Drugs and availabilityDaily dosageMajor toxicities and concernsCost*Monitoring
Zidovudine (AZT, ZDV; Retrovir), 100 mg, 300 mg capsules; 50 mg per 5 mL syrup; 10 mg per mL IV infusionAdults: 200 mg every 8 hours or 300 mg every 12 hours
Children 3 months to 12 years: 180 mg per m2 every 6 hours; maximum: 200 mg every 6 hours
Bone marrow suppression (severe anemia, granulocytopenia, thrombocytopenia), myopathy, myositis100 mg, #180, $2
87 300 mg, #60, $287
Syrup: 8 oz, $38
Periodic CBC
Didanosine (ddI; Videx), 25 mg, 50 mg, 100 mg, 150 mg chewable tablets; 100 mg, 167 mg, 250 mg powder packets; powder for oral solution: 2 g, 4 gTablets, powder packets:Pancreatitis, peripheral neuropathy, liver failure, retinal depigmentation and change in vision (in children)
Must be taken on empty stomach, 2 hours after or 1 hour before food.
100 mg, #120, $186
250 mg packets, #60, $233
2 g powder, $31
4 g powder, $62
Children: dilated retinal examination every 6 months
≥60 kg: 200 mg every 12 hours
<60 kg: 125 mg every 12 hours
Oral solution:
≥60 kg: 250 mg every 12 hours
<60 kg: 167 mg every 12 hours
Zalcitabine (DDC; Hivid), 0.750 mg, 0.375 mg tablets≥30 kg: 0.75 mg every 8 hours
<30 kg: 0.375 mg every 8 hours
Peripheral neuropathy (22 to 35%), pancreatitis, esophageal ulcers, stomatitis, cardiomyopathy, hepatic failure0.75 mg,
#90, $207 0.375 mg, #90, $165
Periodic CBC, chemistry profile, amylase determination
Lamivudine (3TC; Epivir), 150 mg tablets; 10 mg per mL oral solution>50 kg: 150 mg every 12 hoursHeadache, insomnia, fatigue, peripheral neuropathy, myalgia, pancreatitis150 mg, #60, $230
Oral solution: 8 oz, $61
<50 kg: 2 mg per kg every 12 hours
3 months to 12 years: 4 mg per kg twice daily
Stavudine (D4T; Zerit), 15 mg, 20 mg, 30 mg, 40 mg capsules; 1 mg per mL oral solution≥60 kg: 40 mg every 12 hoursPeripheral neuropathy (15 to 21%), hepatotoxicity, anemia, pancreatitis40 mg, #60, $244
30 mg, #60, $235
Periodic liver function tests
30 to 59 kg: 30 mg every 12 hours
<30 kg: 1 mg per kg every 12 hours