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Clinically significant drug interactions of antiretrovirals


Authors: Irena Murínová 1,2
Authors place of work: Oddělení klinické farmacie, Ústřední vojenská nemocnice – Vojenská fakultní nemocnice, Praha 1;  Ústav aplikované farmacie, Farmaceutická fakulta VFU, Brno 2
Published in the journal: Čas. Lék. čes. 2019; 158: 289-294
Category: Review Article

Summary

Evaluating of the clinical significance of drug interactions is one of the domains of clinical pharmacist expertise. Drug interactions are discussed when two or more drugs co-administer and the effect of one of them changes. Drug interactions can be a serious cause of toxicity and side effects. They can also lead to the failure of the treatment. On the other hand, they can also play a positive role, e. g. in the treatment of people living with HIV. The combination of some antiretrovirals with boosters is based on the principle of drug interaction.

The article presents pharmacokinetic drug interactions of antiretrovirals. Their occurrence is not unique in the clinical practice. The pharmacokinetic profiles of the individual antiretrovirals, whose knowledge is essential for the correct assessment of the clinical significance of drug interactions, are reviewed.

Keywords:

clinical pharmacist – HIV – pharmacokinetics – Drug interactions – antiretrovirals


Zdroje
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  2. Dostálek M, Janoštíková E, Juřica J a kol. Farmakokinetika. Grada, Praha, 2006.
  3. Snopková S, Rozsypal H, Aster V a kol. Doporučený postup péče o dospělé infikované HIV a postexpoziční profylaxe infekce HIV. Dostupné na: www.infekce.cz/DPHIV19.htm
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  5. UpToDate. Wolters Kluwer Health. Dostupné na: www.uptodate.com
  6. Qureshi S. Drug Interactions with Antiretroviral Therapy. Medscape, 2019 Apr 9. Dostupné na: https://emedicine.medscape.com/article/2039809
  7. Drug Interaction Checker. Medscape. Dostupné na: https://reference.medscape.com/drug-interactionchecker
  8. European AIDS Clinical Society. Guidelines, version 9.1. Dostupné na: www.eacsociety.org/files/2018_guidelines-9.1-english.pdf
  9. HIV Drug Interactions. University of Liverpool. Dostupné na: www.hiv-druginteractions.org/checker
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Článok vyšiel v časopise

Journal of Czech Physicians

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