MEDICATION GUIDE

Abacavir oral solution

(ah-BAH-kah-veer)


What is the most important information I should know about abacavir oral solution?

Abacavir can cause serious side effects, including:

• Serious allergic reaction (hypersensitivity reaction) that can cause death have happened with abacavir oral solution and other abacavir-containing products. Your risk of this allergic reaction is much higher if you have a gene variation called HLA-B*5701. Your healthcare provider can determine with a blood test if you have this gene variation.

If you get a symptom from 2 or more of the following groups while taking abacavir oral solution, call your healthcare provider right away to find out if you should stop taking abacavir oral solution.

A list of these symptoms is on the Warning Card your pharmacist gives you. Carry this Warning Card with you at all times.

If you stop abacavir oral solution because of an allergic reaction, never take abacavir oral solution or any other abacavir-containing medicine (EPZICOM ®, TRIUMEQ ®, and TRIZIVIR ®) again.

• If you have an allergic reaction, dispose of any unused abacavir oral solution. Ask your pharmacist how to properly dispose of medicines.

• If you take abacavir oral solution or any other abacavir-containing medicine again after you have had an allergic reaction, within hours you may get life-threatening symptoms that may include very low blood pressure or death.

• If you stop abacavir oral solution for any other reason, even for a few days, and you are not allergic to abacavir, talk with your healthcare provider before taking it again. Taking abacavir oral solution again can cause a serious allergic or life-threatening reaction, even if you never had an allergic reaction to it before.

If your healthcare provider tells you that you can take abacavir oral solution again, start taking it when you are around medical help or people who can call a healthcare provider if you need one.

• Build-up of acid in your blood (lactic acidosis). Lactic acidosis can happen in some people who take abacavir oral solution. Lactic acidosis is a serious medical emergency that can cause death. Call your healthcare provider right away if you get any of the following symptoms that could be signs of lactic acidosis:• feel very weak or tired • feel cold, especially in your arms and legs

• unusual (not normal) muscle pain • feel dizzy or light-headed

• trouble breathing • have a fast or irregular heartbeat

• stomach pain with nausea and vomiting

• Serious liver problems can happen in people who take abacavir. In some cases, these serious liver problems can lead to death. Your liver may become large (hepatomegaly) and you may develop fat in your liver (steatosis) when you take abacavir. Call your healthcare provider right away if you have any of the following signs of liver problems:• your skin or the white part of your eyes turns yellow (jaundice) • loss of appetite for several days or longer

• dark or "tea-colored" urine • nausea

• light-colored stools (bowel movements) • pain, aching, or tenderness on the right side of your stomach area

You may be more likely to get lactic acidosis or serious liver problems if you are female, very overweight (obese), or have been taking nucleoside analogue medicines for a long time.

What is abacavir oral solution?

Abacavir oral solution is a prescription HIV-1 (Human Immunodeficiency Virus type 1) medicine used with other antiretroviral medicines to treat HIV-1 infection. HIV-1 is the virus that causes Acquired Immune Deficiency Syndrome (AIDS).

The safety and effectiveness of abacavir has not been established in children under 3 months of age.

When used with other antiretroviral medicines to treat HIV-1 infection, abacavir oral solution may help:

• reduce the amount of HIV-1 in your blood. This is called “viral load”.

• increase the number of CD4+ (T) cells in your blood, that help fight off other infections.

Reducing the amount of HIV-1 and increasing the CD4+ (T) cells in your blood may help improve your immune system. This may reduce your risk of death or getting infections that can happen when your immune system is weak (opportunistic infections).

Abacavir does not cure HIV-1 infection or AIDS. You must keep taking HIV-1 medicines to control HIV-1 infection and decrease HIV-related illnesses.

Who should not take abacavir oral solution?

Do not take abacavir oral solution if you:

• have a certain type of gene variation called the HLA-B*5701 allele. Your healthcare provider will test you for this before prescribing treatment with abacavir.

• are allergic to abacavir or any of the ingredients in abacavir oral solution. See the end of this Medication Guide for a complete list of ingredients in abacavir oral solution.

• have liver problems.

What should I tell my healthcare provider before taking abacavir oral solution?

Before you take abacavir oral solution, tell your healthcare providers if you:

• have been tested and know whether or not you have a particular gene variation called HLA-B*5701.

