lamivudine 150 mg and zidovudine 300 mg tablets
Australia and New Zealand Consumer Medicine Information
What is in this leaflet
Please read this leaflet carefully before you start taking COMBIVIR tablets.
This leaflet answers some common questions about COMBIVIR. It does not contain all
the available information. It does not take the place of talking to your doctor or
All medicines have risks and benefits. Your doctor has weighed the risks of you taking
COMBIVIR tablets against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What COMBIVIR tablets are used for
COMBIVIR contains both lamivudine and zidovudine which belong to a group of medicines
Please note that these medicines are also available separately: lamivudine alone is
3TC, (tablets and oral solution) and zidovudine alone is RETROVIR (capsules and syrup).
COMBIVIR is used, alone or with other antiretrovirals, to slow down the progression
of human immunodeficiency virus (HIV) infection, which can lead to Acquired Immune
Deficiency Syndrome (AIDS) and other related illnesses (e.g. AIDS-related Complex
COMBIVIR does not cure AIDS or HIV infection, but slows production of human immunodeficiency
virus. In this way it stops ongoing damage to the body's immune system, which fights
COMBIVIR does not reduce your risk of passing HIV infection to others. You will still
be able to pass on the HIV virus by sexual activity or by passing on blood or bodily
secretions which carry the HIV virus. You should continue to take all appropriate
While taking COMBIVIR and/or any other therapy for HIV disease, you may continue to
develop other infections and other complications of HIV infection. You should keep
in regular contact with your doctor.
The long-term risks and benefits of taking COMBIVIR are not known.
Your doctor may have prescribed COMBIVIR for another reason. Ask your doctor if you
have any questions about why COMBIVIR has been prescribed for you.
COMBIVIR is not addictive.
Before you take COMBIVIR tablets
When you must not take them
Do not take COMBIVIR tablets if you have ever had an allergic reaction to either lamivudine
(trade name 3TC) or zidovudine (trade name RETROVIR), or any of the ingredients listed
at the end of this leaflet.
Symptoms of an allergic reaction may be mild or severe. They usually include some
or all of the following: wheezing, swelling of the lips/mouth, difficulty in breathing,
hay fever, lumpy rash ("hives") or fainting.
Do not take COMBIVIR tablets if you are pregnant, trying to become pregnant or breastfeeding,
unless your doctor says you should.
Your doctor should discuss with you the risks and benefits of using COMBIVIR tablets
if you are pregnant or breastfeeding.
Do not take COMBIVIR if you have
reduced red blood cell count (anaemia),
reduced white blood cell count (neutropenia).
If you have certain health conditions, your doctor may advise that you take a lower
dose of lamivudine and/or zidovudine, the active ingredients in COMBIVIR tablets.
Lamivudine is available separately as 3TC tablets and oral solution, and zidovudine
is available as RETROVIR capsules and syrup. Ask your doctor if you are not sure
whether you should take COMBIVIR.
Do not take COMBIVIR tablets after the expiry date (EXP) printed on the pack.
If you take them after the expiry date has passed, they may not work as well.
Do not take COMBIVIR tablets if the packaging is torn or shows signs of tampering.
If you're not sure whether you should be taking COMBIVIR tablets, talk to your doctor.
Before you start to take them
You must tell your doctor if:
you are allergic to foods, dyes, preservatives or any other medicines.
you are taking or have taken any other medicines.
you have, or have ever had, hepatitis B infection.
you have, or have ever had, liver problems.
When you stop taking COMBIVIR Tablets
If you have a long-standing viral infection of your liver (hepatitis B) it may flare
up. This can cause serious illness particularly if your liver is already not working
very well. If you have both HIV and hepatitis B, when you stop taking your COMBIVIR
tablets, your doctor is likely to arrange tests from time to time to check how well
your liver is working and to measure virus levels.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you get without a prescription from your pharmacy, supermarket or health food
If you take ribavirin and COMBIVIR together it may cause or worsen anaemia. Contact
your doctor if you notice symptoms of anaemia (such as tiredness and shortness of
breath). Your doctor will advise you whether you should stop taking COMBIVIR.
There is little information about the way other medicines might affect the way that
COMBIVIR works, or how COMBIVIR affects other medicines.
Particular care is needed when taking the painkiller, paracetamol.
Your doctor or pharmacist will be able to tell you what to do when taking COMBIVIR
with other medicines.
Tell your doctor if you are taking any of the medicines below:
Phenytoin, oxazepam, lorazepam.
Aspirin, codeine, morphine, methadone, rifampicin, indomethacin, ketoprofen, naproxen,
cimetidine, clofibrate, probenecid.
Pentamidine, pyrimethamine, dapsone, atovaquone, amphotericin, flucytosine, ganciclovir,
trimethoprim, sulfamethoxazole, interferon, clarithromycin.
Vincristine, vinblastine and doxorubicin
Aciclovir, inosine pranobex, adriamycin, ciprofloxacin
Stavudine, zalcitabine or emtricibine
Sorbitol-containing medicines (usually liquids) used regularly
COMBIVIR should not be taken with stavudine or zalcitabine
Use in children
COMBIVIR is not recommended for use in children under 12 years of age. Because it
is a fixed dose combination tablet it cannot be adjusted according to the size and
weight of the patient.
