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Published in: Current HIV/AIDS Reports 3/2014

01-09-2014 | Complications of Antiretroviral Therapy (JM Kilby, Section Editor)

Drug Interactions and Antiretroviral Drug Monitoring

Authors: Matthew Foy, C. John Sperati, Gregory M. Lucas, Michelle M. Estrella

Published in: Current HIV/AIDS Reports | Issue 3/2014

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Abstract

Owing to the improved longevity afforded by combination antiretroviral therapy (cART), HIV-infected individuals are developing several non-AIDS-related comorbid conditions. Consequently, medical management of the HIV-infected population is increasingly complex, with a growing list of potential drug-drug interactions (DDIs). This article reviews some of the most relevant and emerging potential interactions between antiretroviral medications and other agents. The most common DDIs are those involving protease inhibitors or non-nucleoside reverse transcriptase inhibitors, which alter the cytochrome P450 enzyme system and/or drug transporters such as p-glycoprotein. Of note are the new agents for the treatment of chronic hepatitis C virus infection. These new classes of drugs and others drugs that are increasingly used in this patient population represent a significant challenge with regard to achieving the goals of effective HIV suppression and minimization of drug-related toxicities. Awareness of DDIs and a multidisciplinary approach are imperative in reaching these goals.
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Metadata
Title
Drug Interactions and Antiretroviral Drug Monitoring
Authors
Matthew Foy
C. John Sperati
Gregory M. Lucas
Michelle M. Estrella
Publication date
01-09-2014
Publisher
Springer US
Published in
Current HIV/AIDS Reports / Issue 3/2014
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-014-0212-1

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