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

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U.S. Brand
Names |
|
Combivir® |

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|
Generic
Available |
|
No |

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|
Synonyms |
|
AZT + 3TC |

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

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|
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. |

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|
Pregnancy Risk
Factor |
|
C |

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|
Adverse
Reactions |
|
See individual agents |

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|
Drug
Interactions |
|
See individual agents |

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|
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 |

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|
Pharmacodynamics/Kinetics |
|
Half-life: Zidovudine: 0.5-3 hours; lamivudine: 5-7
hours |

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

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Mental Health: Effects
on Mental Status |
|
Dizziness, insomnia, sedation are common; may cause depression. May rarely
cause confusion or mania |

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|
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%. |

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|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |

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|
Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |

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|
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. |

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|
Dosage Forms |
|
Tablet: Zidovudine 300 mg and lamivudine 150
mg |

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