Product image of Kivala (Abacavir, Lamivudine) supplied by GNH India

Kivala

Active Ingredient:
Abacavir, Lamivudine
Origin:
EU

Kivala (Abacavir, Lamivudine)

Abacavir, the active ingredient in Kivala, is a nucleoside reverse transcriptase inhibitor (NRTI) presented as an oral tablet for oral use. It is combined with lamivudine to treat HIV-1 infection in adults and adolescents, helping to suppress viral replication as part of antiretroviral therapy and is approved in the European Union for this indication.

GNH India supplies Kivala as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, and research institutions, with a focus on quality and regulatory compliance.

Manufacturer / TM Owner

Remedica Ltd

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Indications & Clinical Uses

Abacavir/lamivudine is used in antiretroviral therapy for HIV-1 infection.

  • HIV-1 infection (treatment‑naïve adults): provides viral suppression when combined with other antiretrovirals.
  • HIV-1 infection (treatment‑experienced patients): offers an alternative NRTI backbone in salvage regimens.
  • HIV-1 infection (pediatric patients ≥3 years): used as part of combination therapy to control viral replication.

How It Works

  • Abacavir and lamivudine are nucleoside analogues that enter cells and are phosphorylated to their active triphosphate forms. These metabolites compete with natural nucleotides for incorporation into viral DNA by HIV reverse transcriptase, causing chain termination and preventing further viral DNA synthesis, thereby inhibiting HIV replication.

Side Effects

Abacavir/lamivudine may be associated with a range of adverse reactions, varying in frequency and severity.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Headache: transient cranial discomfort.
  • Fatigue: general tiredness.
  • Diarrhea: loose stools.
  • Vomiting: occasional emesis.
  • Rash: mild skin irritation.

Serious or Rare Side Effects

  • Hypersensitivity reaction: fever, rash, organ involvement.
  • Severe liver injury: jaundice, elevated enzymes.
  • Lactic acidosis: metabolic disturbance.
  • Neutropenia: reduced white blood cells.
  • Stevens‑Johnson syndrome: severe skin blistering.
  • Severe skin reactions: toxic epidermal necrolysis.

Precautions & Warnings

When prescribing abacavir/lamivudine, clinicians should consider several safety aspects.

  • Renal function: assess baseline and monitor periodically.
  • Hepatic function: monitor liver enzymes during therapy.
  • Cardiovascular risk: evaluate history of hypersensitivity reactions.
  • Pregnancy: use only if benefits outweigh potential risks.
  • Drug resistance: avoid monotherapy to prevent viral resistance.
  • Store at ambient temperature: keep in the original container, protect from moisture.

Avoid Interactions

Abacavir/lamivudine can interact with other medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Didanosine: increased risk of pancreatitis.
  • Ritonavir‑boosted protease inhibitors: may raise abacavir plasma levels.

Moderate Interactions (Monitor Closely)

  • Methadone: possible reduction in opioid effect.
  • Alcohol: may exacerbate liver toxicity.
  • Other NRTIs: overlapping toxicity should be monitored.

Frequently Asked Questions

Kivala contains the combination of abacavir and lamivudine and is used as part of antiretroviral therapy to treat HIV-1 infection in adults, adolescents, and eligible pediatric patients. It works together with other antiretroviral agents to suppress viral replication and improve immune function.

Abacavir is a nucleoside analogue that, after intracellular phosphorylation, mimics natural nucleotides and is incorporated into viral DNA by HIV reverse transcriptase. This incorporation terminates the DNA chain, preventing further viral replication and helping to control HIV infection.

The specific dose of Kivala is determined by the prescribing clinician based on the patient’s age, weight, renal and hepatic function, and the overall antiretroviral regimen. Dosage instructions are provided on the prescription label and should be followed exactly as directed.

Safety of Kivala in pregnancy or while breastfeeding has not been fully established. It should be used only if the potential benefits to the mother outweigh any possible risks to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To order Kivala, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request trade or institutional credentials before providing pricing, availability, shipping details and import documentation.

Kivala combines two nucleoside reverse transcriptase inhibitors, offering a dual‑NRTI backbone that is comparable to other fixed‑dose combinations such as tenofovir/emtricitabine. Choice of regimen depends on resistance profiles, tolerability, comorbidities and clinician preference.

Kivala should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct sunlight, and ensure the container is tightly closed to maintain stability.

Kivala is taken orally, usually with or without food, as directed by the prescribing physician. The tablets should be swallowed whole with water and not crushed or chewed unless specifically instructed by a healthcare professional.

Serious risks include hypersensitivity reactions that may involve fever, rash, and organ involvement, as well as severe liver injury, lactic acidosis, neutropenia, and rare skin conditions such as Stevens‑Johnson syndrome. Patients should seek immediate medical attention if any of these symptoms occur.

Kivala should be avoided in patients with known hypersensitivity to abacavir, lamivudine, or any component of the formulation. It is also contraindicated in individuals with severe hepatic impairment or those who cannot be monitored for potential serious adverse reactions.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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