Stavudine

Why this is used

Stavudine is used in combination with other antiviral medications to treat human immunodeficiency virus (HIV) infection in patients with or without acquired immunodeficiency syndrome (AIDS). Stavudine is in a class of antiviral medications called nucleoside analogue reverse transcriptase inhibitors (NRTIs). It works by slowing the spread of HIV in the body. Stavudine does not cure HIV and may not prevent you from developing HIV-related illnesses. Stavudine does not prevent the spread of HIV to other people.

How to take it

Stavudine comes as a capsule and a solution (liquid) to take by mouth. It is usually taken twice a day (every 12 hours), with or without food and with plenty of water. To help you remember to take stavudine, take it at around the same time each day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take stavudine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. If you are giving the oral solution to a child, shake the bottle well before each use to mix the medication evenly. Use the measuring cup provided to measure the child's dose. Stavudine controls HIV infection but does not cure it. Continue to take stavudine even if you feel well. Do not stop taking stavudine without talking to your doctor. If you miss doses or suddenly stop taking stavudine, your condition may become more difficult to treat.

Side effects

<p></p> <p></p> <p></p> <p>Stavudine may cause side effects. Tell your doctor if either of these symptoms is severe or does not go away:

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headache</li>
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diarrhea</li></ul></p> <p></p> <p>Some side effects can be serious. If you experience the following symptoms or any of those listed in the IMPORTANT WARNING section, call your doctor immediately:

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numbness, tingling, burning or pain in the hands or feet</li>
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difficulty moving your hands and feet</li>
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rash</li></ul>If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at <a href='http://www.fda.gov/Safety/MedWatch'>http://www.fda.gov/Safety/MedWatch</a>] or by phone [1-800-332-1088].</p>

Precautions

Before taking stavudine, tell your doctor and pharmacist if you are allergic to stavudine or any other medications. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements and herbal products you are taking. Be sure to mention those listed in the IMPORTANT WARNING section and zidovudine (Retrovir, also an ingredient in the combination products Combivir and Trizivir). Your doctor may need to change the doses of your medications or monitor you more carefully for side effects. tell your doctor if you have or have ever had kidney disease, diabetes (if you are taking stavudine solution), or peripheral neuropathy (a type of nerve damage that causes tingling, numbness, and pain in the hands and feet). you should know that stavudine may cause side effects that must be treated right away before they become serious. Children who are taking stavudine may not be able to tell you about the side effects they are feeling. If you are giving stavudine to a child, ask the child's doctor how you can tell if the child is having these serious side effects. you should know that your body fat may increase or move to different areas of your body such as your breasts and your upper back.

Overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911. Symptoms of overdose may include:

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numbness, tingling, or pain in the hands or feet</li>
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difficulty moving hands or feet</li>
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upset stomach</li>
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vomiting</li>
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unusual or unexpected stomach pain</li>
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weakness or tiredness</li>
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shortness of breath</li>
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weakness in arms and legs</li></ul>
Educational reference only — talk to a pharmacist or prescriber about Stavudine.