The primary use of Lamivudine + Nevirapine + Zidovudine is for the management of HIV-1 infection in adults and adolescents weighing at least 30 kg. It belongs to the category of antiretroviral medicines.
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Lamivudine + Nevirapine + Zidovudine is an antiretroviral combination.
Lamivudine and Zidovudine are both nucleoside reverse transcriptase inhibitors (NRTIs). These medicines work by converting into their active forms once inside cells, where they compete with natural building blocks of the virus's DNA. By becoming part of the virus's DNA, they prevent it from growing further.
Nevirapine is a non-nucleoside reverse transcriptase inhibitor (NNRTI). It works by directly binding to the virus's reverse transcriptase, a key enzyme that the virus needs to reproduce. This action disables the enzyme, stopping the virus from multiplying.
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Dosage Forms Available
Lamivudine + Nevirapine + Zidovudine is available in the form of tablets for oral administration.
Age and Dose Restrictions
This combination medication is intended for adults and adolescents who weigh at least 30 kg.
It is not recommended for children below 12 years of age or individuals who weigh less than 30 kg.
Contraindications
Lamivudine + Nevirapine + Zidovudine should not be used in patients with known allergies to any of these medicines.
Patients with severe hepatic impairment should avoid this medication.
Other Medications to Avoid
Lamivudine + Nevirapine + Zidovudine may interact with other antiretroviral agents (such as efavirenz, emtricitabine, and etravirine).
It can also interact with medications that induce or inhibit CYP3A and CYP2B6 (like carbamazepine, phenytoin, and rifampicin).
Overdose and Missed Dose
Overdose of Lamivudine + Nevirapine + Zidovudine can lead to severe or potentially fatal side effects. Medical assistance should be sought immediately if overdose is suspected.
If a dose is missed, it should be taken as soon as possible. However, if it is almost time for the next dose, the missed dose should be skipped.
Management of Side Effects
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of water can help manage side effects like diarrhoea and nausea.
Rest and proper hydration can help manage fatigue and weakness.
Cool baths or showers may provide relief from rash or itching.
Use in Driving and Operating Machinery
Lamivudine + Nevirapine + Zidovudine may cause dizziness or fatigue. Therefore, patients should avoid driving or operating heavy machinery until they are sure about how this medication affects them.
Use in Pregnancy and Lactation
Lamivudine + Nevirapine + Zidovudine falls under pregnancy category C, which means it should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
As for breastfeeding, it is advised to consult a doctor before using this medicine.
Caution in Other Conditions
Patients with co-infection of hepatitis B virus (HBV) should exercise caution while taking this medication due to the potential for severe acute exacerbations of hepatitis B after discontinuation.
This medication should also be used cautiously in patients with renal impairment as dose adjustment may be needed.
Special Dietary and Lifestyle Recommendations
Follow a balanced diet to maintain overall health and strengthen the immune system.
Regular exercise is beneficial for general health and well-being.
Avoid smoking and limit alcohol intake as these habits can weaken the immune system.
Regular sleep patterns can improve overall well-being and immune function.
It is important to maintain good personal hygiene to reduce the risk of infections.
Frequently asked questions
No, Lamivudine + Nevirapine + Zidovudine is not a steroid. It is a fixed-dose combination antiretroviral medication used to manage HIV infection.
The combination of Lamivudine + Nevirapine + Zidovudine can be taken with or without food. However, it is advisable to follow the instructions of your doctor regarding its administration.
Lamivudine + Nevirapine + Zidovudine may have mood-related side effects, such as depression or anxiety, but these are not common. If you notice any mood changes while taking these medications, it's important to talk to your doctor.
The medication may lead to changes in body fat distribution, which might include central obesity. However, it does not specifically cause weight gain.
No, you should not stop taking this medicine before the full prescribed period is complete, even if you feel better after a few doses.
Lamivudine + Nevirapine + Zidovudine is used for the management of HIV-1 infection. According to the Centers for Disease Control and Prevention, HIV-1-infected mothers should not breastfeed their infants to avoid risking postnatal transmission of HIV-1 infection.
If you have hepatitis B, your doctor will evaluate your situation and determine the best treatment plan.
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