HTB

PK and drug interactions

Critical interactions between darunavir (TMC114), lopinavir, Viagra, and oral contraceptives

Relationship between nevirapine concentrations and virological failure in a clinical setting

Summary of drug interaction studies

Effects of ketoconazole and rifampin on TMC278

Brecanavir interaction study with ritonavir and atazanavir

Dosing rifabutin and lopinavir/r – sub-optimal rifabutin levels reported in five patients dosed according to current guidelines

Pharmacology and drug interaction studies in adults: summary table from CROI, ICAAC and EACS conferences

Nelfinavir reduces pravastatin AUC by 46% in HIV negative volunteers

Overview of pharmacology studies

Levels of efavirenz 10-fold above minimum target level despite coadministration with rifampicin

Summary of drug-drug interaction studies

Atazanavir boosts intracellular saquinavir levels: data on important new dual-boosted regimen

Interactions between African herbal medicines and ARVs

Atorvastatin requires dose reduction with tipranavir/r

Fluconazole increases nevirapine levels and risk of serious hepatotoxicity

Efavirenz interaction with rifampin may not require dose adjustment in patients with low body weight

Tipranavir significantly lowers doses of saquinavir, amprenavir and lopinavir/r

Non-prescription simvastatin in the UK: contraindicated with many HIV medications

Label changes for indinavir warn of several interactions including atazanavir and PDE5 inhibitors

5th International Workshop on Clinical Pharmacology of HIV Therapy, 1-3 April 2004, Rome, Italy

Large reductions in plasma PK levels of saquinavir, amprenavir and lopinavir/r levels when given with tipranavir/ritonavir

Good generic drugs and good adherence in Rwanda

Steady state PK of nelfinavir and M8 in pregnancy

Higher nelfinavir concentrations improve response in children

PK of once daily lopinavir/r in children

Eating grapefruit triggers statin-related rhabdomyolysis

Drug levels can persist for more than two weeks after stopping efavirenz

Race affects absorption and clearance of efavirenz

Triple PI interactions: atazanavir increases saquinavir levels in ritonavir-boosted once-daily combination

Triple PI interactions: fosamprenavir and Kaletra interaction is difficult to overcome

Ribavirin (RBV) does not alter intracellular levels of AZT, 3TC or d4T

Interaction between amprenavir and lopinavir thwarts triple PI salvage

Vitamin C induces P4503A4 and reduces indinavir levels

Indinavir levels reduced by omeprazole

Boosted saquinavir PK in once-daily regimes

Tenofovir drug-drug interactions

Summary of other PK studies

Uridine as a potential treatment for NRTI related mitochondrial toxicity

Pharmacology studies at the 2nd IAS conference

4th International Workshop on Clinical Pharmacology of HIV Therapy, 27-29 March 2003, Cannes, France

Can low NVP plasma concentrations explain the results seen in the EFV and NVP containing arms of the NARVAL study?

Up to one third of patients receiving standard doses of NNRTIs may be being underdosed

Nelfinavir concentrations are significantly higher in HIV/HCV co-infected patients with cirrhosis

Less diarrhoea and bioequivalence with the new nelfinavir 625mg tablet

The potential for probenecid to have a serious interaction with HIV-1 protease inhibitors

PK studies reveal significant sex/gender differences

Pregnancy-related PK studies

New test to measure intracellular levels of nucleosides

Case studies for therapeutic drug monitoring (TDM)

Launch of guide to the use of drug level monitoring

Pharmacokinetic papers from 10th CROI

NIH/NIAID study of generic drugs shows results consistent with stringent manufacturing standards

Low dose 200/100 IDV/RTV managed by TDM in substudy of co-infected patients

Pharmacokinetic evaluation of tenofovir and enteric-coated ddI

Milk thistle can reduce levels of indinavir in the blood

US FDA announces important changes in amprenavir product labelling

St John’s Wort interferes with chemotherapy, study shows

Garlic can impede HIV medication

Caution needed with nelfinavir and some lipid-lowering drugs

Combinations of lopinavir/r and amprenavir in heavily treatment experienced patients

No significant drug interactions found between tenofovir DF and indinavir, lopinavir/r, lamivudine, or efavirenz

Ritonavir corrects drug interaction between efavirenz and saquinavir

Pharmacology at 1st IAS

Drug-drug interactions

A warning about milk thistle (silymarin) and drug interactions

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