film coated tablets
abacavir (as sulfate), lamivudine and zidovudine
Consumer Medicine Information
PATIENTS TAKING TRIZIVIR, WHICH CONTAINS ABACAVIR, MAY DEVELOP A HYPERSENSITIVITY
REACTION (SERIOUS ALLERGIC REACTION) WHICH CAN BE LIFE-THREATENING IF TREATMENT WITH
TRIZIVIR IS CONTINUED. CONTACT YOUR DOCTOR IMMEDIATELY FOR ADVICE ON WHETHER YOU SHOULD
STOP TAKING TRIZIVIR IF:
1) YOU GET A SKIN RASH OR
2) YOU GET ONE OR MORE SYMPTOMS FROM AT LEAST TWO OF THE FOLLOWING GROUPS:
SHORTNESS OF BREATH, SORE THROAT OR COUGH
NAUSEA OR VOMITING OR DIARRHOEA OR ABDOMINAL PAIN
SEVERE TIREDNESS OR ACHINESS OR GENERALLY ILL FEELING
IF YOU HAVE HAD A HYPERSENSITIVITY (ALLERGIC) REACTION TO TRIZIVIR TABLETS, NEVER
TAKE TRIZIVIR, OR ANY OTHER MEDICINAL PRODUCT CONTAINING ABACAVIR (KIVEXA, TRIUMEQ,
ZIAGEN) AGAIN AS YOU MAY DEVELOP A LIFE THREATENING REACTION WHICH CAN BE FATAL.
THERE IS AN ALERT CARD INCLUDED IN THE TRIZIVIR PACK, TO REMIND YOU AND MEDICAL STAFF
ABOUT ABACAVIR HYPERSENSITIVITY. THIS CARD SHOULD BE REMOVED FROM THE PACK AND KEPT
WITH YOU AT ALL TIMES. SEE MORE DETAILS UNDER BEFORE YOU TAKE TRIZIVIR.
What is in this leaflet?
Please read this leaflet carefully before you start TRIZIVIR tablets.
This leaflet answers some common questions about TRIZIVIR tablets. It does not contain
all of the available information.
It does not take the place of talking to your doctor or pharmacist (also known as
All medicines have risks and benefits. Your doctor has weighed the expected benefits
of you taking TRIZIVIR tablets against the risks this medicine could 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.
Patients taking TRIZIVIR may develop a hypersensitivity reaction (serious allergic
reaction) which can be life-threatening if you continue to take TRIZIVIR. It is important
you read the information on this reaction in the section "Special Warning" under "Before
you take TRIZIVIR tablets", of this leaflet. There is also an Alert Card included
in the TRIZIVIR pack, to remind you and medical staff about TRIZIVIR hypersensitivity.
This card should be removed from the pack and kept with you at all times.
The symptoms of this reaction include fever; nausea or vomiting or diarrhoea or abdominal
pain; skin rash or skin redness or itching; severe tiredness or body aches or generally
feeling ill; shortness of breath, sore throat or cough. If you develop any of these
symptoms call your doctor IMMEDIATELY WHO WILL ADVISE YOU WHETHER YOU SHOULD STOP
TAKING TRIZIVIR. If your doctor is not available you must urgently seek other medical
advice (eg. the Accident and Emergency unit of the nearest hospital) before taking
the next dose.
If you have had this reaction to TRIZIVIR, NEVER take TRIZIVIR, or any other medicine
containing abacavir (KIVEXA, TRIUMEQ, ZIAGEN), again as WITHIN HOURS you may experience
a life-threatening lowering of your blood pressure or death.
What TRIZIVIR tablets are used for
TRIZIVIR contains abacavir, lamivudine and zidovudine which each belong to a group
of medicines called antiretrovirals.
Please note that these medicines may also be available separately in some countries:
abacavir (as sulfate) alone is ZIAGEN (tablets and oral solution), lamivudine alone
is 3TC, (tablets and oral solution) and zidovudine alone is RETROVIR (capsules and
TRIZIVIR 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
TRIZIVIR does not cure AIDS or HIV infection, but prevents further damage to the body's
immune system by stopping production of new viruses.
