• HIV infection:
    • 1 tab BD

Tablet:  150mg/300mg

None remarkable

Lamivudine: NRTI; Following phosphorylation, it inhibits HIV reverse transcriptase by viral DNA chain termination

Zidovudine: NRTI; It interferes with HIV viral RNA-dependent DNA polymerase inhibiting viral replication

  • Headache
  • Nausea
  • Vomiting
  • Malaise
  • Fatigue
  • Cough
  • Diarrhea
  • Neuropathy
  • Musculoskeletal pain
  • Insomnia
  • Dizziness
  • Fever
  • Rigors
  • Anorexia
  • Abdominal cramps
  • Abdominal pain
  • Depression
  • Rash
  • Arthralgia
  • Myalgia
  • Neutropenia
  • Dyspepsia
  • Hyperamylasemia
  • Elevated LFTs
  • Anemia
  • Asthenia
  • Constipation
  • Hepatomegaly
  • Stomatitis
  • Lipoatrophy
  • Hypersensitivity
  • Patients requiring separate lamivudine or zidovudine dose reduction

WARNING:

  • Risk of zidovudine-associated neutropenia and severe anemia, especially in patients with advanced HIV
  • Symptomatic myopathy associated with prolonged zidovudine use
  • Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, associated with nucleoside analogue use and other antiretrovirals
    • Increased risk if female, obese, or long-term nucleoside analogue treatment
  • Severe acute HBV exacerbations in HBV or HBV/HIV co-infected patients upon lamivudine discontinuation
  • Elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • Emtricitabine

                          Drug Status

Availability Prescription only
Pregnancy Category C
Breastfeeding Contraindicated
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Combivir 150mg/300mg Tablet 60’s GSK Ltd GSK Ltd
Duovir 150mg/300mg Tablet 60’s Cipla Phillips Therapeutics
Lamivudine/Zidovudine 150mg/300mg Tablet 60’s Mylan Labs C/O Surgilinks Ltd Surgilinks Ltd
Lamozid 150mg/300mg Tablet 60’s Universal Corporation Universal Corporation
Lazidariv 150mg/300mg Tablet 60’s Cosmos Ltd Cosmos Ltd
Zidolam 150mg/300mg Tablet 60’s Hetero Labs Unisel Ltd