Product image of Lamivudin/Zidovudin Puren (Zidovudine, Lamivudine) supplied by GNH India

Lamivudin/Zidovudin Puren

Active Ingredient:
Zidovudine, Lamivudine
Origin:
EU

Lamivudin/Zidovudin Puren (Zidovudine, Lamivudine)

Lamivudine/Zidovudine, the active ingredient in Lamivudin/Zidovudin Puren, is a nucleoside reverse transcriptase inhibitor (NRTI) presented as a tablet for oral use. It is employed in the management of HIV‑1 infection in adults and children, typically as part of a combination antiretroviral regimen to suppress viral replication and improve immune function.

GNH India supplies Lamivudin/Zidovudin Puren as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Puren Pharma Gmbh & Co. Kg

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Indications & Clinical Uses

Lamivudin/Zidovudin Puren is an antiretroviral medication that targets the HIV replication pathway.

  • HIV‑1 infection (adults): suppresses viral replication and increases CD4+ cell counts.
  • HIV‑1 infection (children): reduces viral load and supports immune development.
  • HIV‑1 infection (as part of combination therapy): enhances overall treatment efficacy when used with other antiretrovirals.

How It Works

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

Side Effects

Adverse reactions may occur with any antiretroviral regimen.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Headache: transient cranial discomfort.
  • Fatigue: general tiredness.
  • Anemia: reduced red blood cell count.
  • Diarrhea: loose stools.
  • Neutropenia: lowered neutrophil levels.

Serious or Rare Side Effects

  • Severe anemia: may require transfusion.
  • Lactic acidosis: rare metabolic disturbance.
  • Hypersensitivity reactions: rash, fever, organ involvement.
  • Hepatotoxicity: elevated liver enzymes.
  • Bone marrow suppression: pancytopenia.
  • Pancreatitis: abdominal pain with elevated enzymes.

Precautions & Warnings

Use of Lamivudin/Zidovudin Puren requires careful clinical monitoring.

  • Renal function: assess baseline kidney function and monitor periodically.
  • Hepatic function: evaluate liver enzymes before and during therapy.
  • Hematologic status: perform regular complete blood counts to detect anemia or neutropenia.
  • Pregnancy: prescribe only when potential benefits outweigh risks.
  • Drug resistance: avoid monotherapy to prevent emergence of resistant HIV strains.
  • Store at ambient temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Lamivudin/Zidovudin Puren can interact with several concomitant medications.

Major Interactions (Avoid)

  • Didanosine: increased risk of severe toxicity.
  • Stavudine: heightened mitochondrial toxicity.
  • Alcohol: may exacerbate liver injury.

Moderate Interactions (Monitor Closely)

  • Nephrotoxic drugs: monitor renal parameters.
  • Anticoagulants (e.g., warfarin): may affect INR levels.
  • Protease inhibitors: can alter plasma concentrations of lamivudine and zidovudine.

Frequently Asked Questions

Lamivudin/Zidovudin Puren is used as part of combination antiretroviral therapy to treat HIV‑1 infection in both adults and children. It helps lower the viral load and supports immune system recovery when taken under medical supervision.

Both lamivudine and zidovudine are nucleoside analogues that, after intracellular activation, mimic natural nucleotides. They are incorporated into the viral DNA by HIV reverse transcriptase, causing premature chain termination and preventing the virus from replicating.

The specific dose and dosing schedule are determined by the prescribing clinician based on the patient’s age, weight, renal and hepatic function, and the overall antiretroviral regimen. Patients should follow the prescriber’s instructions precisely.

Safety in pregnancy and breastfeeding has not been fully established. The medication should only be used 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 place an order, 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.

Lamivudin/Zidovudin combines two nucleoside reverse transcriptase inhibitors, offering a dual mechanism that can simplify regimens compared with using each agent separately. Compared with non‑NRTI classes, it may have a different side‑effect profile and resistance pattern, making it a valuable option in many combination therapies.

Store the tablets at ambient temperature, below 25 °C, in the original container. Keep them away from moisture, direct sunlight and excessive heat to maintain product stability.

The medication is taken orally, usually with or without food, as directed by the prescribing clinician. Swallow the tablet whole with a glass of water and do not crush or split it unless specifically instructed.

Serious risks include severe anemia, lactic acidosis, hypersensitivity reactions, hepatotoxicity, bone‑marrow suppression and pancreatitis. Patients should be monitored regularly for these conditions, and any concerning symptoms should be reported to a healthcare provider immediately.

Individuals with known hypersensitivity to lamivudine, zidovudine, or any excipients in the formulation should avoid this product. It is also contraindicated in patients where monotherapy is planned, as this can promote resistance, and in those with severe pre‑existing anemia or bone‑marrow disorders without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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