TRIZIVIR 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 contamination with infected
blood. You should use proper precautions to prevent this.
While taking TRIZIVIR 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 the doctor that is looking after you.
TRIZIVIR is not addictive.
Before you take TRIZIVIR tablets
Do not take if:
You must not take TRIZIVIR tablets if:
you have ever had an allergic reaction to either
abacavir (trade name ZIAGEN) or any other abacavir containing products (KIVEXA, TRIUMEQ),
lamivudine (trade name 3TC),
zidovudine (trade name RETROVIR)
a product containing both lamivudine and zidovudine (trade name COMBIVIR), or
any of the ingredients listed at the end of this leaflet.
TRIZIVIR contains abacavir. Abacavir can cause a serious allergic reaction known as
a hypersensitivity reaction, which can be life-threatening if treatment with abacavir
containing products is not stopped.
Research has found that people with a gene called HLA-B (type 5701) are more likely
to have a hypersensitivity reaction to abacavir. However, even if you do not have
this gene type it is still possible for you to get this reaction. If you know you
have this gene type, be sure to tell your doctor before you take abacavir.
The most common symptoms of this reaction include high temperature (fever) and a skin
rash. Other most frequently seen symptoms include; nausea, vomiting, diarrhoea or
abdominal pain; severe tiredness or body aches or generally feeling ill; headache;
shortness of breath, sore throat or cough. If you develop any of these symptoms call
your doctor IMMEDIATELY WHO WILL ADVISE YOU WHETHER YOU SHOULD STOP TAKING TRIZIVIR.
If your doctor is not available you must urgently seek other medical advice (eg. the
Accident and Emergency unit of the nearest hospital) before taking the next dose.
Other symptoms may include joint or muscle pain, swelling of the neck or itchy skin.
Occasionally inflammation of the eye (conjunctivitis), ulcers in the mouth, tingling
or numbness of the hands or feet or low blood pressure may occur. The symptoms of
this allergic reaction can occur at any time during treatment which usually occur
in the first six weeks of treatment with abacavir, and get worse with continued treatment.
If you have had this serious reaction to TRIZIVIR, NEVER take TRIZIVIR or any other
medicine containing abacavir (KIVEXA, TRIUMEQ, ZIAGEN) again as within hours you may
experience a life-threatening lowering of your blood pressure or death.
Occasionally life-threatening hypersensitivity reactions have occurred when abacavir
was restarted in patients who reported only one of the symptoms on the Alert Card
On very rare occasions hypersensitivity has been reported when abacavir was re-started
in patients who had no symptoms of hypersensitivity before stopping.
If you have stopped taking TRIZIVIR for any reason it is important that you contact
your doctor before restarting. This is especially so if you think you are having side-effects
from other medicines or have another illness. Your doctor will check whether any symptoms
you had before stopping may be related to this hypersensitivity reaction. If your
doctor thinks there is a possibility that they were related, you may be told never
to take TRIZIVIR, or any other medicine containing abacavir (KIVEXA, TRIUMEQ, ZIAGEN)
again. It is important that you follow this advice.
If you are hypersensitive to TRIZIVIR you should return all of your unused TRIZIVIR
to your doctor or pharmacist for proper disposal.
You must not take TRIZIVIR tablets if:
you develop any of the symptoms of allergy or hypersensitivity tell your doctor immediately.
If an allergy or hypersensitivity is suspected then your doctor will stop your TRIZIVIR
YOU MUST NOT TAKE TRIZIVIR, OR ANY OTHER MEDICINE CONTAINING ABACAVIR (KIVEXA, TRIUMEQ,
ZIAGEN ) AGAIN.
you are pregnant, think you may be pregnant, are breastfeeding, unless your doctor
tells you to.
severe liver disease
reduced red blood cell count (anaemia)
reduced white blood cell count (neutropenia)
If you have certain conditions, your doctor may advise that you take a lower dose
of abacavir, lamivudine and/or zidovudine, the active ingredients in TRIZIVIR tablets.
