Drug Notebook

FDA Alerts

  • Severe acute exacerbations of hepatitis reported in patients who have discontinued anti-hepatitis B virus (HBV) therapy, including adefovir. (See Exacerbations of Hepatitis under Cautions.) Closely monitor hepatic function in patients who discontinue anti-HBV therapy; if appropriate, resumption of therapy may be warranted.
  • In patients at risk of or having underlying renal dysfunction, chronic administration of adefovir may result in nephrotoxicity. Closely monitor renal function in such patients; dosage adjustments may be required.
  • HIV resistance may emerge in chronic HBV patients who have unrecognized or untreated HIV infection and are being treated with anti-HBV therapies that have anti-HIV activity, including adefovir.
  • Lactic acidosis and severe hepatomegaly with steatosis (including some fatalities) reported in patients receiving nucleoside analogs alone or in conjunction with other antiretroviral agents. (See Lactic Acidosis and Severe Hepatomegaly with Steatosis under Cautions.)

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adefovir
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(a DEF o veer)

What is the most important information I should know about adefovir?

This medication may cause lactic acidosis (the build up of lactic acid in the body). Lactic acidosis can start slowly and gradually get worse. Symptoms include unusual muscle pain and weakness, trouble breathing, fast or uneven heart rate, nausea, vomiting, stomach pain, and numbness or cold feeling in your arms or legs. Contact your doctor at once if you have any of these symptoms, even if they are only mild. Early signs of lactic acidosis generally get worse over time and this condition can be fatal.

Adefovir can also cause serious kidney problems, especially if you have kidney disease or take certain medications.

Your liver symptoms may become severe after you stop taking adefovir, even months after stopping. Your doctor may want to check your liver function on a regular basis for several months after you stop taking adefovir. Do not miss any scheduled appointments.

Avoid having unprotected sex or sharing needles, razors, or toothbrushes. Taking adefovir will not prevent you from passing hepatitis B to other people. Talk with your doctor about safe methods of preventing hepatitis transmission during sex, such as using a condom and spermicide. Sharing drug or medicine needles is never safe, even for a healthy person.

Tell your doctor if you have been exposed to HIV, or if you have untreated HIV or AIDS. Taking medicines to treat chronic hepatitis B can cause HIV infection to become resistant to the standard HIV and AIDS medications. You may need to be tested for HIV before you start taking adefovir.

What is adefovir?

Adefovir is an antiviral medication. It works by preventing viral cells from multiplying in the body and infecting new liver cells.

Adefovir is used to treat chronic hepatitis B in adults. This medicine will not cure hepatitis.

Adefovir may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking adefovir?

Do not use this medication if you are allergic to adefovir.

Before taking adefovir, tell your doctor if you are allergic to any drugs, or if you have kidney or liver disease.

Tell your doctor if you have been exposed to HIV, or if you have untreated HIV or AIDS. Taking medicines to treat chronic hepatitis B can cause HIV infection to become resistant to the standard HIV and AIDS medications. You may need to be tested for HIV before you start taking adefovir. This medication may cause lactic acidosis (the build up of lactic acid in the body). Lactic acidosis can start slowly and gradually get worse. Symptoms include unusual muscle pain and weakness, trouble breathing, fast or uneven heart rate, nausea, vomiting, stomach pain, and numbness or cold feeling in your arms or legs. Contact your doctor at once if you have any of these symptoms, even if they are only mild. Early signs of lactic acidosis generally get worse over time and this condition can be fatal. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Your name may need to be listed on an antiviral pregnancy registry if you are pregnant while using this medication. The purpose of this registry is to track the outcome of the pregnancy and delivery to evaluate whether adefovir had any effect on the baby.

It is not known whether adefovir passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
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