RETROVIR SYRUP

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Generic Name for RETROVIR SYRUP

Zidovudine 50mg/5mL; strawberry flavor.

Legal Classification:

Rx

Pharmacological Class for RETROVIR SYRUP

Nucleoside analogue (reverse transcriptase inhibitor).

Manufacturer of RETROVIR SYRUP

GlaxoSmithKline Pharmaceuticals

Indications for RETROVIR SYRUP

HIV infection. Prevention of maternal-fetal HIV transmission.

Adult dose for RETROVIR SYRUP

≥18yrs: 600mg daily in divided doses. End-stage renal disease on dialysis: 100mg every 6–8 hours. Vertical transmission, severe anemia and/or neutropenia: see literature.

Children's dosing for RETROVIR SYRUP

<6 weeks and/or for vertical transmission: see literature. 6 weeks to <18yrs: (4 to <9kg): 24mg/kg/day (12mg/kg twice daily or 8mg/kg 3 times daily); (≥9 to <30kg): 18mg/kg/day (9mg/kg twice daily or 6mg/kg 3 times daily); (≥30kg): 600mg/day (300mg twice daily or 200mg 3 times daily). Alternative dosing based on BSA: 480mg/m2/day (240mg/m2 twice daily or 160mg/m2 3 times daily).

Also:

Precautions for RETROVIR SYRUP

Suspend if lactic acidosis or hepatotoxicity (eg, hepatomegaly, steatosis) occurs. Monitor for hematologic toxicity; reduce dose or suspend if significant anemia and/or granulocytopenia occurs; transfuse if necessary. Renal or hepatic dysfunction: consider reducing dose. Bone marrow suppression. Risk of liver disease. Women, obesity, prolonged nucleoside exposure, or advanced HIV disease: increased risk of toxicity. Elderly. Pregnancy (Cat.C). Nursing mothers: not recommended.

Interactions for RETROVIR SYRUP

Avoid stavudine, doxorubicin, ribavirin, other nucleoside analogues, other forms of zidovudine. Caution with other cytotoxic or myelosuppressive drugs (eg, ganciclovir, interferon-alpha, ribavirin). Fluconazole, atovaquone, lamivudine, probenecid, valproic acid, methadone increase zidovudine levels. Monitor phenytoin. May be antagonized by rifampin, ritonavir, nelfinavir. Monitor for treatment-associated toxicities with interferon-alpha with or without ribavirin.

Adverse Reactions for RETROVIR SYRUP

Anemia, neutropenia, headache, malaise, GI disturbances, insomnia, pain, myopathy, neuropathy, myositis, thrombocytopenia, lactic acidosis, steatosis, hepatomegaly, fat redistribution, immune reconstitution syndrome, pancreatitis, others. Children: also fever, cough.

How is RETROVIR SYRUP supplied?

Tabs—60
Caps—100
Syrup—240mL
IV (20mL/vial)—10

Related Disease:

HIV~antivirals

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