Generic
Lamivudine + Zidovudine
1 brands available in the market
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| Brand | Company | Form | Price/unit |
|---|---|---|---|
| Diavix150mg+300mg | Beximco Pharmaceuticals Ltd. | Tablet | ৳ 45 |
At a glance
Lamivudine + Zidovudine — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Lamivudine + Zidovudine is a combination of two antiretrovirals. It is prescribed to treat HIV (human immunodeficiency virus) infection. It boosts up the immunity to fight against HIV to manage or treat AIDS (acquired immunodeficiency syndrome). Lamivudine + Zidovudine restricts the growth of HIV in the body and reduces the risk of getting HIV-related complications to improve the lifespan of an individual. The medicine can be taken with or without food. Taking these medicines regularly at the same time increases their effectiveness. A dose of this medicine should not be missed as it can affect your recovery. It is important to complete the full course of the treatment until your doctor advises you to stop it. Some of the the most common side effects of this medicine are nausea, diarrhea, headaches, and fatigue. These side effects are generally temporary, but if they persist or become serious inform your doctor. This medicine can also make you feel dizzy or sleepy, so it is advised to avoid driving. Drinking plenty of fluid can help you to cope up with this side effect, so stay hydrated. Before starting with the treatment, you should consult your doctor if you are pregnant or breastfeeding, or have any health condition. Your doctor may suggest regular laboratory tests to check your blood counts, kidney and liver functions, and other health conditions. If you are HIV positive, you should not breastfeed or share personal belongings like razors or toothbrushes. Consult your doctor to know about safe sex methods in order to prevent transmission of HIV during intercourse. Lamivudine + Zidovudine is a combination of two anti-HIV medicines: Lamivudine and Zidovudine. They prevent HIV (virus) from multiplying, thereby reducing the amount of virus in your body. They also increase the CD4 cell (white blood cells that protect against infection) count in your blood.
Indications
• HIV infection
Mechanism of action
Lamivudine: NRTI; following phosphorylation, inhibits HIV reverse transcriptase by viral DNA chain termination; cytosine analog Zidovudine: NRTI; interferes with HIV viral RNA-dependent DNA polymerase (inhibits viral replication); thymidine analog
Dosage
Adult Dose: Oral HIV infection Adult: Each tab contains lamivudine 150 mg and zidovudine 300 mg: >30 kg: 1 tab bid. Avoid administering to patients < 30 kg Hepatic impairment: Severe: Not recommended, use separate preparations. Child Dose: HIV Infection 12 years and 12 years and >30 kg: As adults; 150 mg/300 mg (1 tablet) PO q12hr Renal Dose: Renal impairment: CrCl (ml/min) Dosage Recommendation <50 Not recommended, use separate preparations
Administration
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Lamivudine + Zidovudine may be taken with or without food, but it is better to take it at a fixed time.
Side effects
Common: • Nausea • Headache • Diarrhea • Fatigue • Cough • Feeling of discomfort • Nasal congestion (stuffy nose)
Precautions & warnings
[UNSAFE] Lamivudine + Zidovudine may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Lamivudine + Zidovudine is a combination of two medicines which slows down or stops the progression of HIV infections. It may also be used for preventing HIV and should be started within 72 hours of exposure to HIV. Take it with food, as this increases the absorption of the medicine into the body. Lamivudine + Zidovudine may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you. Skipping doses increases the risk of treatment failure. Make sure that you take all your doses at the correct time. Always practice safe sex while taking Lamivudine + Zidovudine. Do not share needles or personal items that can have blood or body fluids on them. It may cause weakening of your bones. Exercise regularly and take calcium and vitamin D supplements as suggested by your doctor.
Contraindications
Neutrophil count <0.75 x 109/l; haemoglobin levels <7.5 g/dl or 4.65 mmol/l. Lactation.
Drug interactions
Zidovudine: acyclovir and valacyclovir may increase CNS depression. Increased risk of haematologic toxicity with ganciclovir, valganciclovir, dapsone, doxorubicin, vincristine and vinblastine. Doxorubicin may reduce phophorylation; fluconazole may increase levels/effects; increased risk of hepatic decompensation or haematologic toxicities with interferon-? and ribavirin (also increases risk of pancreatitis and lactic acidosis). Methadone may increase effects/levels. Increased risk of myalgia, malaise and/or fever, maculopapular rash and effects/levels with probenecid. Stavudine may decrease antiviral activity; valproic acid may increase plasma levels (AUC increased by 80%). Lamivudine: Increased risk of hepatic decompensation or haematologic toxicities with interferon-? and ribavirin (also increases risk of mitochondrial toxicity, pancreatitis and lactic acidosis). Ganciclovir and valganciclovir may increase effects and toxicity; sulfamethoxazole/trimethoprim may increase AUC and decrease clearance (increasing levels and effects).
Food interactions
[CAUTION] Caution is advised when consuming alcohol with Lamivudine + Zidovudine. Please consult your doctor.
Use in pregnancy
[CONSULT YOUR DOCTOR] Lamivudine + Zidovudine may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Use in lactation
[SAFE IF PRESCRIBED] Lamivudine + Zidovudine is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Renal / hepatic impairment
[CAUTION] Lamivudine + Zidovudine should be used with caution in patients with kidney disease. Dose adjustment of Lamivudine + Zidovudine may be needed. Please consult your doctor. [CAUTION] Lamivudine + Zidovudine should be used with caution in patients with liver disease. Dose adjustment of Lamivudine + Zidovudine may be needed. Please consult your doctor. Use of Lamivudine + Zidovudine is not recommended in patients with moderate to severe liver disease.
Common questions
I had sex with unknown person two days before & got tested with p24 & Vdrl & result was non reactive, one had suggested to take Duovir tab for 30 days, I have pancreatitis & taking tablets Creon 1000 & Antoxid HC Hello PATIENT you consult hepatologist. i have unprotected sex with my friend. Can I take any drugs now to prevent any STD/HIV infection Hello PATIENT to 1mg. There is some medicine for prophylactic but you need to see physician for prescription and better you check HIV status of both partner hello, one of my frnd suffering with hiv infection from last 2yrs her cd4 is more than 470 and viral load is zero undetectable now she is using art medicines i have doubt that can we have to use art medicine in the whole life or can we stop it once we get viral load zero You still need to be on ART even if the viral load is undetectable I am suffering from HIV 1 infection. Take medicines then and monitor ur cd4 count periodically What are the symptoms of HIV infection Fever, sourthroat, loosemotions, rashes on body, enlarged lymphnodes Plz suggest tablet for throughte infection (oil infection) Visit ent specialist for complete examination as it can be tonsillitis Plz suggest tablet for urine infection Pls show your urine R/m & utine culture reports first. when symptoms of hiv can be seen.what is the test name for digonosefir hiv Hi Kindly consult to your nearest hospital