Lamivudine [For Chronic Hepatitis B]

Lamivudine [For Chronic Hepatitis B] Uses, Dosage, Side Effects, Food Interaction and all others data.

Lamivudine [For Chronic Hepatitis B]
Uses
Dosage
Side Effect
Precautions
Interactions
Uses during Pregnancy
Uses during Breastfeeding
Accute Overdose
Food Interaction
Half Life
Volume of Distribution
Clearance
Interaction With other Medicine
Contradiction
Storage

Trade Name	Lamivudine [For Chronic Hepatitis B]
Generic	Lamivudine [For Chronic Hepatitis B]
Type
Therapeutic Class	Hepatic viral infections (Hepatitis B)
Manufacturer
Available Country	Bangladesh
Last Updated:	September 24, 2024 at 5:38 am

Uses

Lamivudine is indicated for the treatment of chronic hepatitis B associated with evidence of hepatitis B viral replication and active liver inflammation.

Dosage

Lamivudine [For Chronic Hepatitis B] dosage

The recommended oral dose of Lamivudine for the treatment of chronic hepatitis B in adults is 100 mg once daily.

Side Effects

Several serious adverse events reported with lamivudine (lactic acidosis and severe hepatomegaly with steatosis, post treatment exacerbations of hepatitis B, pancreatitis, and emergence of viral mutants associated with reduced drug susceptibility and diminished treatment response). Malaise, fatigue, fever, ENT infections, sore throat, nausea, vomiting, abdominal discomfort, pain, diarrhea, myalgia, arthralgia, headache, skin rashes may occur. Lactic acidosis and severe hepatomegaly with steatosis, have been reported.

Precaution

Patients should be assessed before beginning treatment and during treatment with lamivudine by a physician experienced in the management of chronic hepatitis B.

Interaction

Trimethoprim 160 mg / Sulfamethoxazole 800 mg once daily has been shown to increase lamivudine exposure (AUC). The effect of higher doses of trimethoprim /sulfamethoxazole on lamivudine pharmacokinetics has not been investigated.

Pregnancy & Breastfeeding use

There is no adequate and well-controlled study in pregnant women. Lamivudine should be used during pregnancy only if the potential benefits outweigh the risks. Although it is not known if lamivudine is excreted in human milk, there is the potential for adverse effects from lamivudine in nursing infants. Mothers should be instructed not to breast feed if they are receiving lamivudine.

Contraindication

Lamivudine is contraindicated in patients hypersensitive to any of the components of the product.

Special Warning

It is recommended that doses of Lamivudine should be adjusted in accordance with renal function. Dosage adjustment of Lamivudine in accordance with creatinine clearance is as follows: CrCl 50 ml/min: 100 mg once daily CrCl 30-49 ml/min: 100 mg first dose, then 50 mg once daily CrCl 15-29 ml/min: 100 mg first dose, then 25 mg once daily CrCl 5-14 ml/min: 35 mg first dose, then 15 mg once daily CrCl <5 ml/min: 35 mg first dose, then 10 mg once daily Use in children: Safety and efficacy of lamivudine for the treatment of chronic hepatitis B in children have not been established.