Interactions with herbs
St. John's Wort
  Interactions with supplements
Carnitine (L-Carnitine)
Dehydroepiandrosterone (DHEA)
Vitamin E
Look Up > Drugs > Zidovudine and Lamivudine
Zidovudine and Lamivudine
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Dosage Forms

Pronunciation
(zye DOE vyoo deen & la MI vyoo deen)

U.S. Brand Names
Combivir®

Generic Available

No


Synonyms
AZT + 3TC

Pharmacological Index

Antiretroviral Agent, Reverse Transcriptase Inhibitor (Non-Nucleoside); Antiretroviral Agent, Reverse Transcriptase Inhibitor (Nucleoside)


Use

Treatment of HIV infection when therapy is warranted based on clinical and/or immunological evidence of disease progression. Combivir® given twice daily, provides an alternative regimen to lamivudine 150 mg twice daily plus zidovudine 600 mg/day in divided doses; this drug form reduces capsule/tablet intake for these two drugs to 2 per day instead of up to 8.


Pregnancy Risk Factor

C


Adverse Reactions

See individual agents


Drug Interactions

See individual agents


Mechanism of Action

The combination of zidovudine and lamivudine are believed to act synergistically to inhibit reverse transcriptase via DNA chain termination after incorporation of the nucleoside analogue as well as to delay the emergence of mutations conferring resistance


Pharmacodynamics/Kinetics

Half-life: Zidovudine: 0.5-3 hours; lamivudine: 5-7 hours


Usual Dosage

Children >12 years and Adults: Oral: One tablet twice daily


Mental Health: Effects on Mental Status

Dizziness, insomnia, sedation are common; may cause depression. May rarely cause confusion or mania


Mental Health: Effects on Psychiatric Treatment

Leukopenia and granulocytopenia are common; caution with clozapine and carbamazepine. Increased toxicity may result if used concurrently with drugs that inhibit glucuronidation or excretion (lorazepam). Valproic acid increased zidovudine's AUC by 80% and decreased clearance by 38%.


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Combivir® is not a cure for HIV and you may continue to experience HIV-associated illness. Major toxicities are neutropenia and/or anemia; have blood counts checked regularly while on therapy.


Dosage Forms

Tablet: Zidovudine 300 mg and lamivudine 150 mg


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