Description
Generic Name:
Lamivudine + Zidovudine + Nevirapine
Composition:
Each Trilavir D Tablet contains:
- Lamivudine (150mg): A nucleoside reverse transcriptase inhibitor (NRTI) that prevents the replication of the HIV virus by blocking viral DNA synthesis.
- Zidovudine (300mg): Another NRTI that inhibits the HIV enzyme reverse transcriptase, reducing viral replication.
- Nevirapine (200mg): A non-nucleoside reverse transcriptase inhibitor (NNRTI) that prevents HIV from multiplying in the body.
- Excipients: Microcrystalline cellulose, magnesium stearate, povidone, and lactose monohydrate (inactive ingredients that support tablet stability and absorption).
Indication:
Trilavir D Tablet is indicated for the management and treatment of:
- Human Immunodeficiency Virus (HIV-1) infection in adults and adolescents.
- Reduction of viral load to help improve immune function.
- Prevention of mother-to-child transmission of HIV during pregnancy when used as part of antiretroviral therapy (ART).
Storage Instructions:
- Store at room temperature (15-30°C) in a cool, dry place.
- Keep away from direct sunlight, heat, and moisture.
- Keep out of reach of children and pets.
- Do not store in humid environments like bathrooms.
- Properly dispose of expired or unused medication as per local disposal regulations.
Uses of the Medicine:
Trilavir D Tablet is used for:
- Treatment of HIV infection to suppress viral load and slow disease progression.
- Combination therapy in ART regimens for effective HIV management.
- Prevention of opportunistic infections by maintaining a strong immune system.
Benefits of the Medicine:
- Reduces HIV viral load and prevents disease progression.
- Improves immune function by increasing CD4 cell counts.
- Reduces the risk of HIV-related complications and co-infections such as tuberculosis and pneumonia.
- Prevents transmission of HIV from mother to child when used correctly during pregnancy.
Side Effects:
Common side effects may include:
- Gastrointestinal Issues: Nausea, vomiting, diarrhea, or bloating.
- Neurological Effects: Dizziness, headache, or fatigue.
- Skin Reactions: Rash, itching, or mild hypersensitivity.
- Muscle and Joint Pain: Common during the first few weeks of treatment.
Serious Side Effects Include:
Seek immediate medical attention if you experience:
- Severe Allergic Reactions: Swelling of the face, lips, or throat; difficulty breathing.
- Lactic Acidosis: Unusual weakness, muscle pain, rapid breathing, nausea, or irregular heartbeat.
- Liver Toxicity: Yellowing of skin/eyes, dark urine, severe stomach pain.
- Bone Marrow Suppression: Low blood cell counts, leading to infections or anemia.
- Stevens-Johnson Syndrome (SJS): Severe skin reactions, blistering, or peeling.
How to Use the Medicine:
- Take one tablet twice daily or as prescribed by your doctor.
- Swallow the tablet whole with a glass of water.
- Can be taken with or without food.
- Do not skip doses to avoid resistance.
- If you experience nausea, take it with a light meal to reduce discomfort.
How the Medicine Works:
Trilavir D Tablet contains three active ingredients that work together to suppress HIV:
- Lamivudine & Zidovudine: Block the HIV enzyme reverse transcriptase, preventing the virus from replicating.
- Nevirapine: Binds to the enzyme, disrupting its function and stopping viral multiplication.
What If You Forget to Take the Medicine?
- Take the missed dose as soon as possible.
- Skip the missed dose if it is close to the next scheduled dose.
- Do not take a double dose to make up for a missed one, as this may increase the risk of side effects.
Quick Tips:
- Take your medication at the same time every day to maintain effectiveness.
- Stay hydrated and follow a balanced diet to support immune function.
- Avoid alcohol consumption, as it may increase the risk of liver toxicity.
- Inform your doctor if you develop any unusual symptoms.
- Regularly monitor your CD4 count and viral load to track treatment progress.
Safety Advice

Alcohol
Caution is advised when consuming alcohol with Trilavir D Tablet. Please consult your doctor for guidance.
Pregnancy
Trilavir D Tablet is unsafe to use during pregnancy due to potential harm to the developing baby. It may only be prescribed in life-threatening situations where benefits outweigh the risks. Please consult your doctor.

Breastfeeding
There is insufficient information on the use of Trilavir D Tablet while breastfeeding. Please consult your doctor before use.

Driving
It is uncertain whether Trilavir D Tablet affects your ability to drive. Avoid driving if you experience drowsiness, dizziness, or reduced alertness.

Kidney
Limited data is available on the safety of Trilavir D Tablet in patients with kidney disease. Dose adjustments may be necessary. Please consult your doctor.

Liver
Trilavir D Tablet should be used with caution in patients with liver disease. Dose adjustments may be required based on the severity of the condition. Please consult your doctor.
FAQs:
Q: Can I take Trilavir D Tablet on an empty stomach?
A: Yes, but taking it with food may help reduce nausea.
Q: How long does it take for Trilavir D Tablet to work?
A: Viral suppression typically begins within a few weeks, but full benefits require consistent use.
Q: Can I consume alcohol while taking Trilavir D Tablet?
A: No, alcohol can increase the risk of liver toxicity and interact with the medication.
Q: Is Trilavir D Tablet safe during pregnancy?
A: Yes, but only under medical supervision as part of an HIV prevention protocol.
Q: What happens if I stop taking Trilavir D Tablet?
A: Stopping medication abruptly can lead to drug resistance and worsening of HIV infection.
Related Lab Tests:
- CD4 Count Test: Measures immune function and disease progression.
- HIV Viral Load Test: Determines the level of HIV in the bloodstream.
- Liver Function Test (LFT): Monitors liver health during treatment.
- Complete Blood Count (CBC): Checks for anemia and blood disorders.
- Kidney Function Test (KFT): Ensures the kidneys are functioning properly.
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