Biktarvy (BIC/FTC/TAF)
Single-tablet HIV regimen containing bictegravir 50 mg, emtricitabine 200 mg, and tenofovir alafenamide 25 mg. One of the most prescribed first-line HIV regimens globally. Dose-limiting PK is bictegravir's plasma half-life (~18h). One pill once daily; well-tolerated with high barrier to resistance.
Projected serum levels — 1 pill (≈ 275 mg), once daily
Maintenance schedule: 1 pill (≈ 275 mg) once daily (oral).
Modeled steady state after ~1 days: peak ≈ 104 mg, trough ≈ 5.3 mg body load. Population-based estimate over 15 days for a reference dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Antiretroviral
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 4.9 h
- Common dose
- 1 pill (≈ 275 mg)
- Suggested maximum
- 1 pill/day
- Reference dose range
- 0.50–1 pill (single dose)
- Suggested cadence
- once daily
Documented interactions
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Bictegravir (BIC) + Biktarvy (BIC/FTC/TAF)
Bictegravir (BIC) and Biktarvy (BIC/FTC/TAF) both push the hiv integrase in the same direction.
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Cabotegravir (Apretude / Vocabria) + Biktarvy (BIC/FTC/TAF)
Biktarvy (BIC/FTC/TAF) and Cabotegravir (Apretude / Vocabria) both push the hiv integrase in the same direction.
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Descovy (TAF/FTC) + Biktarvy (BIC/FTC/TAF)
Biktarvy (BIC/FTC/TAF) and Descovy (TAF/FTC) both push the hiv reverse transcriptase nrti in the same direction.
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Dolutegravir (DTG / Tivicay) + Biktarvy (BIC/FTC/TAF)
Biktarvy (BIC/FTC/TAF) and Dolutegravir (DTG / Tivicay) both push the hiv integrase in the same direction.
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Emtricitabine (FTC / Emtriva) + Biktarvy (BIC/FTC/TAF)
Biktarvy (BIC/FTC/TAF) and Emtricitabine (FTC / Emtriva) both push the hiv reverse transcriptase nrti in the same direction.
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Lamivudine (3TC, Epivir) + Biktarvy (BIC/FTC/TAF)
Biktarvy (BIC/FTC/TAF) and Lamivudine (3TC, Epivir) both push the hiv reverse transcriptase nrti in the same direction.
Serum checks 8 modeled interaction pairings for biktarvy (bic/ftc/taf) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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Coformulated bictegravir, emtricitabine, and tenofovir alafenamide versus dolutegravir, abacavir, and lamivudine for initial treatment of HIV-1 infection
Phase 3 GS-1489 trial showing Biktarvy non-inferior to DTG/ABC/3TC with favorable tolerability, supporting its adoption as preferred first-line regimen.
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Switching to bictegravir/emtricitabine/tenofovir alafenamide in virologically suppressed adults with HIV
Switch trial confirming maintenance of virologic suppression and improved tolerability after switching to Biktarvy from boosted PI or older INSTI regimens.
2 published studies referenced in the app, each with a plain-language summary.