Lamivudine

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Half-life
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10–15 h

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, usually with a PI or NNRTI. Compensated chronic hepatitis B (in adults), decompensated hepatitis B (in adults).

Dosage and method of use
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  • HIV infection (Epivir): Pat. > 12 LJ: 2 times/day 150 mg p.o. or 1 time/day 300 mg p.o.
  • Pat. > 3 months - 12 LJ: 2 times/day 4 mg/kg bw (max. 300 mg/day).
  • Hepatitis (Zeffix): 100 mg/day p.o.

Remember! Dose adjustment necessary in case of reduced creatinine clearance.

Undesirable effects
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Allergic exanthema, nausea, insomnia, headache, fever, fatigue, diarrhea, abdominal pain, neutropenia, anemia.

Interactions
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Cotrimoxazole leads to an increase in lamivudine levels.

Contraindication
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Children with a history of pancreatitis, lactation.

Preparations
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Epivir, Zeffix

Incoming links (2)

Neutropenia; Virustatics;

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Last updated on: 29.10.2020