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. 2010 Jan-Feb;19(1):17-29.
doi: 10.1111/j.1521-0391.2009.00004.x.

Interactions between buprenorphine and antiretrovirals: nucleos(t)ide reverse transcriptase inhibitors (NRTI) didanosine, lamivudine, and tenofovir

Jennifer Baker  1 , Petrie M Rainey, David E Moody, Gene D Morse, Qing Ma, Elinore F McCance-Katz
Affiliations

Interactions between buprenorphine and antiretrovirals: nucleos(t)ide reverse transcriptase inhibitors (NRTI) didanosine, lamivudine, and tenofovir

Jennifer Baker et al. Am J Addict. 2010 Jan-Feb.

Abstract

To improve outcomes among injection drug users with HIV and/or chronic hepatitis B, it is important to identify drug interactions between antiretroviral and opiate therapies. We report the results of a study designed to examine the interaction between buprenorphine and the nucleos(t)ide reverse transcriptase inhibitors (NRTI) didanosine (ddI), lamivudine (3TC), and tenofovir (TDF). Opioid-dependent, buprenorphine/naloxone-maintained, HIV-negative volunteers (n = 27) participated in two 24-hour sessions to determine (1) pharmacokinetics of buprenorphine alone and (2) pharmacokinetics of both buprenorphine and either ddI, 3TC, or TDF. Among buprenorphine/naloxone-maintained study participants, no significant changes in buprenorphine pharmacokinetics were observed following ddI, 3TC, or TDF administration. Buprenorphine had no significant effect on NRTI concentrations. Concomitant use of buprenorphine with ddI, 3TC, or TDF results in neither a significant pharmacokinetic nor pharmacodynamic interaction.

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Figures

FIGURE 1
FIGURE 1
Effect of didanosine on (a) buprenorphine, (b) norbuprenorphine, (c) buprenorphine-3-glucuronide, and (d) norbuprenorphine-3-glucuronide.
FIGURE 2
FIGURE 2
Effect of lamivudine on (a) buprenorphine, (b) norbuprenorphine, (c) buprenorphine-3-glucuronide, and (d) norbuprenorphine-3-glucuronide.
FIGURE 3
FIGURE 3
Effect of tenofovir on (a) buprenorphine, (b) norbuprenorphine, (c) buprenorphine-3-glucuronide, and (d) norbuprenorphine-3-glucuronide.
FIGURE 4
FIGURE 4
Effect of buprenorphine on (a) didanosine, (b) lamivudine, and (c) tenofovir.
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