How to take COMBIVIR tablets
Your doctor will tell you how many COMBIVIR tablets to take and how often to take
them. You will also find this information on the label of your medicine.
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist
How much to take
The usual dosage of COMBIVIR tablets is one tablet, twice a day.
How to take them
Your COMBIVIR tablets should be swallowed with a drink of water. Do not halve the
When to take them
Your doctor or pharmacist will be able to tell you when you should take your COMBIVIR
How long to take them
Because your medicine helps to control your condition, but does not cure it, you will
need to take the tablets every day. Do not stop taking your medicine without first
talking to your doctor.
If you forget to take them
If it is almost time for your next dose, skip the dose you missed and take your next
dose when you are meant to. Otherwise, take it as soon as you remember, then go back
to taking it as you would normally.
Do not take a double dose to make up for the dose that you missed.
If you take too much (overdose)
Immediately telephone your doctor or Poisons Information Centre. (In Australia telephone
131126. In New Zealand telephone 0800 764766 or 0800 POISON), or go to accident and
emergency at your nearest hospital, if you think you or anyone else may have taken
too many COMBIVIR tablets. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
Keep these telephone numbers handy.
If you are not sure what to do, contact your doctor or pharmacist.
While you are taking COMBIVIR tablets
Things you must do
Tell your doctor or pharmacist that you are taking COMBIVIR tablets if you are about
to be started on any new medicines.
There is little information about the way other medicines might affect the way that
COMBIVIR works. You must tell your doctor or pharmacist that you are taking COMBIVIR
before you start taking medicines you buy from a pharmacy, health food shop or supermarket.
This is especially important regarding medicines which might have an effect on the
kidneys, liver, red or white blood cells or other body cells.
Tell your doctor if you become pregnant or are trying to become pregnant.
Tell your doctor if, for any reason, you have not taken your medicine exactly as prescribed.
Otherwise, your doctor may think that it was not effective and change your treatment
Things you must not do
Do not stop taking COMBIVIR tablets, or change the dose without first checking with
Do not take COMBIVIR tablets to treat any other complaints unless your doctor tells
Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
Do not give this medicine to children under 12 years of age. Because it is a fixed
dose combination tablet it cannot be adjusted according to the size and weight of
Things to be careful of
Be careful driving or operating machinery until you know how COMBIVIR tablets affect
COMBIVIR tablets taken alone generally do not cause any problems with your ability
to drive a car or operate machinery. However, as with many other medicines, COMBIVIR
tablets may cause headache and tiredness in some people.
Check with your doctor as soon as possible if you have any problems while taking COMBIVIR
tablets, even if you do not think the problems are connected with the medicine or
are not listed in this leaflet.
Like other medicines, COMBIVIR tablets can cause some side-effects. If they occur,
they are most likely to be minor and temporary. However, some may be serious and
need medical attention.
The most serious side-effects include:
reduced red blood cell count (anaemia).
reduced white blood cell count (neutropenia).
The frequency and severity of anaemia and neutropenia are greater in patients with
advanced HIV disease, or in patients who start taking COMBIVIR in later stages of
While you are taking COMBIVIR, it is very important that your doctor keeps a close
check on your health and takes blood samples to monitor levels of red and white blood
cells. If you develop anaemia or neutropenia, your doctor may reduce or stop the
dose of COMBIVIR, or recommend standard treatment for these conditions. Ask your
doctor any questions you may have.
It is not known whether many of these side effects are due to taking COMBIVIR or taking
COMBIVIR while taking other medicines. Some of these symptoms may occur as part of
HIV infection, AIDS or AIDS-related Complex.
The side effects listed below have been reported:
sweating, body odour, chills, swelling of lips and/or tongue, flu-like symptoms, fever,
increased sensitivity to pain, back pain, enlarged glands, chest pain, weakness, weight
loss, generally feeling unwell, breast enlargement in male patients.
widening of blood vessels, possibly leading to low blood pressure or feeling faint.
constipation, difficulty in swallowing, gas from stomach or bowel, diarrhoea, bleeding
gums or nose, blood in stools, mouth ulcers, heartburn, vomiting, loss or reduction
in appetite, nausea.
abdominal discomfort and pain.
muscle aches or pains, muscle shaking or spasm or twitching, muscle disease.
enlarged fatty liver, abnormal results of blood tests of liver function, inflammation
of the pancreas.
confusion, depression, nervousness, fainting, loss of mental clarity, dizziness, seizures,
severe headache, sleeplessness, fatigue/tiredness.
cough, sore throat, hay fever, sinus problems, hoarseness, changes to perception of
acne, itchiness, skin rash, changes in nail, skin or mouth colour.
vision problems, hearing loss, sensitivity to light.
passing too much urine, pain, difficulty or increased frequency of passing urine.
reduction in all blood cells.
increased bruising or bleeding.
blood chemistry changes, with excess acidity of the blood.
unusual feelings in any part of the body, such as numbness, burning, tingling or pins
Treatment with COMBIVIR or other medicines that contain zidovudine may cause a loss
of fat from legs, arms and face (lipoatrophy). Your doctor should monitor for signs
of lipoatrophy. Tell your doctor if you notice any loss of fat from your legs, arms,
and face. When these signs occur, your doctor will assess if COMBIVIR should be stopped
and your HIV treatment changed. If you stop taking COMBIVIR, it may take several months
to see any lost fat return. You may not regain all of your lost body fat.
