The use of zalcitabine has been associated with significant clinical adverse reactions, some of which are potentially fatal. Zalcitabine can cause severe peripheral neuropathy and because of this should be used with extreme caution in patients with preexisting neuropathy. Zalcitabine may also rarely cause pancreatitis and patients who develop any symptoms suggestive of pancreatitis while using zalcitabine should have therapy suspended immediately until this diagnosis is excluded.
Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have been reported with the use of antiretroviral nucleoside analogues alone or in combination, including zalcitabine.
In addition, rare cases of hepatic failure and death considered possibly related to underlying hepatitis B and zalcitabine have been reported .
The use of zalcitabine has been associated with significant clinical adverse reactions, some of which are potentially fatal. Zalcitabine can cause severe peripheral neuropathy, pancreatitis (rare), and hepatic failure (rare). Lactic acidosis and severe hepatomegaly with steatosis, including fatal cases, have also been reported. Use with extreme caution in patients with preexisting neuropathy; suspend therapy immediately in any patient who develops any symptoms suggestive of pancreatitis .
Commonly used brand name(s):
In the U.S.
Available Dosage Forms:
Therapeutic Class: Antiretroviral Agent
Pharmacologic Class: Nucleoside Reverse Transcriptase Inhibitor
Zalcitabine (also known as ddC) is used in the treatment of the infection caused by the human immunodeficiency virus (HIV). HIV is the virus that causes acquired immune deficiency syndrome (AIDS).
Zalcitabine (ddC) will not cure or prevent HIV infection or AIDS; however, it helps keep HIV from reproducing and appears to slow down the destruction of the immune system. This may help delay the development of problems usually related to AIDS or HIV disease. Zalcitabine will not keep you from spreading HIV to other people. People who receive zalcitabine may continue to have other problems usually related to AIDS or HIV disease.
Zalcitabine may cause some serious side effects, including peripheral neuropathy (a problem involving the nerves). Symptoms of peripheral neuropathy include tingling, burning, numbness, or pain in the hands or feet. Zalcitabine may also cause pancreatitis (inflammation of the pancreas). Symptoms of pancreatitis include stomach pain, and nausea and vomiting. Check with your doctor if any new health problems or symptoms occur while you are taking zalcitabine.
Zalcitabine was available only with your doctor's prescription.
HIVID® (zalcitabine) was discontinued by Roche Pharmaceuticals on December 31, 2006 due to the availability of newer HIV medicines.
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For zalcitabine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to zalcitabine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Zalcitabine can cause serious side effects in any patient. Therefore, it is especially important that you discuss with your child's doctor the good that zalcitabine may do as well as the risks of using it. Your child must be seen frequently and your child's progress carefully followed by the doctor while the child is taking zalcitabine.
Zalcitabine has not been studied specifically in older people. Therefore, it is not known whether it causes different side effects or problems in the elderly than it does in younger adults.
|All Trimesters||C||Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.|
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Using zalcitabine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using zalcitabine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
The presence of other medical problems may affect the use of zalcitabine. Make sure you tell your doctor if you have any other medical problems, especially:
Take zalcitabine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Also, do not stop taking zalcitabine without checking with your doctor first.
Keep taking zalcitabine for the full time of treatment, even if you begin to feel better.
zalcitabine works best when there is a constant amount in the blood. To help keep the amount constant, do not miss any doses. If you need help in planning the best times to take your medicine, check with your health care professional.
Only take medicine that your doctor has prescribed specifically for you. Do not share your medicine with others.
The dose of zalcitabine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of zalcitabine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of zalcitabine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
It is very important that your doctor check your progress at regular visits.
Do not take any other medicines without checking with your doctor first. To do so may increase the chance of side effects from zalcitabine.
HIV may be acquired from or spread to other people through infected body fluids, including blood, vaginal fluid, or semen. If you are infected, it is best to avoid any sexual activity involving an exchange of body fluids with other people. If you do have sex, always wear (or have your partner wear) a condom (“rubber”). Only use condoms made of latex, and use them every time you have vaginal, anal, or oral sex. The use of a spermicide (such as nonoxynol-9) may also help prevent transmission of HIV if it is not irritating to the vagina, rectum, or mouth. Spermicides have been shown to kill HIV in lab tests. Do not use oil-based jelly, cold cream, baby oil, or shortening as a lubricant—these products can cause the condom to break. Lubricants without oil, such as K-Y Jelly, are recommended. Women may wish to carry their own condoms. Birth control pills and diaphragms will help protect against pregnancy, but they will not prevent someone from giving or getting the AIDS virus. If you inject drugs, get help to stop. Do not share needles or equipment with anyone. In some cities, more than half of the drug users are infected, and sharing even 1 needle or syringe can spread the virus. If you have any questions about this, check with your health care professional.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:More common
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:Less common
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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