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About STAVUDINE+LAMIVUDINE+NEVIRAPINE

STAVUDINE+LAMIVUDINE+NEVIRAPINE belongs to the class of medications called ‘antiretroviral agents’ used in the treatment of HIV infection. HIV is a virus that attacks the immune cells of the body leading to decreased immunity. It spreads through body fluids such as semen, vaginal fluid, and blood. Symptoms include fever, chills, rash, night sweats, muscle aches, tiredness and sore throat that usually last for days to several weeks.

STAVUDINE+LAMIVUDINE+NEVIRAPINE is a combination of three medicines: Stavudine, lamivudine and nevirapine. They work by inhibiting the reverse transcriptase enzyme from working, which is required by the HIV-infected cells to make new viruses. This effect helps to inhibit viral replication.

You should take this medicine exactly as prescribed by the doctor. STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause side effects such as headache, insomnia (difficulty in sleeping), nausea, diarrhea, dry mouth, fever, rash, and peripheral neuropathy (tingling and numbness of feet and hands). Inform your doctor if any of these side effects persist or get worse.

It is not recommended to take STAVUDINE+LAMIVUDINE+NEVIRAPINE if you are allergic to any contents of it. Before taking STAVUDINE+LAMIVUDINE+NEVIRAPINE, inform your doctor if you have any liver disease, hepatitis B or C (liver infections), a history of mental illness, seriously overweight and have kidney disease. Inform your doctor if you are pregnant or breastfeeding. STAVUDINE+LAMIVUDINE+NEVIRAPINE should be used with caution in children and elderly patients. Alcohol consumption may increase the risk of side effects. STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause dizziness, so do not drive or operate heavy machinery if you feel dizzy.

Uses of STAVUDINE+LAMIVUDINE+NEVIRAPINE

HIV infection

Medicinal Benefits

STAVUDINE+LAMIVUDINE+NEVIRAPINE belongs to the group of medicines called antiretroviral therapy (ART). STAVUDINE+LAMIVUDINE+NEVIRAPINE contains stavudine, lamivudine, and nevirapine. STAVUDINE+LAMIVUDINE+NEVIRAPINE work by inhibiting the reverse transcriptase enzyme from working, which is required by the HIV-infected cells to make new viruses. Thereby preventing viral replication and controlling the infection. It helps in improving the quality of life of a patient with HIV.

Directions for Use

Take STAVUDINE+LAMIVUDINE+NEVIRAPINE with food or after a meal as advised by the doctor. Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of STAVUDINE+LAMIVUDINE+NEVIRAPINE

  • Headache
  • Tiredness
  • Insomnia (difficulty in sleeping)
  • Diarrhea
  • Dryness in mouth
  • Fever
  • Peripheral neuropathy (tingling and numbness of feet and hand)

In-Depth Precautions and Warning

Drug Warnings

Inform your doctor if you develop persistent diarrhea or vomiting, as it may affect the effectiveness of STAVUDINE+LAMIVUDINE+NEVIRAPINE. STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause pancreatitis (inflammation of the pancreas), so inform your doctor if you develop symptoms such as nausea (feeling sick), vomiting or stomach pain. STAVUDINE+LAMIVUDINE+NEVIRAPINE may lead to opportunistic infections (infections that occur frequently or severely in patients with weak immune systems), so inform your doctor immediately if you experience symptoms of infection such as muscle weakness, weakness beginning in the hands and feet that progress towards the trunk, palpitations (pounding heartbeat) and tremors. STAVUDINE+LAMIVUDINE+NEVIRAPINE may destroy bone leading to symptoms such as joint stiffness or pain. It may also cause muscle pain, tenderness, or weakness. Speak with your doctor about the precautions to follow to avoid infecting other people as one can still pass on HIV while on this medicine, although the risk is somewhat lowered by antiretroviral therapy, it can spread through sexual contact with a person who already has the infection or by transfer of infected blood. STAVUDINE+LAMIVUDINE+NEVIRAPINE does not cure HIV infection. STAVUDINE+LAMIVUDINE+NEVIRAPINE can make hormonal contraceptives less effective or less likely to work. So, use other effective methods for contraception, including a barrier form (cervical cap, condom, diaphragm, or contraceptive sponge) to prevent pregnancy as advised by your doctor. Do not breastfeed while taking this medicine. STAVUDINE+LAMIVUDINE+NEVIRAPINE is not recommended in pregnancy as could harm the unborn baby or cause birth defects. You may need frequent medical tests while on STAVUDINE+LAMIVUDINE+NEVIRAPINE.

Drug Interactions

Drug-Drug Interactions: Hydroxyurea (anti-cancer), Bactrim (antibiotic), an antibiotic or antifungal medicine, birth control pills or hormone replacement therapy, a blood thinner (warfarin), heart or blood pressure medication, a seizure medication.

Drug-Food Interactions: STAVUDINE+LAMIVUDINE+NEVIRAPINE may have interaction with St.John’s wort (herbal supplement used to treat depression). Avoid smoking and alcohol consumption while on this medication.

Drug-Disease Interactions: Pancreatitis (inflammation of the pancreas), renal dysfunction, liver disease (or a history of hepatitis or cirrhosis).

Drug-Drug Interactions Checker List:

  • HYDROXYUREA
  • WARFARIN
  • BACTRIM
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      Avoid drinking alcohol while on STAVUDINE+LAMIVUDINE+NEVIRAPINE as it may increase the risk of liver damage.

