Zidovudine
Synonym(s)
Definition
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Half-life
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Pharmacodynamics (Effect)
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Indication
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Pregnancy/nursing period
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Dosage and method of use
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- Peroral application (cps/filmbl./sg.): Adults: 500-600 mg/day divided into 2-3 EDs. Children > 3 months - 12 years 360-480 mg/m2 KO/day divided into 3-4 ED.
- I.v. application: adults (70 kg): 1 or 2 mg/kg bw every 4 hours, children: 80-160 mg/m2 KO every 6 hours i.v.
- Infants > 3 months: 12 mg/kg bw/day
- infants < 3 months: 8 mg/kg bw/day
Remember! Men should not conceive children during AZT treatment and up to 6 months (e.g. as part of post-exposure prophylaxis) afterwards!
Undesirable effects
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- Cutaneous ADRs: erythroderma, maculopapular exanthema, urticaria, nail pigmentation.
- Also: anemia, neutropenia, leukopenia, gastrointestinal problems, fever, headache, reaction limitation, paresthesias, proximal myopathies in long-term use.
Notice! Increase of side effects with simultaneous administration of Cotrimoxazole and Pyrimethamine
. Simultaneous administration of ganciclovir almost always results in myelosuppression, which can be corrected by administration of G-CSF!
Interactions
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Contraindication
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Preparations
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Note(s)
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Tables
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Main interactions of zidovudine
Acetylsalicylic acid |
Zidovudine toxicity ↑ |
Aciclovir |
rarely seizures ↑ |
amphotericin B |
Haematotoxicity ↑ |
Anti-inflammatories, non-steroidal |
Zidovudine toxicity ↑ |
Atovaquon |
Zidovudine plasma levels ↑ by 35% |
Barbiturates |
Zidovudine toxicity ↑ |
Cotrimoxazole |
Myelosuppression ↑ |
Dapson |
Myelosuppression ↑ |
Doxorubicin |
Myelosuppression ↑ |
Etoposide |
Myelosuppression ↑ |
Fluconazole |
Zidovudine plasma mirror ↑ |
Flucytosine |
Haematotoxicity ↑ |
Foscarnet |
Anemia |
Ganciclovir |
Haematotoxicity ↑, avoid combination |
Levomethadone |
Zidovudine plasma mirror ↑ |
Pentamidine i.v. |
rarely hematotoxicity ↑ |
Ribavirin |
Ribavirin effect ↓ |
Rifabutin |
Zidovudine plasma mirror ↓ |
Sulfonamides |
Haematotoxicity ↑ |
Vinblastine |
Haematotoxicity ↑ |
Vincrist |
Haematotoxicity ↑ |