Other effects may show up in blood tests including increased blood levels of sugar,
fatty acids (triglycerides) and cholesterol.
Within the first few weeks of treatment with anti-HIV medicines, some people, particularly
those that have been HIV positive for some time, may develop inflammatory reactions
(eg pain, redness, swelling, high temperature) which may resemble an infection and
may be severe. It is thought that these reactions are caused by a recovery in the
body's ability to fight infections, previously suppressed by HIV. If you become concerned
about any new symptoms, or any changes in your health after starting HIV treatment,
please discuss with your doctor immediately.
Ask your doctor or pharmacist any questions you may have. If you experience any of
these side-effects, and they concern you, see your doctor or pharmacist.
If you think you are having an allergic reaction to COMBIVIR tablets, TELL YOUR DOCTOR
IMMEDIATELY or go to the accident and emergency department at your nearest hospital.
Symptoms usually include some or all of the following:
swelling of the lips/mouth
difficulty in breathing
lumpy rash ("hives")
If you have any of the following symptoms soon after starting to take your medicine,
do not take any more COMBIVIR tablets and tell your doctor immediately or go to the
accident and emergency department at your nearest hospital.
Severe stomach pain or cramps.
These side effects may be due to a condition called pancreatitis.
If you are on medication for HIV and become very sick, with fast breathing, stop taking
COMBIVIR tablets and consult your doctor immediately. You may have a condition known
as "lactic acidosis". The fast breathing is due to high acid levels in the blood.
Your liver may not be working properly and gets big and fatty. This can be life threatening.
This illness occurs more often in women than men.
See your doctor if you feel generally unwell with loss of appetite, nausea, vomiting,
itching, yellowness of the skin or eyes or dark coloured urine, or if the blood tests
of your liver function are abnormal. It is likely you will have to stop taking COMBIVIR
This is not a complete list of all possible side-effects. Others may occur in some
people and there may be some side-effects not yet known.
Side-effects may depend on whether you take COMBIVIR alone, or also have taken other
antiretroviral medication(s). Less is known about possible side-effects of taking
COMBIVIR with other antiretrovirals.
Tell your doctor if you notice anything else that is making you feel unwell, even
if it is not on this list.
Ask your doctor or pharmacist if you don't understand anything in this list.
Do not be alarmed by this list of possible side-effects. You may not experience any
After taking COMBIVIR tablets
Keep this medicine where young children cannot reach them.
A locked cupboard at least one-and-a half metres above the ground is a good place
to store medicines.
Keep COMBIVIR tablets in a cool, dry place where it stays below 30°C.
Do not store the tablets, or any other medicine, in a bathroom or near a sink.
Do not leave them in the car or on window sills.
Heat and dampness can destroy some medicines.
Keep your COMBIVIR tablets in their pack until it is time to take them.
If you take COMBIVIR tablets out of their pack they may not keep well.
If your doctor tells you to stop taking COMBIVIR tablets, or the tablets have passed
their expiry date, ask your pharmacist what to do with any tablets left over.
What COMBIVIR tablets looks like.
COMBIVIR tablets are white to off-white, capsule-shaped and stamped with "GXFC3".
Tablets are available in blister packs inside a carton. Each carton contains 60 tablets.
COMBIVIR contains the active ingredients lamivudine (150 mg) and zidovudine (300 mg).
COMBIVIR tablets also contain the following inactive ingredients:
microcrystalline cellulose, sodium starch glycollate, silicon dioxide, magnesium stearate,
hypromellose, titanium dioxide, macrogol and polysorbate 80.
COMBIVIR does not contain gluten.
ViiV Healthcare Pty Ltd
Level 4, 436 Johnston Street
Abbotsford, Victoria, 3067
This is not all the information that is available on COMBIVIR tablets. If you have
any more questions or are not sure about anything, ask your doctor or pharmacist.
Pharmaceutical companies are not in a position to give people an individual diagnosis
or medical advice. Your doctor or pharmacist is the best person to give you advice
on the treatment of your condition. You may also be able to find general information
about your disease and its treatment from books, for example in public libraries.
Do not throw this leaflet away.
You may need to read it again.
This leaflet was prepared on
26 June 2017.
The information provided applies only to: COMBIVIR tablets.
Trade marks are owned by or licensed to the ViiV Healthcare group of companies.
COMBIVIR tablets, lamivudine 150 mg and zidovudine 300 mg:
AUST R 61489
© 2017 ViiV Healthcare group of companies or its licensor.