• have or have had liver problems, including hepatitis B or C virus infection.

• have heart problems, smoke, or have diseases that increase your risk of heart disease such as high blood pressure, high cholesterol, or diabetes.

• drink alcohol or take medicines that contain alcohol.

• are pregnant or plan to become pregnant. Talk to your healthcare provider if you are pregnant or plan to become pregnant.

• Pregnancy Registry. There is a pregnancy registry for women who take antiretroviral medicines during pregnancy. The purpose of this registry is to collect information about the health of you and your baby. Talk to your healthcare provider about how you can take part in this registry.

• are breastfeeding or plan to breastfeed. Do not breastfeed if you take abacavir.

• You should not breastfeed if you have HIV-1 because of the risk of passing HIV-1 to your baby.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Some medicines interact with abacavir. Keep a list of your medicines to show your healthcare provider and pharmacist. You can ask your healthcare provider or pharmacist for a list of medicines that interact with abacavir. Do not start taking a new medicine without telling your healthcare provider. Your healthcare provider can tell you if it is safe to take abacavir with other medicines.

Tell your healthcare provider if you take:

• any other medicine to treat HIV-1

• methadone

How should I take abacavir oral solution?

• Take abacavir oral solution exactly as your healthcare provider tells you.

• Do not change your dose or stop taking abacavir oral solution without talking with your healthcare provider. If you miss a dose of abacavir oral solution, take it as soon as you remember. Do not take 2 doses at the same time. If you are not sure about your dosing, call your healthcare provider.

• Stay under the care of a healthcare provider while taking abacavir.

• Abacavir oral solution may be taken with or without food.

• For children aged 3 months and older, your healthcare provider will prescribe a dose of abacavir oral solution based on your child’s body weight.

• Do not run out of abacavir. The virus in your blood may increase and the virus may become harder to treat. When your supply starts to run out, get more from your healthcare provider or pharmacy.

• If you take too much abacavir oral solution, call your healthcare provider or go to the nearest hospital emergency room right away.

What are the possible side effects of abacavir oral solution?

• Abacavir can cause serious side effects including:

• See "What is the most important information I should know about abacavir oral solution?"

• Changes in your immune system (Immune Reconstitution Syndrome) can happen when your start taking HIV-1 medicines. Your immune system may get stronger and begin to fight infections that have been hidden in your body for a long time. Tell your healthcare provider right away if you start having new symptoms after you start taking abacavir oral solution.

• Changes in body fat can happen in people who take HIV-1 medicines. These changes may include an increased amount of fat in the upper back and neck (“buffalo hump”), breast, and around the middle of your body (trunk). Loss of fat from the legs, arms, and face may also happen. The exact cause and long-term health effects of these conditions are not known.

• Heart attack (myocardial infarction). Some HIV-1 medicines including abacavir may increase your risk of heart attack.

The most common side effects of abacavir in adults include:• nausea • tiredness

• headache • vomiting

• generally not feeling well • bad dreams or sleep problems

The most common side effects of abacavir in children include:• fever and chills • rash

• nausea • ear, nose, or throat infections

• vomiting

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of abacavir. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I store abacavir oral solution?

• Store abacavir oral solution at room temperature, between 20° to 25°C (68° to 77°F).

• Do not freeze abacavir oral solution. You may store abacavir oral solution in a refrigerator.

Keep abacavir oral solution and all medicines out of the reach of children.

General information for safe and effective use of abacavir

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use abacavir for a condition for which it was not prescribed. Do not give abacavir to other people, even if they have the same symptoms that you have. It may harm them.

If you would like more information, talk with your healthcare provider. You can ask your healthcare provider or pharmacist for the information about abacavir that is written for healthcare professionals.

What are the ingredients in abacavir oral solution?

Active ingredient: abacavir sulfate USP

Inactive ingredients: anhydrous citric acid, methylparaben and propylparaben (added as preservatives), propylene glycol, saccharin sodium, sodium citrate (dihydrate), noncrystallizing sorbitol solution, strawberry and banana flavors and water.

All brands listed are trademarks of their respective owners and are not trademarks of the Hetero Labs Limited.

PACKAGED BY

Pharmaceutical Associates, Inc.

Greenville, SC 29605

www.paipharma.com

R03/20