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Drugs and Medicinal Substances

Zidovudine

Antiinfective Agents for Systemic Use

Zidovudine, also known as AZT, is the first antiretroviral medication used to prevent and treat HIV and AIDS, a nucleoside analog reverse-transcriptase inhibitor that works by selectively inhibiting HIV's reverse transcriptase, the enzyme the virus uses to copy its RNA into DNA. Chemist Jerome Horwitz first synthesized the compound in 1964 at Wayne State University under a National Institutes of Health grant, long before its antiviral use was known; National Cancer Institute scientists discovered its potency against HIV in laboratory studies in February 1985, and phase one clinical trials began later that year at the National Cancer Institute and Duke University. Burroughs Wellcome filed the patent in 1985 and the drug received approval from the United States Food and Drug Administration on March 20, 1987, becoming the first approved treatment for HIV, marketed under the trade name Retrovir.

Facts
Drug Class
Nucleoside analog reverse-transcriptase inhibitor (NRTI) antiretroviral 1
Mechanism of Action
Inhibits reverse transcriptase, which HIV uses to make DNA, decreasing viral replication 1
Approved Use
Prevention and treatment of HIV/AIDS, generally in combination with other antiretrovirals 1
First Approved / Isolated Year
1987 1
Significant Risk
Liver problems, muscle damage and high blood lactate levels 1
Classification
Approval Status
Approved 1
ATC ClassSourced to the subject's own account
J: Antiinfectives for Systemic Use 2
Route of Administration
Oral 3
Route of Administration
Intravenous 3
Route of Administration
Rectal 3
WHO Essential MedicineSourced to the subject's own account
Core List 4
Sources
1. Zidovudine (Wikipedia)
  • Lead section, paragraph 2, starting at character 220
    ZDV is of the nucleoside analog reverse-transcriptase inhibitor (NRTI) class.
  • Lead section, paragraph 2, starting at character 298
    It works by inhibiting the enzyme reverse transcriptase that HIV uses to make DNA and therefore decreases replication of the virus.
  • Lead section, paragraph 1, starting at character 0
    Zidovudine (ZDV), also known as azidothymidine (AZT), was the first antiretroviral medication used to prevent and treat HIV/AIDS.
  • Lead section, paragraph 3, starting at character 113
    It was approved in the United States in 1987 and was the first treatment for HIV.
  • Lead section, paragraph 2, starting at character 58
    Serious side effects include liver problems, muscle damage, and high blood lactate levels.
  • Regulatory approval status
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2. Anatomical Therapeutic Chemical Classification System (Wikipedia)
WikipediaFirst-level anatomical group codes, Code J
Quote, First-level anatomical group codes, Code J
Antiinfectives for systemic use
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3. Wikidata: Zidovudine
Wikidata
  • Wikidata P636 (route-of-administration: intravenous)
    Route of administration: intravenous infusion and defusion
  • Wikidata P636 (route-of-administration: oral)
    Route of administration: oral administration
  • Wikidata P636 (route-of-administration: rectal)
    Route of administration: rectal administration
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4. WHO Model List of Essential Medicines (Wikipedia)
WikipediaWHO Model List of Essential Medicines, Nucleoside/nucleotide reverse transcriptase inhibitors section
Quote, WHO Model List of Essential Medicines, Nucleoside/nucleotide reverse transcriptase inhibitors section
Zidovudine
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