stavudine, Zerit

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jay W. Marks, MD
    Jay W. Marks, MD

    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

HIV/AIDS Myths and Facts

What is stavudine, and how does it work (mechanism of action)?

Stavudine is an oral medication that is used for the treatment of infections with the human immunodeficiency virus (HIV). It is in a class of drugs called reverse transcriptase inhibitors which also includes zalcitabine (Hivid), zidovudine (Retrovir), didanosine (Videx), and lamivudine (Epivir). During infection with HIV, the HIV virus multiplies within the body's cells. The newly formed viruses are released from the cells and spread throughout the body where they infect other cells. In this manner the infection continually spreads to new uninfected cells that the body is continually producing, perpetuating HIV infection. When producing new viruses, the HIV virus must manufacture new DNA for each virus. Reverse transcriptase is the enzyme that the virus uses to form this new DNA. Specifically, stavudine is converted within the body to its active form (stavudine triphosphate). This active form is similar to thymidine triphosphate, a chemical that is used by the HIV virus to make new DNA. The reverse transcriptase uses stavudine triphosphate instead of thymidine triphosphate for making DNA, and the stavudine triphosphate interferes with the action of the reverse transcriptase. Stavudine does not kill existing HIV virus, and it is not a cure for HIV. Stavudine was approved by the FDA in June 1994.

What brand names are available for stavudine?

Zerit

Is stavudine available as a generic drug?

GENERIC AVAILABLE: Yes

Do I need a prescription for stavudine?

Yes

What are the side effects of stavudine?

The most severe side effects are:

Stavudine damages nerves and can cause a severe peripheral neuropathy, a condition in which sensation in the legs and/or arms is altered or lost. Symptoms of peripheral neuropathy are tingling, numbness and pain in the feet or hands.

Other side effects include

Quick GuideHIV AIDS Facts: Symptoms and Treatments

HIV AIDS Facts: Symptoms and Treatments

What is the dosage for stavudine?

The recommended dose for adults is 40 mg every 12 hours for those weighing 60 kg or more and 30 mg every 12 hours if less than 60 kg.

Newborns up to 13 days of age should receive 0.5 mg/kg every 12 hours and children older than 14 days and weighing less than 30 kg should receive 1 mg/kg.

Children weighing 30 kg or more should be treated as adults.

Stavudine may be administered without regard to meals.

Is stavudine safe to take if I'm pregnant or breastfeeding?

It is not known whether stavudine is excreted in breast milk. HIV infected mothers should not breastfeed because of the potential risk of transmitting HIV to an infant that is not infected.

What else should I know about stavudine?

What preparations of stavudine are available?

Capsules: 15, 20, 30 and 40 mg. Powder for oral solution, 1 mg/ml.

How should I keep stavudine stored?

Capsules should be stored at room temperature, 15 C to 30 C (59 F to 86 F). The dry powder for oral solution should be kept at room temperature and away from moisture. Solutions should be refrigerated.

Reference: FDA Prescribing Information

Last Editorial Review: 7/24/2015

FDA Logo

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

See more info: stavudine on RxList
Reviewed on 7/24/2015
References
Reference: FDA Prescribing Information

Health Solutions From Our Sponsors