Drug Database: Abacavir / Lamivudine / Zidovudine

What is Trizivir?

Trizivir is a prescription medicine approved by the U.S. Food and Drug Administration (FDA) for the treatment of HIV infection in adults and children. Trizivir can be used alone as a complete HIV treatment regimen or with other HIV medicines.

Trizivir contains three different medicines: abacavir, lamivudine, and zidovudine.

Although Trizivir is FDA-approved, it is no longer commonly used or recommended as an HIV treatment. The Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV no longer contain detailed or updated information on the use of Trizivir. Please refer to the FDA drug label (tablet [film coated]) for additional information regarding the use of Trizivir in people with HIV. For more information on the use of Trizivir in children with HIV, please refer to the Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection.

HIV medicines cannot cure HIV/AIDS, but taking HIV medicines every day helps people with HIV live longer, healthier lives. HIV medicines also reduce the risk of HIV transmission. If you are taking HIV medicines, do not cut down on, skip, or stop taking them unless your health care provider tells you to.

What should I tell my health care provider before taking Trizivir?

Before taking Trizivir, tell your health care provider:

• If you are allergic to any of the HIV medicines in Trizivir (abacavir, lamivudine, or zidovudine) or any other medicines.
• If you have been tested and know whether you have a particular gene variation called HLA-B*5701.
• If you have or have ever had liver problems, including hepatitis B virus infection (HBV) or hepatitis C virus infection (HCV).
• If you have kidney problems.
• If you have low blood cell counts, which could be a sign of bone marrow problems.
• If you have heart problems, smoke, or have diseases that increase your risk of heart disease, such as high blood pressure, high cholesterol, or diabetes.
• If you have any other medical conditions.
• If you are pregnant or plan to become pregnant. Talk to your health care provider about the risks and benefits of taking Trizivir during pregnancy. For more information on the use of Trizivir during pregnancy, please refer to the Recommendations for the Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States.
• If you are breast/chestfeeding or plan to breast/chestfeed. For people with HIV in the United States, the Guideline recommends speaking with your health care provider to discuss options for feeding your baby. People with suppressed viral load have a less than 1% chance of transmitting HIV to their baby via their own milk.
• If you are using hormone-based birth control (such as pills, implants, or vaginal rings). For more information about using birth control and HIV medicines at the same time, view the HIVinfo HIV and Birth Control infographic.
• About other prescription and nonprescription medicines, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Trizivir may affect the way other medicines or products work, and other medicines or products may affect how Trizivir works. Taking Trizivir together with certain medicines or products may cause serious, life-threatening side effects.

How should I take Trizivir?

Trizivir comes in tablet form. Each tablet contains:

• 300 mg abacavir
• 150 mg lamivudine
• 300 mg zidovudine

Take Trizivir according to your health care provider’s instructions. Do not miss a dose of Trizivir, and do not change your dose or stop taking Trizivir without first talking with your health care provider.

Take Trizivir by mouth, with or without food.

If you have taken too much Trizivir, contact your health care provider or local poison control center (1-800-222-1222) right away, or go to the nearest hospital emergency room.

For more information on how to take Trizivir, see the FDA drug label.

What should I do if I forget a dose?

If you miss a dose of Trizivir, take the missed dose as soon as you remember it. But if it is almost time for your next dose, skip the missed dose and just take your next dose at the regular time. Do not take two doses at the same time to make up for a missed dose.

What side effects can Trizivir cause?

Trizivir may cause side effects. Some side effects of Trizivir can be serious as noted above. Many side effects from HIV medicines, such as nausea or occasional dizziness, are manageable. See the HIVinfo fact sheet on HIV Medicines and Side Effects for more information.

Other possible side effects of Trizivir include:

• Changes in your immune system (called immune reconstitution inflammatory syndrome or IRIS). IRIS is a condition that sometimes occurs when the immune system begins to recover after treatment with an HIV medicine. As the immune system gets stronger, it may have an increased response to a previously hidden infection.
• Loss of body fat (lipoatrophy).
• Increased risk of heart attack (myocardial infarction).

Tell your health care provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Trizivir. To learn more about possible side effects of Trizivir, read the drug label or package insert or talk to your health care provider or pharmacist.

You can report side effects to FDA at 1-800-FDA-1088 (1-800-332-1088) or online.

How should Trizivir be stored?

• Store Trizivir at 77°F (25°C).
• Keep Trizivir in the container that it came in and keep the container tightly closed.
• Do not use Trizivir if the original seal over the container opening is broken or missing.
• Throw away Trizivir that is no longer needed or expired (out of date). Follow FDA guidelines on how to safely dispose of unused medicine.
• Keep Trizivir and all medicines out of reach of children.

Where can I find more information about Trizivir?

• For more information on the use of Trizivir in people with HIV, please refer to the Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV and the Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection.
• This Patient Version drug summary is based on the following FDA label(s): Tablet (film coated). The Medication Guide includes information for people taking Trizivir.
• The American Hospital Formulary Service (AHFS) Patient Medication Information for abacavir, lamivudine, and zidovudine available from MedlinePlus.
• Trizivir-related research studies, from ClinicalTrials.gov. (The ClinicalTrials.gov search can be modified so that you can get results that better match your interests. To learn more about the ClinicalTrials.gov search features, please see How to Search.)
• A list of FDA-approved HIV medicines, from HIVinfo.