    • Safety Warning

      Pregnancy

      caution

      STAVUDINE+LAMIVUDINE+NEVIRAPINE should be used with caution in pregnant women. It is given only if clinically needed and when benefits outweigh the risk.

    • Safety Warning

      Breast Feeding

      caution

      If STAVUDINE+LAMIVUDINE+NEVIRAPINE is prescribed during breastfeeding, the doctor may advise you to stop breastfeeding as this medicine can pass into breast milk.

    • Safety Warning

      Driving

      caution

      STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause dizziness, so do not drive or operate heavy machinery if you feel dizzy.

    • Safety Warning

      Liver

      caution

      STAVUDINE+LAMIVUDINE+NEVIRAPINE should be used with caution in patients with liver diseases. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Kidney

      caution

      STAVUDINE+LAMIVUDINE+NEVIRAPINE should be used with caution in patients with kidney diseases. The dose may have to be adjusted by your doctor.

    • Safety Warning

      Children

      caution

      Dose adjustment may be necessary for use in children when prescribed by a child specialist.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Eat a healthy and balanced diet. Eat vitamin and nutrient-rich food such as dark green, yellow, orange and red vegetables, and fruit as it helps to boost your immune system. Option for lean protein and whole grains.
    • Avoid eating raw meat and eggs. Consume properly boiled and cooked meat, poultry or seafood.
    • Eat bland and low-fat foods and avoid spicy or oily foods if you experience nausea or vomiting.
    • Try to reduce emotional and physical stress by spending time with family or whatever makes you happy.
    • Drink more fluids and avoid alcoholic beverages to prevent dehydration. 
    • Wash your hands properly before and after eating.
    • Make sure you sleep at least 8 hours a day.

    Special Advise

    • STAVUDINE+LAMIVUDINE+NEVIRAPINE may still develop infections or other illnesses associated with HIV infection or AIDS. So, people taking STAVUDINE+LAMIVUDINE+NEVIRAPINE should be carefully monitored throughout the treatment.
    • You can still infect other people while taking STAVUDINE+LAMIVUDINE+NEVIRAPINE. So, use necessary precautions to avoid infecting others.
    • STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause abnormal liver function tests. So, regular monitoring of liver function is necessary while taking this medicine.

    Patients Concern

    Disease/Condition Glossary

    HIV infection: HIV (human immunodeficiency virus) is a virus that attacks the immune system, making the individual susceptible to other infections or illnesses. People with HIV experience flu-like symptoms such as fever, chills, rash, night sweats, muscle aches, tiredness and sore throat. These symptoms usually last for days to several weeks. It spreads through body fluids such as semen, vaginal fluid and blood. If left untreated, this condition can lead to AIDS (Acquired Immunodeficiency Syndrome). It is a life-long condition and there is no definite cure for it.  However, it can be controlled by treating with antiretroviral agents.

    FAQs

    How does STAVUDINE+LAMIVUDINE+NEVIRAPINE work?

    STAVUDINE+LAMIVUDINE+NEVIRAPINE is a combination of three medicines: Stavudine, lamivudine and nevirapine. These three drugs work by inhibiting the reverse transcriptase enzyme from working, which is required by the HIV-infected cells to make new viruses. Thereby preventing viral replication and controlling the infection.

    What are the side-effects of STAVUDINE+LAMIVUDINE+NEVIRAPINE?

    STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause side-effects such as muscle pain and discomfort, difficulty in sleeping, stomach pains, allergic reactions, feeling sick, vomiting, inflammation of the liver, changes in the shape or location of body fat. Inform your doctor if any of these side-effects persist or get worse.

    Does STAVUDINE+LAMIVUDINE+NEVIRAPINE cause lactic acidosis?

    STAVUDINE+LAMIVUDINE+NEVIRAPINE may cause lactic acidosis (excess of lactic acid in the blood), a rare but a severe side effect, especially in women who are very obese. However, if you experience stomach pain, vomiting or nausea while taking STAVUDINE+LAMIVUDINE+NEVIRAPINE, please consult a doctor immediately.

    Does STAVUDINE+LAMIVUDINE+NEVIRAPINE cure HIV infection?

    STAVUDINE+LAMIVUDINE+NEVIRAPINE doesn’t cure HIV infection. However, it helps to control the disease and prevent opportunistic infections.

    Can I take STAVUDINE+LAMIVUDINE+NEVIRAPINE in more than the recommended dose to recover from symptoms quickly?

    No, STAVUDINE+LAMIVUDINE+NEVIRAPINE should be taken in the dose and duration as advised by the doctor. If you take it in more than the recommended dose, it might cause unpleasant side effects. If you think your symptoms are not improving, please consult your doctor.

    What should I do if I forget a dose?

    If you miss a dose of STAVUDINE+LAMIVUDINE+NEVIRAPINE, take the missed dose as soon as you remember it. However, if it's almost time for the next dose, do not take a double dose to make up for a missed one.

    Can I stop taking STAVUDINE+LAMIVUDINE+NEVIRAPINE if I feel better?

    Do not stop taking STAVUDINE+LAMIVUDINE+NEVIRAPINE without talking to your doctor. If you suddenly stop taking STAVUDINE+LAMIVUDINE+NEVIRAPINE, you may experience confusion, fever, mental state changes or severe muscle stiffness. Your doctor will probably decrease your dose gradually depending upon your disease condition.

    Available Medicines for

    STAVUDINE+LAMIVUDINE+NEVIRAPINE