Although not available in all countries, abacavir may be available separately as ZIAGEN
tablets and oral solution, lamivudine 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 TRIZIVIR.
the expiry date (EXP) printed on the pack has passed.
the packaging is torn or shows signs of tampering.
If you take ribavirin and TRIZIVIR together it may cause or worsen anaemia. Please
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 TRIZIVIR.
Tell your doctor if:
You must tell your doctor if:
in the past you have had a allergic reaction to medicines containing abacavir (KIVEXA,
TRIUMEQ, TRIZIVIR, ZIAGEN).
you are allergic to foods, dyes, preservatives or any other medicines.
you are taking or have taken any other medicines, including medicines you buy without
you have, or have ever had, hepatitis B infection.
you have, or have ever had, liver problems, for example jaundice, hepatitis, virus
affecting the liver, enlarged liver or liver scarring (cirrhosis) or if you have any
risk factors for liver problems, e.g. excessive alcohol intake, illegal intravenous
drug use with shared equipment, iron or copper storage disorders.
you have any other illness, including those that you think are not related to HIV
If you are taking any of the medicines below:
Phenytoin, oxazepam, lorazepam.
Aspirin, codeine, morphine, methadone, indomethacin, ketoprofen, naproxen, cimetidine,
clofibrate, probenecid, isoprinosine.
Pentamidine, pyrimethamine, dapsone, atovaquone, amphotericin, flucytosine, ganciclovir,
Vincristine, vinblastine and doxorubicin
stavudine or emtricitabine
sorbitol-containing medicines (usually liquids) used regularly
Use in children and adolescents
TRIZIVIR is not recommended for use in children or adolescents who weigh less than
40kg. Because it is a fixed dose combination tablet it cannot be adjusted according
to the size and weight of the patient.
How do I take TRIZIVIR tablets?
How much to take
Take TRIZIVIR tablets as directed by your doctor or pharmacist. The usual dosage of
TRIZIVIR tablets is one tablet, twice a day. Your doctor may prescribe a different
How to take them
Your TRIZIVIR tablets should be swallowed with a drink of water.
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.
What do I do if I take too much? (Overdose)
If you think you or anyone else may have taken too many TRIZIVIR tablets, immediately
telephone your doctor or Poisons Information Centre (in Australia telephone 131126.
In New Zealand telephone 0800 POISON or 0800 764 766) or go to the Accident and Emergency
unit at your nearest hospital. Do this even if there are no signs of discomfort or
poisoning. You may need urgent medical attention.
If you are not sure what to do, contact your doctor or pharmacist.
While you are taking TRIZIVIR tablets
Things you must do
Tell your doctor or pharmacist that you are taking TRIZIVIR 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
TRIZIVIR works. You must tell your doctor or pharmacist that you are taking TRIZIVIR
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 think you are 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
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 have stopped taking them
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 TRIZIVIR
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.
Things you must not do
Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
Do not use TRIZIVIR tablets to treat any other complaints unless your doctor tells
Things to be careful of
Be careful driving or operating machinery until you know how TRIZIVIR tablets affect
TRIZIVIR 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, TRIZIVIR
tablets may cause headache and tiredness in some people.
What are the side-effects?
Check with your doctor as soon as possible if you have any problems while taking TRIZIVIR
tablets, even if you do not think the problems are connected with the medicine or
are not listed in this leaflet.
Like all medicines, TRIZIVIR 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
TRIZIVIR contains abacavir (which is also an active ingredient in KIVEXA, TRIUMEQ
Abacavir can cause a serious allergic reaction known as a hypersensitivity reaction,
which can be life-threatening if treatment with abacavir containing products is not
stopped.This reaction is described in the section "Special warning" under "Before
you take TRIZIVIR tablets", of this leaflet. It is important that you read and understand
the information about this serious reaction.
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 TRIZIVIR in later stages of
While you are taking TRIZIVIR, 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 TRIZIVIR, or recommend standard treatment for these conditions.
On very rare occasions serious skin reactions have been reported.
It is not known whether many of these side effects are due to taking TRIZIVIR or taking
TRIZIVIR while taking other medicines. Some of these symptoms may occur as part of
HIV infection, AIDS or AIDS-related Complex.
