Human Immunodeficiency Virus Book

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LamivudineAka: 3TC

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  1. Mechanism
    1. Nucleoside Reverse Transcriptase Inhibitor
  2. Efficacy
    1. Very effective in combination with Zidovudine (AZT)
  3. Adverse Effects
    1. Generally Well tolerated
    2. Similar to Zidovudine (AZT) but much less severe
      1. Gastrointestinal upset
      2. Neutropenia
  4. Dosing
    1. Lamivudine 150 mg bid ($224/month)

Lamivudine (C0209738)

Definition (CSP)zalcitabine analog
Definition (MSH)A reverse transcriptase inhibitor and ZALCITABINE analog in which a sulfur atom replaces the 3' carbon of the pentose ring. It is used to treat HIV disease.
Definition (NCI)A drug used to treat infection caused by viruses.
Definition (PDQ)A synthetic nucleoside analogue with activity against hepatitis B virus (HBV) and HIV. Intracellularly, lamivudine is phosphorylated to its active metabolites, lamiduvine triphosphate (L-TP) and lamiduvine monophosphate (L-MP). In HIV, L-TP inhibits HIV-1 reverse transcriptase (RT) via DNA chain termination after incorporation of the nucleoside analogue into viral DNA. In HBV, incorporation of L-MP into viral DNA by HBV polymerase results in DNA chain termination. L-TP is a weak inhibitor of mammalian DNA polymerases alpha and beta, and mitochondrial DNA polymerase. Check for "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=42593&idtype=1" active clinical trials or "http://www.cancer.gov/Search/ClinicalTrialsLink.aspx?id=42593&idtype=1&closed=1" closed clinical trials using this agent. ("http://nciterms.nci.nih.gov:80/NCIBrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&code=C1471" NCI Thesaurus)
Definition (NCI)A synthetic nucleoside analogue with activity against hepatitis B virus (HBV) and HIV. Intracellularly, lamivudine is phosphorylated to its active metabolites, lamiduvine triphosphate (L-TP) and lamiduvine monophosphate (L-MP). In HIV, L-TP inhibits HIV-1 reverse transcriptase (RT) via DNA chain termination after incorporation of the nucleoside analogue into viral DNA. In HBV, incorporation of L-MP into viral DNA by HBV polymerase results in DNA chain termination. L-TP is a weak inhibitor of mammalian DNA polymerases alpha and beta, and mitochondrial DNA polymerase. (NCI04)
ConceptsNucleic Acid, Nucleoside, or Nucleotide (T114) , Pharmacologic Substance (T121)
MSHD019259
English2'3' dideoxy 3' thiacytidine, 3TC, DIDEOXYTHIACYTIDINE 002 003 003, Lamivudine, LAMIVUDINE PREPARATION, THREE TC
Spanishlamivudina
Parent Concepts2',3'-Dideoxynucleosides (C0282384), Zalcitabine (C0012132), Reverse Transcriptase Inhibitors (C0282519), Antiviral Agents (C0003451), Drug allergen (C1320237), Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors (C1579421)
SourcesCSP, LNC, MSH, MTHSPL, NCI, NDFRT, PDQ, RXNORM, SCTSPA, SNOMEDCT, USPMG, VANDF
Derived from the NIH UMLS (Unified Medical Language System)



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