Lamivudine

لامیوودین

⚠ Unverified

🦠 Antiinfectives For Systemic UseNucleoside reverse transcriptase inhibitor (NRTI)

Market / country: 🇺🇸 USA

Epivir (US)

🧮 Dose calculator

HIV-1 infection (treatment) · Regimen source: FDA Lamivudine · 2.1

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🛡️ Safety & information

Contraindications

Warnings

  • • Boxed warning: severe acute exacerbation of hepatitis B on stopping in HBV co-infection; Epivir-HBV is not for HIV (resistance). FDA Lamivudine · Boxed Warning

Renal adjustment

  • • eGFR < 50: CrCl 30–49: 150 mg daily; 15–29: 150 then 100 mg daily; 5–14: 150 then 50 mg daily; <5: 50 then 25 mg daily. FDA Lamivudine · 2.3

Formulations

👥 Special populations

  • 🤰 PregnancyUse with caution

    Label: pregnancy registry data show no increase in birth defects over the background rate. FDA Lamivudine · 8.1

    “Available data from the APR show no difference in the overall risk of birth defects for lamivudine compared with the background rate for birth defects of 2.7% in the Metropolitan Atlanta Congenital Defects Program (MACDP) reference population.”
  • 🤱 BreastfeedingUse with caution

    Label: use with caution while breastfeeding; see the label text. FDA Lamivudine · 8.2

    “Risk Summary The Centers for Disease Control and Prevention recommends that HIV-1-infected mothers in the United States not breastfeed their infants to avoid risking postnatal transmission of HIV-1 infection.”
  • 👶 ChildrenUse with caution

    The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Lamivudine · 8.4

    “The safety and effectiveness of lamivudine tablets in combination with other antiretroviral agents have been established in pediatric patients aged 3 months and older.”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Lamivudine · 8.5

    “In general, caution should be exercised in the administration of lamivudine in elderly patients reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy [see Dosage and Administration ( 2.3 ), Clinical Pharmacology ( 12.3 )].”
  • ⚥ Females & males of reproductive potentialNo data

    The source for this drug has no section for this group.

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