Common side-effects associated with TRIZIVIR treatment include:
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.
widening of blood vessels, possibly leading to low blood pressure or feeling faint.
constipation, diarrhoea, difficulty in swallowing, gas from stomach or bowel, 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, hayfever, sinus problems, hoarseness.
acne, itchiness, skin rash, changes in nail, skin or mouth colour.
ear, nose and throat infection,
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
Changes in the amounts of fatty substances and glucose in the blood have also been
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.
Do not be alarmed by this list of possible side-effects. It is a list of the most
common side-effects from the active ingredients contained in TRIZIVIR tablets. You
may not experience any of them.
The side-effects may depend on whether you take TRIZIVIR alone, or also have taken
other antiretroviral medication(s). Less is known about possible side-effects of taking
TRIZIVIR with other antiretrovirals.
Call your doctor IMMEDIATELY if you notice any of the following. The doctor will tell
you whether you should stop taking TRIZIVIR tablets and what you should do:
Some people taking TRIZIVIR, or other medicines like it (NRTIs), develop a condition
called lactic acidosis, together with an enlarged liver.
Lactic acidosis is caused by a build-up of lactic acid in the body. It is rare; if
it happens, it usually develops after a few months of treatment. It can be life-threatening,
causing failure of internal organs.
Lactic acidosis is more likely to develop in people who have liver disease, especially
Signs of lactic acidosis include:
- deep, rapid, difficult breathing
- numbness or weakness in the limbs
- feeling sick (nausea), being sick (vomiting)
Allergic (anaphylactic) reaction
The symptoms of an allergic (anaphylactic) reaction which may occur soon after starting
TRIZIVIR include wheezing, swelling of the lips/mouth, difficulty in breathing, hayfever,
lumpy rash (hives) or fainting.
Old infections may flare up
People with advanced HIV infection (AIDS) have weak immune systems, and are more likely
to develop serious infections (opportunistic infections). When these people start
treatment, they may find that old, hidden infections flare up, causing signs and symptoms
of inflammation. These symptoms are probably caused by the body’s immune system becoming
stronger, so that the body starts to fight these infections.
Your body shape may change
Treatment with TRIZIVIR 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 TRIZIVIR should be stopped
and your HIV treatment changed. If you stop taking TRIZIVIR, it may take several months
to see any lost fat return. You may not regain all of your lost body fat.
If you have any of the following symptoms soon after starting to take your medicine,
do not take any more TRIZIVIR 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.
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.
How do I store TRIZIVIR tablets?
Keep this medicine where young children cannot reach them such as a locked cupboard.
Keep TRIZIVIR 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.
Keep your TRIZIVIR tablets in their pack until it is time to take them.
If your doctor tells you to stop taking TRIZIVIR tablets, or the tablets have passed
their expiry date, return any unused or expired medicine to your pharmacist.
What TRIZIVIR tablets look like.
TRIZIVIR tablets are blue/green capsule shaped, film-coated tablets, stamped with
"GX LL1". The tablets are available in a bottle pack, (fitted with a child resistant
closure) or blister packs. Each pack contains 60 tablets.
TRIZIVIR contains the active ingredients abacavir (as the sulfate, 300 mg), lamivudine
(150 mg) and zidovudine (300 mg).
TRIZIVIR tablets also contain the following inactive ingredients:
microcrystalline cellulose (E460), sodium starch glycollate, magnesium stearate (E572),
hypromellose (E464), titanium dioxide (E171), macrogol 400, indigo carmine CI73015
(E132) aluminium lake and iron oxide yellow CI77492 (E172).
ViiV Healthcare Pty Ltd
Level 4, 436 Johnston Street
Abbotsford, Victoria, 3067
This is not all the information that is available on TRIZIVIR 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.
This leaflet was prepared on
16 November 2017
The information provided applies only to TRIZIVIR tablets.
Trade marks are owned by or licensed to the ViiV Healthcare group of companies.
TRIZIVIR tablets, bottle:
AUST R 78348
TRIZIVIR tablets, blister:
AUST R 78349
© 2017 ViiV Healthcare group of companies or its licensor.