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

Kivexa

Active Ingredient:
Abacavir, Lamivudine
Origin:
EU

Kivexa (Abacavir, Lamivudine)

Abacavir and lamivudine, the active ingredient in Kivexa, is a nucleoside reverse transcriptase inhibitor presented as a tablet for oral use. It treats HIV-1 infection in adults and adolescents.
GNH India supplies Kivexa as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Viiv Healthcare B.V.

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Indications & Clinical Uses

  • Kivexa, a nucleoside reverse transcriptase inhibitor, is indicated for the management of HIV-1 infection.
  • HIV-1 infection: reduces viral replication and improves immune function as part of combination antiretroviral therapy.
  • Treatment‑naïve HIV-1 patients: provides a convenient dual‑drug regimen to simplify therapy.
  • Switch therapy for stable patients: maintains viral suppression while reducing pill burden.

How It Works

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

Side Effects

Kivexa may cause a range of adverse reactions. Monitoring and patient education are essential.

Common Side Effects

  • Nausea
  • Headache
  • Fatigue
  • Diarrhea
  • Vomiting
  • Rash

Serious or Rare Side Effects

  • Hypersensitivity reaction (including fever, rash, organ involvement)
  • Severe liver injury
  • Lactic acidosis or hepatic steatosis
  • Stevens‑Johnson syndrome/toxic epidermal necrolysis
  • Severe neutropenia or anemia
  • Cardiovascular events such as myocardial infarction

Precautions & Warnings

  • Before initiating Kivexa, several safety considerations should be addressed.
  • Assess renal function: adjust therapy if creatinine clearance is markedly reduced.
  • Monitor hepatic enzymes: check liver function periodically during treatment.
  • Screen for HLA‑B*5701: avoid abacavir in patients who test positive due to hypersensitivity risk.
  • Counsel on adherence: consistent dosing is critical to prevent resistance.
  • Avoid in known hypersensitivity: discontinue immediately if severe reaction occurs.
  • Store at ambient temperature: keep in original packaging, protect from moisture and heat.

Avoid Interactions

Kivexa can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Didanosine: increased risk of pancreatitis.
  • Ribavirin: heightened toxicity risk.
  • Other NRTIs with overlapping toxicity profiles.

Moderate Interactions (Monitor Closely)

  • Protease inhibitors (e.g., ritonavir): may raise lamivudine levels.
  • Non‑nucleoside reverse transcriptase inhibitors (e.g., efavirenz): can affect abacavir concentrations.
  • Warfarin: potential alteration of INR, requiring closer monitoring.

Frequently Asked Questions

Kivexa is prescribed for the treatment of HIV-1 infection. It is used as part of combination antiretroviral therapy to suppress viral replication, improve CD4 cell counts, and reduce the risk of disease progression in adults and adolescents living with HIV.

Both abacavir and lamivudine are nucleoside analogues that, after intracellular phosphorylation, mimic natural nucleotides. When incorporated by HIV reverse transcriptase into the growing viral DNA chain, they cause premature termination, thereby blocking viral replication.

The dosing regimen for Kivexa is determined by the prescribing clinician based on current HIV treatment guidelines, patient weight, renal function, and other individual factors. Patients should follow the exact dose and schedule provided by their healthcare professional.

Safety data for Kivexa in pregnancy and lactation are limited. Clinicians must weigh the potential benefits against possible risks and consider alternative regimens when appropriate. Breastfeeding decisions should be made in consultation with a qualified healthcare provider.

To request Kivexa, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details, and any necessary import documentation.

Kivexa combines two NRTIs in a single tablet, simplifying regimens compared with separate tablets such as abacavir + lamivudine + zidovudine. Compared with fixed‑dose combos like Truvada (tenofovir + emtricitabine), Kivexa lacks a tenofovir component, which may be advantageous for patients with renal concerns but offers a different resistance profile.

Kivexa tablets should be stored at ambient temperature, below 25 °C, in the original blister pack to protect from moisture and light. Keep the container tightly closed and out of reach of children.

Kivexa is taken orally as a tablet, usually once daily. It can be swallowed with or without food, but patients should follow any specific instructions from their prescriber regarding timing with meals.

The most serious adverse events include hypersensitivity reactions (fever, rash, organ involvement), severe liver injury, lactic acidosis, Stevens‑Johnson syndrome, and significant hematologic abnormalities such as neutropenia. Any of these symptoms require immediate medical attention.

Kivexa should be avoided in individuals with known hypersensitivity to abacavir, lamivudine, or any tablet components, and in patients who test positive for the HLA‑B*5701 allele due to a high risk of abacavir hypersensitivity. Severe hepatic impairment is also a contraindication.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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