479, ZHANGHENG ROAD ZHAMGJIANG HI-TECH PARK CHINA","customerAddress":"PLOT NO.2, MAITRIVIHAR,"},{"dataSource":"API Import","activeIngredients":"","year":"2023","qtr":"Q4","strtotime":1702665000,"product":"(N.C.V)EFAVIRENZ(COMPLAINT SAMPLE FOR ANALYTICAL PURPOSE ONLY)","address":"MUMBAI CENTRAL,","city":"MUMBAI, MAHARASHTRA.","supplier":"PLIVA HRVATSKA","supplierCountry":"INDIA","foreign_port":"ZAGREB","customer":"CIPLA","customerCountry":"INDIA","quantity":"0.05","actualQuantity":"50","unit":"GMS","unitRateFc":"0.5","totalValueFC":"22.8","currency":"USD","unitRateINR":"37.9","date":"16-Dec-2023","totalValueINR":"1896.75","totalValueInUsd":"22.8","indian_port":"Bombay Air","hs_no":"29349990","bill_no":"9254956","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"ZAGREB","supplierAddress":"PRILAZ BARUNA FILIPOVICA 25 10000ZAGREB CROATIASDNF Croatia","customerAddress":"MUMBAI CENTRAL,"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1732041000,"product":"EFAVIRENZ F-A (EAE)MI IH","address":"Plot no 564-A-22, Road No 92 ,\u00a0 Jubilee Hills, Film Nagar, Shaikpet, ,\u00a0 Hyderabad , \u00a0HYDERABAD ,\u00a0 TELANGANA,\u00a0 500096","city":"","supplier":"TIANISH LABORATORIES PRIVATE LIMITED UNIT 10 SEZ","supplierCountry":"INDIA","foreign_port":"RPCIPL SEZ","customer":"TIANISH LABORATORIES PRIVATE LIMITED","customerCountry":"INDIA","quantity":"576.73","actualQuantity":"576.73","unit":"KGS","unitRateFc":"135","totalValueFC":"78696.4","currency":"USD","unitRateINR":"11515","date":"20-Nov-2024","totalValueINR":"6641045.95","totalValueInUsd":"78696.4","indian_port":"Vizag-RPCIPL SEZ","hs_no":"29214290","bill_no":"6771181","productDescription":"Re-Import","marketType":"REGULATED MARKET","country":"INDIA","selfForZScoreResived":"Pharma Grade","supplierPort":"RPCIPL SEZ","supplierAddress":"PLOT NO.86 VISAKHAPHARMACITY LTD PARAWADA MANDAL,ANAKAPALLI DIST SDNF India","customerAddress":"Plot no 564-A-22, Road No 92 ,\u00a0 Jubilee Hills, Film Nagar, Shaikpet, ,\u00a0 Hyderabad , \u00a0HYDERABAD ,\u00a0 TELANGANA,\u00a0 500096"},{"dataSource":"API Import","activeIngredients":"","year":"2024","qtr":"Q4","strtotime":1732559400,"product":"EFAVIRENZ F-A(EAE)MI IH","address":"Plot no 564-A-22, Road No 92 ,\u00a0 Jubilee Hills, Film Nagar, Shaikpet, ,\u00a0 Hyderabad , \u00a0HYDERABAD ,\u00a0 TELANGANA,\u00a0 500096","city":"","supplier":"TIANISH LABORATORIES PRIVATE LIMITED UNIT 10 SEZ","supplierCountry":"INDIA","foreign_port":"RPCIPL SEZ","customer":"TIANISH LABORATORIES PRIVATE LIMITED","customerCountry":"INDIA","quantity":"184.87","actualQuantity":"184.87","unit":"KGS","unitRateFc":"134.9","totalValueFC":"25226","currency":"USD","unitRateINR":"11515","date":"26-Nov-2024","totalValueINR":"2128778.05","totalValueInUsd":"25226","indian_port":"Vizag-RPCIPL 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04-Jan-2021
20-Feb-2025
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INTERMEDIATE SUPPLIERS

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01

Suanfarma

Spain
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  • EDQM
  • WHO-GMP

Virtual BoothSuanfarma, at the Core of a Better Life.

CAS Number : 107-19-7

End Use API : Efavirenz

About The Company : Suanfarma founded in 1993, is a B2B life science partner committed to health advancement by developing, manufacturing, & distributing high-quality APIs for the ...

Suanfarma

02

ELCC
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CAS Number : 127641-25-2

End Use API : Efavirenz

About The Company : Established in 2016, a state-of-the-art R&D facility engaged in the development of Novel processes for Bulk Actives including Deuterated Actives, Advanced Inter...

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03

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CAS Number : 100-07-2

End Use API : Efavirenz

About The Company : Novaphene comprises of two business divisions, Manufacturing - Novaphene Specialities Pvt. Ltd. and Distribution - Novaphene Impex. We are privately managed and...

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04

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CAS Number : 693-04-9

End Use API : Efavirenz

About The Company : Sanpra Synthesis strongly believes that with its expertise and innovative pharmaceutical business background, it is aptly positioned for APIs and intermediates ...

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05

ELCC
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CAS Number : 100-07-2

End Use API : Efavirenz

About The Company : Shree Ganesh Remedies is established Since 1995 with an aim to manufacture, supply and export best quality of Pharmaceutical-intermediates, Bulk drugs and Speci...

