Epzicom

— THERAPEUTIC CATEGORIES —
  • Viral infections

Epzicom Generic Name & Formulations

General Description

Abacavir (as sulfate) 600mg, lamivudine 300mg; tabs.

Pharmacological Class

Nucleoside analogues (reverse transcriptase inhibitors).

How Supplied

Tabs—30

Manufacturer

Generic Availability

YES

Epzicom Indications

Indications

HIV-1 infection, in combination with other antiretroviral agents.

Epzicom Dosage and Administration

Adults and Children

<25kg: use individual components. ≥25kg: 1 tab daily. Mild hepatic or renal impairment (CrCl <30mL/min): not recommended; use individual components.

Epzicom Contraindications

Contraindications

Presence of HLA-B*5701 allele. Prior hypersensitivity reaction to any of the components (see full labeling). Moderate or severe hepatic impairment.

Epzicom Boxed Warnings

Boxed Warning

Hypersensitivity reactions. Exacerbations of hepatitis B.

Epzicom Warnings/Precautions

Warnings/Precautions

Screen for presence of HLA-B*5701 allele prior to starting therapy or reinitiation; if (+), abacavir is contraindicated. Discontinue immediately if hypersensitivity is suspected, regardless of HLA-B*5701 status and even when other diagnoses are possible. If hypersensitivity cannot be ruled out, do not restart. If stopped for reasons other than hypersensitivity, restart only if medical care can be readily accessed. Not for treating chronic HBV infection; closely monitor patients co-infected with HBV and HIV for several months after stopping treatment (discontinuing therapy may exacerbate HBV infection); if appropriate, initiate anti-hepatitis B therapy may be warranted. Suspend if lactic acidosis or pronounced hepatotoxicity (eg, hepatomegaly, steatosis) occurs. Possible risk of MI; minimize risk factors for coronary heart disease (eg, hypertension, hyperlipidemia, diabetes, smoking). Renal impairment (CrCl 30–49mL/min): monitor for hematologic toxicities; if new or worsening neutropenia or anemia develop, adjust lamivudine dose. Women. Obesity. Elderly. Pregnancy. Nursing mothers: not recommended.

Epzicom Pharmacokinetics

See Literature

Epzicom Interactions

Interactions

Avoid concomitant sorbitol-containing products. May antagonize methadone. Potentiates riociguat; may need to reduce riociguat dose. Monitor for treatment-associated toxicities (esp. hepatic decompensation) with interferon-alpha with or without ribavirin.

Epzicom Adverse Reactions

Adverse Reactions

Hypersensitivity reactions (may be fatal), insomnia, depression, headache/migraine, fatigue/malaise, dizziness, nausea, diarrhea; rash (may be severe, eg, Stevens-Johnson), pyrexia, immune reconstitution syndrome, lactic acidosis, severe hepatomegaly with steatosis.

Epzicom Clinical Trials

See Literature

Epzicom Note

Notes

Register pregnant patients exposed to Epzicom by calling (800) 258-4263. Register patients who have had a hypersensitivity reaction to Epzicom by calling (800) 270-0425.

Epzicom Patient Counseling

See Literature