Trizivir

Generic Name: abacavir, lamivudine, and zidovudine (a BACK a veer, la MIV yoo deen, zye DOE vyoo deen)
Brand Names: Trizivir

What is Trizivir?

Trizivir contains a combinations of abacavir, lamivudine, and zidovudine Abacavir, lamivudine, and zidovudine are antiviral medications that prevent human immunodeficiency virus (HIV) cells from multiplying in your body.

Trizivir is a combination medicine used to treat HIV, which causes the acquired immunodeficiency syndrome (AIDS). This medicine is not a cure for HIV or AIDS.

Trizivir may also be used for purposes not listed in this medication guide.

Important information

Stop using Trizivir and call your doctor at once if you have any of these signs of an allergic reaction: fever; rash; nausea, vomiting, diarrhea, stomach pain; general ill feeling, extreme tiredness, body aches; shortness of breath, cough, sore throat. Once you have had an allergic reaction to this medicine, you must never use it again.

Trizivir can weaken your immune system. Your blood may need to be tested often.

Slideshow: Flashback: FDA Drug Approvals 2013

Trizivir may also cause a serious condition called lactic acidosis. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness, or feeling very weak or tired.

If you have hepatitis B you may develop liver symptoms after you stop taking Trizivir, even months after stopping. Your doctor may want to check your liver function for several months after you stop using the medication. Visit your doctor regularly.

Do not allow your medicine to run out completely before you get your prescription refilled. It is important that you not stop taking Trizivir once you have started. If you miss several doses, you may have a dangerous or even fatal allergic reaction once you start taking the medication again. If you stop taking Trizivir for any reason, talk to your doctor before you start taking it again.

Before taking this medicine

Do not Trizivir if you have ever had an allergic reaction to Trizivir or any medicine that contains abacavir, lamivudine, or zidovudine, including: Combivir, Epivir, Epzicom, Retrovir, or Ziagen. Once you have had an allergic reaction to abacavir, you must never use it again.

Some people taking Trizivir develop a serious condition called lactic acidosis. This may be more likely in women, in people who are overweight or have liver disease, and in people who have taken HIV/AIDS medication for a long time. Talk with your doctor about your risk.

Trizivir can also cause severe or life-threatening effects on your liver, especially if you have hepatitis B or C.

To make sure Trizivir is safe for you, tell your doctor if you have:

  • bone marrow suppression;

  • kidney disease;

  • liver disease (especially if you also use ribavirin or interferon alfa);

  • heart disease or high blood pressure; or

  • a risk factor for heart disease such as smoking, diabetes, or high cholesterol.

You may need a blood test before you start taking Trizivir for the first time, or if you are restarting the medication after stopping for reasons not related to an allergic reaction.

FDA pregnancy category C. It is not known whether this medicine will harm an unborn baby. HIV can be passed to your baby if you are not properly treated during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Take all of your HIV medicines as directed to control your infection.

See also: Pregnancy and breastfeeding warnings (in more detail)

Women with HIV or AIDS should not breast-feed a baby. Even if your baby is born without HIV, the virus may be passed to the baby in your breast milk.

Trizivir should not be used to treat HIV in adolescents weighing less than 90 pounds.

How should I take Trizivir?

Take Trizivir exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

You may take Trizivir with or without food.

Trizivir comes with a Medication Guide and a Warning Card that lists the symptoms of an allergic reaction. Read this information carefully and carry the Warning Card with you at all times so you will know what symptoms to watch for.

Use this medicine regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

HIV/AIDS is usually treated with a combination of drugs. Use all medications as directed by your doctor. Read the medication guide or patient instructions provided with each medication. Do not change your doses or medication schedule without your doctor's advice. Every person with HIV or AIDS should remain under the care of a doctor.

If you have ever had hepatitis B, this condition may come back or get worse after you stop taking Trizivir. You may need frequent blood tests to check your liver function for several months after you stop using this medicine.

Store at room temperature away from moisture and heat.