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DRUG PRODUCT COMPOSITIONS

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DOSAGE - TABLET;ORAL - 400MG;300MG;300MG

USFDA APPLICATION NUMBER - 208255

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DOSAGE - CAPSULE;ORAL - 100MG **Federal Regis...DOSAGE - CAPSULE;ORAL - 100MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 20972

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DOSAGE - CAPSULE;ORAL - 200MG **Federal Regis...DOSAGE - CAPSULE;ORAL - 200MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 20972

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DOSAGE - CAPSULE;ORAL - 50MG **Federal Regist...DOSAGE - CAPSULE;ORAL - 50MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 20972

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DOSAGE - TABLET;ORAL - 300MG **Federal Regist...DOSAGE - TABLET;ORAL - 300MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

USFDA APPLICATION NUMBER - 21360

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DOSAGE - TABLET;ORAL - 600MG

USFDA APPLICATION NUMBER - 21360

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DOSAGE - TABLET;ORAL - 600MG;200MG;300MG

USFDA APPLICATION NUMBER - 21937

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ABOUT THIS PAGE

Looking for 154598-52-4 / Efavirenz API manufacturers, exporters & distributors?

Efavirenz manufacturers, exporters & distributors 1

69

PharmaCompass offers a list of Efavirenz API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Efavirenz manufacturer or Efavirenz supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Efavirenz manufacturer or Efavirenz supplier.

PharmaCompass also assists you with knowing the Efavirenz API Price utilized in the formulation of products. Efavirenz API Price is not always fixed or binding as the Efavirenz Price is obtained through a variety of data sources. The Efavirenz Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Efavirenz

Synonyms

154598-52-4, Sustiva, Stocrin, Dmp-266, Dmp 266, Efv

Cas Number

154598-52-4

Unique Ingredient Identifier (UNII)

JE6H2O27P8

About Efavirenz

Efavirenz is a synthetic non-nucleoside reverse transcriptase (RT) inhibitor with antiviral activity. Efavirenz binds directly to the human immunodeficiency virus type 1 (HIV-1) RT, an RNA-dependent DNA polymerase, blocking its function in viral DNA replication. In combination with other antiretroviral drugs, this agent has been shown to significantly reduce HIV viral load, retarding or preventing damage to the immune system and reducing the risk of developing AIDS. Efavirenz induces activity of the cytochrome P450 system, accelerating its own metabolism.

Efavirenz Manufacturers

A Efavirenz manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Efavirenz, including repackagers and relabelers. The FDA regulates Efavirenz manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Efavirenz API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Efavirenz manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Efavirenz Suppliers

A Efavirenz supplier is an individual or a company that provides Efavirenz active pharmaceutical ingredient (API) or Efavirenz finished formulations upon request. The Efavirenz suppliers may include Efavirenz API manufacturers, exporters, distributors and traders.

click here to find a list of Efavirenz suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Efavirenz USDMF

A Efavirenz DMF (Drug Master File) is a document detailing the whole manufacturing process of Efavirenz active pharmaceutical ingredient (API) in detail. Different forms of Efavirenz DMFs exist exist since differing nations have different regulations, such as Efavirenz USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Efavirenz DMF submitted to regulatory agencies in the US is known as a USDMF. Efavirenz USDMF includes data on Efavirenz's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Efavirenz USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Efavirenz suppliers with USDMF on PharmaCompass.

Efavirenz KDMF

In Korea, the Ministry of Food and Drug Safety (MFDS) is in charge of regulating pharmaceutical products and services.

Pharmaceutical companies submit a Efavirenz Drug Master File in Korea (Efavirenz KDMF) to the MFDS, which includes comprehensive information about the production, processing, facilities, materials, packaging, and testing of Efavirenz. The MFDS reviews the Efavirenz KDMF as part of the drug registration process and uses the information provided in the Efavirenz KDMF to evaluate the safety and efficacy of the drug.

After submitting a Efavirenz KDMF to the MFDS, the registered manufacturer can provide importers or distributors with the registration number without revealing confidential information to Korean business partners. Applicants seeking to register their Efavirenz API can apply through the Korea Drug Master File (KDMF).

click here to find a list of Efavirenz suppliers with KDMF on PharmaCompass.

Efavirenz WC

A Efavirenz written confirmation (Efavirenz WC) is an official document issued by a regulatory agency to a Efavirenz manufacturer, verifying that the manufacturing facility of a Efavirenz active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting Efavirenz APIs or Efavirenz finished pharmaceutical products to another nation, regulatory agencies frequently require a Efavirenz WC (written confirmation) as part of the regulatory process.

click here to find a list of Efavirenz suppliers with Written Confirmation (WC) on PharmaCompass.

Efavirenz NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Efavirenz as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Efavirenz API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Efavirenz as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Efavirenz and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Efavirenz NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Efavirenz suppliers with NDC on PharmaCompass.

Efavirenz GMP

Efavirenz Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Efavirenz GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Efavirenz GMP manufacturer or Efavirenz GMP API supplier for your needs.

Efavirenz CoA

A Efavirenz CoA (Certificate of Analysis) is a formal document that attests to Efavirenz's compliance with Efavirenz specifications and serves as a tool for batch-level quality control.

Efavirenz CoA mostly includes findings from lab analyses of a specific batch. For each Efavirenz CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Efavirenz may be tested according to a variety of international standards, such as European Pharmacopoeia (Efavirenz EP), Efavirenz JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Efavirenz USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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