Stavudine+lamivudine+nevirapine

Inform your doctor if you develop persistent diarrhea or vomiting, as it may affect the effectiveness of Lamivudine+nevirapine+stavudine. Lamivudine+nevirapine+stavudine may cause pancreatitis (inflammation of the pancreas), so inform your doctor if you develop symptoms such as nausea (feeling sick), vomiting or stomach pain. Lamivudine+nevirapine+stavudine may lead to opportunistic infections (infections that occur frequently or severely in patients with weak immune systems), so inform your doctor immediately if you experience symptoms of infection such as muscle weakness, weakness beginning in the hands and feet that progress towards the trunk, palpitations (pounding heartbeat) and tremors. Lamivudine+nevirapine+stavudine may destroy bone leading to symptoms such as joint stiffness or pain. It may also cause muscle pain, tenderness, or weakness. Speak with your doctor about the precautions to follow to avoid infecting other people as one can still pass on HIV while on this medicine, although the risk is somewhat lowered by antiretroviral therapy, it can spread through sexual contact with a person who already has the infection or by transfer of infected blood. Lamivudine+nevirapine+stavudine does not cure HIV infection. Lamivudine+nevirapine+stavudine can make hormonal contraceptives less effective or less likely to work. So, use other effective methods for contraception, including a barrier form (cervical cap, condom, diaphragm, or contraceptive sponge) to prevent pregnancy as advised by your doctor. Do not breastfeed while taking this medicine. Lamivudine+nevirapine+stavudine is not recommended in pregnancy as could harm the unborn baby or cause birth defects. You may need frequent medical tests while on Lamivudine+nevirapine+stavudine.

Drug-Drug Interactions: Hydroxyurea (anti-cancer), Bactrim (antibiotic), an antibiotic or antifungal medicine, birth control pills or hormone replacement therapy, a blood thinner (warfarin), heart or blood pressure medication, a seizure medication.

Drug-Food Interactions: Lamivudine+nevirapine+stavudine may have interaction with St.John’s wort (herbal supplement used to treat depression). Avoid smoking and alcohol consumption while on this medication.

Drug-Disease Interactions: Pancreatitis (inflammation of the pancreas), renal dysfunction, liver disease (or a history of hepatitis or cirrhosis).

• Eat a healthy and balanced diet. Eat vitamin and nutrient-rich food such as dark green, yellow, orange and red vegetables, and fruit as it helps to boost your immune system. Option for lean protein and whole grains.
• Avoid eating raw meat and eggs. Consume properly boiled and cooked meat, poultry or seafood.
• Eat bland and low-fat foods and avoid spicy or oily foods if you experience nausea or vomiting.
• Try to reduce emotional and physical stress by spending time with family or whatever makes you happy.
• Drink more fluids and avoid alcoholic beverages to prevent dehydration. 
• Wash your hands properly before and after eating.
• Make sure you sleep at least 8 hours a day.

• Lamivudine+nevirapine+stavudine may still develop infections or other illnesses associated with HIV infection or AIDS. So, people taking Lamivudine+nevirapine+stavudine should be carefully monitored throughout the treatment.
• You can still infect other people while taking Lamivudine+nevirapine+stavudine. So, use necessary precautions to avoid infecting others.
• Lamivudine+nevirapine+stavudine may cause abnormal liver function tests. So, regular monitoring of liver function is necessary while taking this medicine.