Many patients with AIDS have gastrointestinal complaints, including th
e major clinical disorder of chronic diarrhoea. The pharmacokinetics o
f zidovudine was studied in 9 male patients with HIV infection and dia
rrhoea to establish whether drug absorption was impaired in them. The
peak plasma concentration and AUC after a single oral dose of 200 mg,
were the same as those reported in 6 healthy male volunteers (3.1 vs 4
.0 mumol . l-1 and 7.2 vs 5.2 mumol . h . l-1, respectively). Since th
e bioavailability of zidovudine is not particularly impaired, oral zid
ovudine therapy can be maintained in patients with diarrhoea.