Generic
Didanosine
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At a glance
Didanosine — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Didanosine belongs to a group of medicines called antiretrovirals. It is used to treat HIV (human immunodeficiency virus), the virus that can cause AIDS (acquired immunodeficiency syndrome). It helps to control HIV infection so your immune system can work better. Didanosine is not a cure for HIV or AIDS and only helps to decrease the amount of HIV in your body. This helps to lower your risk of getting HIV-related complications and improves your lifespan. It is prescribed in combination with other HIV medicines. Your doctor will recommend the best medicines for you and will decide the doses that you need. Follow carefully the instructions for all the medicines that you are given. It can be taken with or without food. Taking all these medicines regularly at the right times greatly increases their effectiveness and reduces the chances of HIV becoming resistant to them. It is important not to miss doses and to keep taking them until your doctor tells you it is safe to stop. Common side effects of this medicine include headache, nausea, vomiting, stomach pain, fatigue, diarrhea, and rash. These are usually not serious but tell your doctor if they bother you or do not go away. Rarely, some people may experience a skin reaction or liver damage. Your doctor will closely monitor you for these in the initial period of treatment. Before taking it, tell your doctor if you have any skin problems or liver or kidney disease. While using it, you may need regular blood tests to check your blood counts and liver function. Avoid drinking alcohol as it may increase your risk of liver damage. Pregnant or breastfeeding mothers should consult their doctor before using this medicine. Do not have unprotected sex or share personal items like razors or toothbrushes, if you are HIV positive. Talk to your doctor about safe ways like condoms to prevent HIV transmission during sex. Didanosine is an antiviral medication. It prevents the multiplication of virus in human cells. This stops the virus from producing new viruses and clears up your infection.
Indications
• HIV infection
Mechanism of action
Didanosine is a nucleoside reverse transcriptase inhibitor that inhibits DNA synthesis of retroviruses by competitive inhibition of reverse transcriptase and incorporation into viral DNA.
Dosage
Adult Dose: HIV Infection 60 kg: Extended-release 400 mg PO qDay; suspension 200 mg PO q12hr Dosage Modifications Coadministration with tenofovir >60 kg: Decrease didanosine dose to 250 mg/day <60 kg: Decrease didanosine dose to 200 mg/day Child Dose: HIV Infection Indicated for treatment of HIV infection in combination with other antiretroviral agents Oral solution NIH HIV guidelines (March 2016) 2 weeks to 8 months: 120 mg/m² (range 90-150 mg/m²) PO q12hr Manufacturer prescribing information 2 week to 8 months: 100 mg/m² PO q12hr >8 months: 120 mg/m² PO q12hr Capsule Weight-based dosing (6-18 years) Children who can safely swallow enteric-coated beadlets or delayed-release capsules 20 to 60 kg: As adults; 400 mg PO qDay (oral suspension: 200 mg PO q12hr) Renal Dose: >60 kg CrCl >60 mL/min: Normal dose CrCl 30-59 mL/min: 200 mg PO qDay (extended release/solution) or divided q12hr (solution only) CrCl 10-29 mL/min: 125 mg (extended release) or 150 mg (solution) PO qDay CrCl 60 mL/min: Normal dose CrCl 30-59 mL/min: Extended release 125 mg PO qDay; solution 150 mg PO qDay or divided q12hr CrCl 10-29 mL/min: 125 mg (extended release) or 100 mg (solution) PO qDay CrCl <10 mL/min; PD/HD: Solution only: 75 mg PO qDay
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. Didanosine is to be taken empty stomach.
Missed dose
If you miss a dose of Didanosine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Side effects
Common: • Fatigue • Headache • Nausea • Dizziness
Precautions & warnings
[SAFE] Didanosine does not usually affect your ability to drive. In combination with other medicines, it is used for the treatment of HIV infections. Take it with food, as this increases the absorption of the medicine into the body. Didanosine may cause dizziness or sleepiness. Do not drive or do anything requiring concentration until you know how it affects you. You may still develop infections or other illnesses associated with viral infection while taking this medication. You can also pass on HIV or HBV to others. Don't share needles or personal items that can have blood or body fluids on them. During treatment and for at least six months after stopping this medicine, regular blood tests are needed to monitor your liver function, level of hepatitis B virus and blood cells in your blood.
Contraindications
Hypersensitivity; lactation.
Drug interactions
Increased effect with allopurinol and ganciclovir; hydroxyurea; increased toxicity with ribavirin or tenofovir. Decreased effects of quinolones, tetracyclines, indinavir. Increased risk of pancreatitis when used with pentamidine, stavudine or co-trimoxazole. Increased risk of liver toxicity when used with other antiretroviral agens, hydroxyurea or ribavirin.
Food interactions
[CAUTION] Caution is advised when consuming alcohol with Didanosine. Please consult your doctor.
Use in pregnancy
[SAFE IF PRESCRIBED] Didanosine is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
Use in lactation
[SAFE IF PRESCRIBED] Didanosine 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] Didanosine should be used with caution in patients with kidney disease. Dose adjustment of Didanosine may be needed. Please consult your doctor. [SAFE IF PRESCRIBED] Didanosine is safe to use in patients with liver disease. No dose adjustment of Didanosine is recommended.
Common questions
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 Taking 100mg tablet in morning Which tablet for what Suhagra 100mg tablet have any side effect? all pills have side effects. if ur heart is fine its ok and for others google it. 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 Hello Doctor, What is use of eating caverta 100mg tablet? Hello Vijaya it will increase sex time and long holding After having unprotected intercourse with wife my penis head having itching and much red also my wife having itching from a week at vagina. she must be having an infectionuse tablet secnidazole 2gm 1tablet stat and candid vaginal gel for her and u take doxycycline 100mg bd for 7 days