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Nevirapine (Viramune)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Nevirapine

What it is

Nevirapine is an HIV medicine of the NNRTI group: it binds reverse transcriptase, the enzyme HIV needs to copy its genetic material into a cell's DNA. It is taken with other HIV medicines and was long used to prevent HIV passing from mother to baby. Rash and liver reactions in the first weeks are its main risks. It is sold as Viramune, among other names.

How genes come into it

Nevirapine is broken down mainly by CYP2B6, and the slow variants rs3745274 (*6) and rs28399499 raise its levels, linked in studies to more skin reactions. Its hypersensitivity reactions also depend on immune-system genes, and different HLA versions have been linked to them in different populations, such as HLA-C*04:01 (rash, in African populations) and HLA-DRB1*01:01 (liver and fever reactions). There is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Nevirapine. Upload your DNA file to see which of these rows apply to you.

Rated evidence (66 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

CYP2B6 rs3745274: Level 2A · replicated. Metabolism/PK: HIV infectious disease. 16.

CYP2B6 rs28399499: Level 2A · replicated. Toxicity: Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis. 4.

HLA-C HLA-C*04:01: Level 2B · replicated. Toxicity: Drug Reaction with Eosinophilia and Systemic Symptoms, Exanthema, Hypersensitivity, Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis. 8.

HLA-DRB1 HLA-DRB1*01:01: Level 2B · replicated. Toxicity. 6.

Metabolism (15 findings)

Studies of how quickly the body processes this medication.

CYP2B6 rs28399499: Allele C is associated with increased concentrations of nevirapine in women as compared to allele T.

CYP2B6 rs3745274: Genotype TT is associated with decreased metabolism of nevirapine in people with HIV Infections as compared to genotypes GG + GT.

CYP2B6 rs3745274: Genotypes GT + TT is associated with decreased clearance of nevirapine in people with HIV Infections as compared to genotype GG.

CYP2B6 rs3745274: Genotype TT is associated with increased concentrations of nevirapine in people with HIV Infections as compared to genotypes GG + GT.

Response (10 findings)

Studies of how well it worked in people carrying a variant.

CYP1A2 rs762551: Genotype CC is associated with increased response to nevirapine in people with HIV Infections as compared to genotypes AA + AC.

HLA-B HLA-B*40:01: HLA-B *40:01 is associated with response to lamivudine, nevirapine and stavudine in people with HIV Infections.

NR1I2 rs1523127: Genotypes AA + AC is associated with decreased response to efavirenz or nevirapine in people with HIV Infections as compared to genotype CC.

NR1I3 rs2307424: Genotypes AA + AG is associated with increased response to efavirenz or nevirapine in people with HIV Infections as compared to genotype GG.

Dosing (8 findings)

Studies of how much of the drug people needed or tolerated.

CYP2B6 rs3745274: Genotypes GT + TT are associated with decreased clearance of nevirapine in people with HIV Infections as compared to genotype GG.

CYP2D6 rs28371706: Genotypes AA + AG are associated with decreased clearance of nevirapine in children with HIV Infections as compared to genotype GG.

NR1I2 rs3842689: Genotypes GAGAAG/del + del/del are associated with increased clearance of nevirapine in people with HIV Infections as compared to genotype GAGAAG/GAGAAG.

ABCB1 rs1045642: Genotypes AA + AG are not associated with decreased clearance of nevirapine in people with HIV Infections as compared to genotype GG.

Side effects (20 findings)

Studies of side effects in people carrying a variant.

CYP2B6 rs28399499: Genotypes CC + CT are not associated with decreased clearance of nevirapine in people with HIV Infections as compared to genotype TT.

CYP2B6 rs3745274: Genotype TT is associated with decreased clearance of nevirapine in people with HIV Infections as compared to genotype GG.

CYP2B6 rs3745274: Genotype TT is associated with decreased clearance of nevirapine in children with HIV Infections as compared to genotypes GG + GT.

CYP2B6 rs3745274: Genotype GT is associated with decreased clearance of nevirapine in people with HIV Infections as compared to genotype GG.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

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Sustiva (NNRTIs)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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