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QuickView for Lamivudine (compound)


PubChem
Name: Lamivudine
PubChem Compound ID: 3877
Description: 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.
Molecular formula: C8H11N3O3S
Molecular weight: 229.257 g/mol
Synonyms:
2'-deoxy-3'-thiacytidine; NSC620753; BCH-189; NCI60_006139
DrugBank
Identification
Name: Lamivudine
Name (isomeric): DB00709
Drug Type: small molecule
Description: 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.
Synonyms:
Lamivudine [Usan:Ban:Inn]
Brand: Hepitec, Epivir, 3TC, Heptovir, Epivir-HBV, Zeffix
Brand name mixture: Combivir(Lamivudine + Zidovudine), Trizivir(Abacavir Sulfate + Lamivudine + Zidovudine), Kivexa(Abacavir Sulfate + Lamivudine), Epzicom(Abacavir Sulfate + Lamivudine)
Category: Anti-HIV Agents, Nucleoside and Nucleotide Reverse Transcriptase Inhibitors, Reverse Transcriptase Inhibitors
CAS number: 134678-17-4
Pharmacology
Indication: For the treatment of HIV infection and chronic hepatitis B (HBV).
Pharmacology:
Lamivudine is a nucleoside reverse transcriptase inhibitor (NRTI) with activity against Human Immunodeficiency Virus Type 1 (HIV-1) and hepatitis B (HBV). Lamivudine is phosphorylated to active metabolites that compete for incorporation into viral DNA. They inhibit the HIV reverse transcriptase enzyme competitively and act as a chain terminator of ...
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Mechanism of Action: Lamivudine is a synthetic nucleoside analogue and is phosphorylated intracellularly to its active 5'-triphosphate metabolite, lamivudine triphosphate (L-TP). This nucleoside analogue is incorporated into viral DNA by HIV reverse transcriptase and HBV polymerase, resulting in DNA chain termination.
Absorption: Lamivudine was rapidly absorbed after oral administration in HIV-infected patients. Absolute bioavailability in adults is 86% ± 16% for the tablet and 87% ± 13% for the oral solution.
Protein binding: 36%
Biotransformation: The only detected metabolite of lamivudine is trans-sulfoxide.
Route of elimination: The primary routes of elimination of abacavir are metabolism by alcohol dehydrogenase to form the 5′-carboxylic acid and glucuronyl transferase to form the 5′-glucuronide. Lamivudine is excreted in human breast milk and into the milk of lactating rats.
Half Life: 5 to 7 hours
Clearance: Renal cl=280.4 +/- 75.2 mL/min [HIV-infected patients given a single IV doses ranging from 0.25 to 8 mg/kg]
Affected organisms: Hepatitis B virus||Human Immunodeficiency Virus
Interactions
Food interaction:
Take without regard to meals. Food does not decrease the extent of absorption, but it decreases the Cmax by slowing the rate of absorption.
Drug interaction:
ValganciclovirThe adverse/toxic effects of reverse transcriptase inhibitors (nucleoside), such as Lamivudine, may be enhanced by Valganciclovir. There is a risk of hematologic toxicity. Diligent monitoring during concomitant therapy is recommended.
TobramycinIncreased risk of nephrotoxicity
ZalcitabineLamivudine may reduce the efficacy of zalcitabine. Combination therapy is not recommended.

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Transporters