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

Kivexa

Active Ingredient:
Abacavir Sulfate, Lamivudine
Origin:
EU

Kivexa (Abacavir Sulfate, Lamivudine)

Abacavir sulfate and lamivudine, the active ingredient in Kivexa, is a nucleoside reverse transcriptase inhibitor presented as a 600 mg/300 mg tablet for oral use. It treats HIV‑1 infection in adults and adolescents as part of combination antiretroviral therapy, and is approved in the European Union for treatment‑experienced patients.

GNH India supplies Kivexa as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, transplant centres and clinics worldwide.

Manufacturer / TM Owner

Viiv Healthcare B.V.

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Indications & Clinical Uses

Kivexa, a nucleoside reverse transcriptase inhibitor, is used in the management of HIV infection.

  • HIV‑1 infection in adults: suppresses viral replication as part of combination antiretroviral therapy.
  • HIV‑1 infection in adolescents: provides viral load reduction when combined with other antiretrovirals.
  • Treatment‑experienced patients: offers an alternative backbone regimen for those with prior therapy.

How It Works

  • Abacavir and lamivudine are nucleoside analogues that require intracellular phosphorylation to their active triphosphate forms. These active metabolites compete with natural nucleosides for incorporation into the viral DNA by HIV reverse transcriptase. Once incorporated, they cause premature chain termination, thereby halting viral DNA synthesis and preventing replication of HIV within host cells.

Side Effects

Kivexa may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Nausea
  • Headache
  • Fatigue
  • Diarrhea
  • Rash
  • Insomnia

Serious or Rare Side Effects

  • Hypersensitivity reaction (fever, rash, organ involvement)
  • Severe liver injury
  • Lactic acidosis
  • Stevens‑Johnson syndrome

Precautions & Warnings

When prescribing Kivexa, several safety considerations should be observed.

  • HLA‑B*57:01 screening: test patients before initiating therapy to avoid abacavir hypersensitivity.
  • Liver function monitoring: assess hepatic enzymes regularly during treatment.
  • Renal function monitoring: evaluate kidney function, especially in patients with pre‑existing impairment.
  • Pregnancy counseling: discuss unknown safety profile and weigh risks versus benefits.
  • Drug interactions review: check concomitant medications for potential additive toxicity.
  • Store at ambient temperature: keep tablets below 25 °C in the original packaging, protected from moisture.

Avoid Interactions

Kivexa can interact with other medicines, requiring attention to avoid adverse effects.

Major Interactions (Avoid)

  • Didanosine: concurrent use increases risk of severe toxicity.
  • Stavudine: avoid combined use due to additive mitochondrial toxicity.
  • High‑dose nucleoside analogues: may increase mitochondrial toxicity when used together.

Moderate Interactions (Monitor Closely)

  • Protease inhibitors (e.g., ritonavir): may raise plasma levels of abacavir.
  • Non‑nucleoside reverse transcriptase inhibitors (e.g., efavirenz): may affect lamivudine metabolism.
  • Alcohol: can exacerbate hepatic side effects.
  • Live vaccines: consider reduced efficacy or increased risk.

Frequently Asked Questions

Kivexa is a fixed‑dose combination of abacavir sulfate and lamivudine indicated for the treatment of HIV‑1 infection in adults and adolescents, typically as part of a combination antiretroviral regimen.

Both components are nucleoside analogues that are phosphorylated inside cells to active triphosphates. They compete with natural nucleosides for incorporation by HIV reverse transcriptase, causing premature DNA chain termination and blocking viral replication.

The prescribed dose of Kivexa is determined by the treating clinician based on the patient’s clinical status, weight, and other antiretroviral agents. Dosage adjustments may be required for renal or hepatic impairment, and patients should follow the prescriber’s instructions.

The safety of Kivexa in pregnancy and lactation has not been fully established. Clinicians should evaluate the potential benefits against possible risks, and pregnant or nursing women should discuss treatment options with their 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 nucleoside reverse transcriptase inhibitors in a single tablet, offering convenience over separate pills. Compared with other NRTI backbones, it provides a favorable dosing schedule but shares similar efficacy and safety profiles, while requiring HLA‑B*57:01 screening for abacavir hypersensitivity.

Kivexa tablets should be stored at ambient temperature, below 25 °C, in the original blister pack to protect from moisture and light. Keep the medication out of reach of children and do not use if the packaging is damaged.

Kivexa is taken orally, usually once daily with or without food, as directed by the prescribing clinician. The tablet should be swallowed whole with water and not split or crushed unless specifically advised.

The most serious risks include a hypersensitivity reaction linked to the HLA‑B*57:01 allele, which can be life‑threatening, as well as severe liver injury, lactic acidosis, and rare dermatologic events such as Stevens‑Johnson syndrome. Immediate medical attention is required if these symptoms occur.

Patients who test positive for the HLA‑B*57:01 allele, those with known hypersensitivity to abacavir or lamivudine, and individuals with severe hepatic impairment should avoid Kivexa. Additionally, it is contraindicated in patients receiving prohibited concomitant medications such as didanosine or stavudine.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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