Trizivir dosing information

Usual Adult Dose for HIV Infection:

1 tablet orally every 12 hours

Usual Adult Dose for Nonoccupational Exposure:

(Not approved by FDA)

Centers for Disease Control and Prevention recommendations: 1 tablet orally every 12 hours
Duration: 28 days

Prophylaxis should be initiated as soon as possible, within 72 hours of exposure. An alternative regimen recommended for nonoccupational postexposure HIV prophylaxis includes abacavir plus lamivudine plus zidovudine. This triple nucleoside reverse transcriptase inhibitor (NRTI) regimen is recommended only when a nonnucleoside reverse transcriptase inhibitor (NNRTI)-based or a protease inhibitor (PI)-based regimen cannot or should not be used.

Usual Pediatric Dose for HIV Infection:

Adolescents, 40 kg or more: 1 tablet orally every 12 hours
This fixed-dose tablet is not recommended for adolescents who weigh less than 40 kg.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

Do not allow your medicine to run out completely before you get your prescription refilled. It is important that you not stop taking the medicine once you have started. If you miss several doses, you may have a dangerous or even fatal allergic reaction once you start taking this medicine again.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking this medicine?

Avoid drinking alcohol. It may increase your risk of liver damage.

Taking Trizivir will not prevent you from passing HIV to other people. Do not have unprotected sex or share razors or toothbrushes. Talk with your doctor about safe ways to prevent HIV transmission during sex. Sharing drug or medicine needles is never safe, even for a healthy person.

Trizivir side effects

Stop using Trizivir and call your doctor at once if you have symptoms of an allergic reaction from two or more of these specific side effect groups:

  • Group 1 - fever;

  • Group 2 - rash;

  • Group 3 - nausea, vomiting, diarrhea, stomach pain;

  • Group 4 - general ill feeling, extreme tiredness, body aches;

  • Group 5 - shortness of breath, cough, sore throat.

Once you have had an allergic reaction to this medicine, you must never use it again. If you stop taking Trizivir for any reason, talk to your doctor before you start taking it again.

Trizivir can cause other serious side effects that may not be signs of an allergic reaction. Call your doctor at once if you have:

  • the first sign of any skin rash, no matter how mild;

  • low white blood cells--fever, swollen gums, painful mouth sores, pain when swallowing, skin sores, cold or flu symptoms, cough, trouble breathing;

  • low red blood cells (anemia)--pale skin, feeling light-headed or short of breath, trouble concentrating; or

  • liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Early symptoms of lactic acidosis may get worse over time and this condition can be fatal. Get emergency medical help if you have even mild symptoms: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness, or feeling very weak or tired.

Trizivir may increase your risk of certain infections or autoimmune disorders by changing the way your immune system works. Symptoms may occur weeks or months after you start treatment with Trizivir. Tell your doctor if you have:

  • signs of a new infection--fever, night sweats, swollen glands, mouth sores, diarrhea, stomach pain, weight loss;

  • chest pain (especially when you breathe), dry cough, wheezing, feeling short of breath;

  • cold sores, sores on your genital or anal area;

  • rapid heart rate, feeling anxious or irritable, weakness or prickly feeling, problems with balance or eye movement;

  • trouble speaking or swallowing, severe lower back pain, loss of bladder or bowel control; or

  • swelling in your neck or throat (enlarged thyroid), menstrual changes, impotence, loss of interest in sex.

Common Trizivir side effects may include:

  • headache;

  • tired feeling;

  • nausea, vomiting; or

  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect this medicine?

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Trizivir, especially:

  • doxorubicin;

  • ganciclovir;

  • methadone;

  • ribavirin (Copegus, Rebetol, Virazole);

  • a sulfa drug, such as Bactrim, Septra, SMX-TMP, or SMZ-TMP;

  • drugs that weaken the immune system such as cancer medicine, steroids, and medicines to prevent organ transplant rejection; or

  • other drugs to treat HIV or AIDS--Atripla, Combivir, Complera, Emtriva, Epivir, Retrovir, Truvada, Zerit, or Ziagen.

This list is not complete. Other drugs may interact with Trizivir, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Where can I get more information?

  • Your pharmacist can provide more information about Trizivir.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Trizivir only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 6.02. Revision Date: 2014-08-12, 4:55:50 PM.

Hide
(web2)