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HIV drug review - AIDS drugs Ziagen

ZIAGEN® (Abacavir, ABC)

 

Can you answer the following questions about Ziagen®?
What is the generic name?  Any abbreviations?
What "class" antiretroviral is it and how does it work?
With food, without food or food doesn't matter?
Any side effects?
Any possible drug interactions?
What is a typical dose?
Do any other drugs contain Ziagen®?  Name them.
Any other significant counseling points?

Ziagen ® (Abacavir, ABC) is a nucleoside reverse transcriptase inhibitor (NRTI) that inhibits viral replication.

Ziagen ® (Abacavir, ABC) is dosed as 300 mg bid.  Since Trizivir® contains Abacavir as one of its three components, Trizivir® may be an alternative dosing option.

Ziagen ® (Abacavir, ABC) can be taken with or without food.

Counsel patients on 5% risk of hypersensitivity reaction associated with abacavir use. Reaction most often consists of at least two of the following: fever, rash, nausea, vomiting, diarrhea, fatigue, and respiratory symptoms. Patients experiencing a hypersensitivity reaction should stop antiretroviral therapy, contact provider, and NEVER receive abacavir again.

Lactic acidosis with hepatic steatosis is a rare but potentially fatal toxicity associated with the use of NRTIs.

As with all antiretrovirals, adherence is crucial. Non-adherence is a frequent cause of drug failure and viral resistance, not only to abacavir, but to other NRTIs as well.

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