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:: Overview :: Precautions :: Side Effects :: Further Reading Search results last updated: 5/9/2009

Generic & Brand Name : Source: (RXList)

Brand Name : Zerit
Generic Name : Stavudine

Overview (Source: MedicineNet)
home > stavudine solution-oral, zerit drug monograph ...
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Precautions (Source: RXList)
Lactic Acidosis/Severe Hepatomegaly with Steatosis Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of nucleoside analogues alone or in combination, including stavudine and other antiretrovirals. Although relative rates of lactic acidosis have not been assessed in prospective well-controlled trials, longitudinal cohort and retrospective studies suggest that this infrequent event may be more often associated with antiretroviral combinations containing stavudine. Female gender, obesity , and prolonged nucleoside exposure may be risk factors. Fatal lactic acidosis has been reported in pregnant women who received the combination of stavudine and didanosine with other antiretroviral agents. The combination of stavudine and didanosine should be used with caution during pregnancy and is recommended only if the potential benefit clearly outweighs the potential risk (see PRECAUTIONS: Pregnancy ). Particular caution should be exercised when administering ZERIT to any patient with known risk factors for liver disease ; however, cases of lactic acidosis have also been reported in patients with no known risk factors. Generalized fatigue , digestive symptoms ( nausea , vomiting, abdominal pain , and unexplained weight loss ); respiratory symptoms ( tachypnea and dyspnea ); or neurologic symptoms (including motor weakness, see Neurologic Symptoms ) might be indicative of the development of symptomatic hyperlactatemia or lactic ac ...
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Side Effects (Source: RXList)
Adults Fatal lactic acidosis has occurred in patients treated with ZERIT in combination with other antiretroviral agents. Patients with suspected lactic acidosis should immediately suspend therapy with ZERIT. Permanent discontinuation of ZERIT should be considered for patients with confirmed lactic acidosis. ZERIT therapy has rarely been associated with motor weakness, occurring predominantly in the setting of lactic acidosis. If motor weakness develops, ZERIT should be discontinued. ZERIT therapy has also been associated with peripheral sensory neuropathy , which can be severe, is dose related, and occurs more frequently in patients being treated with other drugs that have been associated with neuropathy (including didanosine), in patients with advanced HIV infection , or in patients who have previously experienced peripheral neuropathy . Patients should be monitored for the development of neuropathy, which is usually manifested by numbness, tingling, or pain in the feet or hands. Stavudine-related peripheral neuropathy may resolve if therapy is withdrawn promptly. In some cases, symptoms may worsen temporarily following discontinuation of therapy. If symptoms resolve completely, patients may tolerate resumption of treatment at one-half the dose (see DOSAGE AND ADMINISTRATION ). If neuropathy recurs after resumption, permanent discontinuation of ZERIT should be considered. Selected clinical adverse events that occurred in adult patients receiving ZERIT (stavudine) in a contr ...
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Further Reading on zerit
  • HIV/AIDS ( WebMD )
    HIV ( human immunodeficiency virus ) infection is the cause of AIDS , acquired immunodeficiency ...Retrovir]), ddC (zalcitabine [Hivid], dideoxyinosine), d4T (stavudine [ Zerit ]), and 3TC (lamivudine...

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