AZT

 
AZT

AZT inhibits reproduction of retroviruses, including the human immunodeficiency virus (HIV). HIV is considered the cause of acquired immune deficiency syndrome (AIDS). AZT is one of a number of drugs used to treat HIV infection and AIDS.

Summary of Interactions with Vitamins, Herbs, & Foods

dnicon_BeneficialMay Be Beneficial: Depletion or interference—This medication may deplete these substances from the body or interfere with how they work; extra intake may help replenish them.

Copper

Vitamin B12

L-Carnitine*

dnicon_BeneficialMay Be Beneficial: Side effect reduction and/or prevention—These substances may help reduce the likelihood and/or severity of a potential side effect caused by the medication.

Riboflavin (Vitamin B2)

dnicon_BeneficialMay Be Beneficial: Supportive interaction—These substances may help this medication work better.

Thymopentin

Zinc

dnicon_AvoidAvoid: Reduces drug effectiveness—When taking this medication, avoid these substances as they may decrease the medication's absorption and/or activity in the body.

none

dnicon_AvoidAvoid: Adverse interaction—When taking this medication, avoid these substances, as the combination may cause undesirable or dangerous interactions.

none

dnicon_CheckCheck: Explanation needed—When taking this medication, read the article details and discuss them with your doctor or pharmacist before taking these substances.

N-Acetyl Cysteine

Vitamin E


An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.
Also indexed as:
  • AZT,
  • Retrovir,
  • ZDV,
  • zidovudine

About this treatment

Interactions with Vitamins

General nutrition

Preliminary human research suggests AZT therapy may cause a reduction in copper and zinc blood levels. Animal studies suggest that vitamin E may improve the efficacy of AZT. The practical importance of these findings remains unclear.

Carnitine

Preliminary information suggests that muscle damage sometimes caused by AZT is at least partially due to depletion of carnitine in the muscles by the drug. It has been reported that most patients taking AZT have depleted carnitine levels that can be restored with carnitine supplementation (6 grams per day).

N-acetyl cysteine

Animal research suggests that zinc and N-acetyl cysteine supplementation may protect against AZT toxicity. It is not known whether oral supplementation with these nutrients would have similar effects in people taking AZT.

Vitamin B12

Vitamin B12 deficiency in HIV infected persons may be more common in those taking AZT. HIV infected people with low vitamin B12 levels were shown in one study to be more likely to develop blood-related side effects (particularly anemia) from taking AZT.

Riboflavin

Persons with AIDS have developed lactic acidosis and fatty liver while taking AZT and other drugs in its class. AZT can inhibit crucial DNA-related riboflavin activity, which may be normalized by riboflavin supplementation. A 46-year-old woman with AIDS and lactic acidosis received a single dose of 50 mg of riboflavin, after which her laboratory tests returned to normal and her lactic acidosis was completely resolved. More research is needed to confirm the value of riboflavin for preventing and treating this side effect.

Thymopentin

Thymopentin is a small protein that comes from a natural hormone in the body known as thymopoietin. This hormone stimulates production of the white blood cells known as T lymphocytes. Combination of thymopentin with AZT tended to decrease the rate at which HIV-infected persons progressed to AIDS. Thymopentin alone did not seem to have a benefit in this study. Since thymopentin is administered by injections into the skin, people should consult with a doctor as to the availability of this substance.

Zinc

A study found that adding 200 mg zinc per day to AZT treatment decreased the number of Pneumocystis carinii pneumonia and Candida infections in people with AIDS compared with people treated with AZT alone. The zinc also improved weight and CD4 cell levels. The amount of zinc used in this study was very high and should be combined with 1–2 mg of copper to reduce the risk of immune problems from the zinc long term.


Last Review: 05-11-2011

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Please read the disclaimer about the limitations of the information provided here. Do NOT rely solely on the information in this article. The Aisle7 knowledgebase does not contain every possible interaction.

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The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over-the-counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires June 2011.

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