Other Side Effect Warnings
All Anti-HIV Drugs
Changes in body fat distribution, called lipodystrophy, have been associated both with HIV infection and anti-HIV therapy. A warning about lipodystrophy is now included in the label information for all anti-HIV drugs.
All Nucleoside Analogs
A build-up of lactic acid in the body (lactic acidosis) and severe liver enlargement (hepatomegaly) with fatty liver (steatosis), including fatal cases, have been reported with using NRTIs alone or in combination. Fatal lactic acidosis has been reported in pregnant women who took d4T (stavudine, Zerit) and ddI (didanosine, Videx) with other anti-HIV drugs. The combination of d4T and ddI should be used with caution during pregnancy.
AZT
AZT (zidovudine, Retrovir) has been associated with low neutrophil counts (neutropenia) and severe reductions in red blood cells (anemia), particularly in patients with advanced HIV disease. Prolonged use of AZT has been associated with muscle weakness (myopathy).
Abacavir
Fatal hypersensitivity reactions have occurred in up to 8.5% of people taking abacavir (Ziagen). People with fever, skin rash, fatigue, nausea, vomiting, diarrhea, abdominal pain, and/or respiratory symptoms are advised to call their doctor immediately and stop using abacavir if directed, as soon as a hypersensitivity reaction is suspected. Once abacavir treatment is stopped, it should be permanently discontinued as a more severe reaction may recur within hours if it is restarted and may include life-threatening symptoms and death.
d4T/ddI
Fatal and non-fatal inflammation in the pancreas (pancreatitis) has occurred with the combination of d4T and ddI. Neither d4T nor ddI should be used in people with suspected or confirmed pancreatitis.
Enfuvirtide
Nearly 100% of people using enfuvirtide (T20, Fuzeon) will have injection site reactions including redness, inflammation, pain and hardening of the skin.
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