Drug General Information (ID: DDIK2R1D45)
  Drug Name Zidovudine Drug Info Ribavirin Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anti-Hiv Agents Antiviral Agents
  Structure

 Mechanism of Zidovudine-Ribavirin Interaction (Severity Level: Moderate)
     Attenuated pharmacological effects (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Zidovudine Ribavirin
      Mechanism Prodrug activated by intracellular phosphorylation Intracellular phosphorylation inhibitor
      Key Mechanism Factor 1
Factor Name Pharmacodynamics
Factor Description Reduced pharmacological effects leading to insufficient efficacy and/or treatment failure.
      Mechanism Description
  • Attenuated pharmacological effects of  Zidovudine when combined with Ribavirin 

Recommended Action
      Management Coadministration of ribavirin with zidovudine should generally be avoided. Patients should be advised to promptly seek medical attention if they experience symptoms of toxicity such as nausea, vomiting, abdominal pain/distention, fatigue, infection, unexplained weight loss, tachypnea, dyspnea, motor weakness, numbness, tingling, and pain in hands and feet. Dosage reduction or discontinuation of ribavirin should be considered if worsening toxicities are observed.

References
1 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
2 Hoggard PG, Veal GJ, Wild MJ, Barry MG, Back DJ "Drug interactions with zidovudine phosphorylation in vitro." Antimicrob Agents Chemother 39 (1995): 1376-8. [PMID: 7574535]
3 Vogt MW, Hartshorn KL, Furman PA, et al. "Ribavirin antagonizes the effect of azidothymidine on HIV replication." Science 235 (1987): 1376-9. [PMID: 2435003]