Didanosine

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

DDI; Dideoxyinosin

Definition
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Pharmacodynamics (Effect)
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Nucleoside analogue, competitive inhibitor of the reverse transcriptase of HIV.

Indication
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Combination therapy of HIV infection.

Limited indication
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Restricted liver and kidney function, pregnancy, history of pancreatitis, simultaneous administration of medications that may cause pancreatitis (pentamidine i.v.) or peripheral neuropathies (e.g. isoniazid, vincristine).

Dosage and method of use
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Pat. > 60 kg KG: 1 time per day 400 mg p.o.; Pat. < 60 kg KG: 1 time per day 250 mg or 2 times per day 125 mg p.o. Note

! Intake on an empty stomach: No food should be taken 2 hours before and 2 hours after ingestion of tablets, and no food should be taken 30 minutes before and 30 minutes after ingestion of powder.

Undesirable effects
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Pancreatitis, peripheral neuropathy, nausea, chills, fever, hyperhidrosis, headache, pruritus, allergic reactions, seizures, blood count disorders, abdominal pain.

Notice! Regular, initially weekly checks of amylase, BB, transaminases, bilirubin, alkaline phosphatase, uric acid. Immediate discontinuation of didanosine in case of clinical suspicion of pancreatitis or occurrence of peripheral neuropathy as well as asymptomatic hyperuricemia!

Interactions
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See Table 1.

Contraindication
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Hypersensitivity to didanosine, acute pancreatitis, lactation, simultaneous administration of rifampicin or rifabutin, phenylketonuria (tablets contain the sweetener aspartame).

Preparations
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Videx hard capsules/powder

Patientinformation
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Take the tablets on an empty stomach or 2 hours before a meal. Chew tablets slowly or crush them manually. Do not swallow unchewed! Abstinence from alcohol. The patient must be informed about symptoms of pancreatitis!

Tables
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Essential interactions of didanosine (according to Brodt-Helm-Kamps: AIDS 2000)

Alcohol

Pancreatitis risk ↑

Ciprofloxacin

Ciprofloxacin plasma levels ↓

Ganciclovir i.v.

Pancreatitis risk ↑, DDI plasma level ↑ by 65%

Pentamidine i.v.

Pancreatitis risk ↑

Outgoing links (2)

Hiv infection; Virustatics;

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Last updated on: 29.10.2020