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Review

Pharmacokinetic implications of resistance

In: Antiretroviral Resistance in Clinical Practice. London: Mediscript; 2006. Chapter 8.
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Review

Pharmacokinetic implications of resistance

Marta Boffito.
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Excerpt

Pharmacokinetics is the study of the bodily absorption, distribution, metabolism and excretion of drugs. The use of multidrug antiretroviral therapy for HIV-1-infected patients, and the need for these patients to receive multiple concomitant drugs for either the treatment of opportunistic infections or the management of drug-related adverse events, makes it imperative to understand the pharmacokinetics of all the drugs in the regimen. In addition, variability in the response to potent antiretroviral regimens is common as a result of multiple factors, including adherence, viral resistance, host immunology and drug pharmacology [1,2]. Inter-patient variability in drug absorption, distribution, metabolism and excretion can all contribute to variability in plasma drug concentrations [1,2].

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References

    1. Back D, Gatti G, Fletcher C et al. Therapeutic drug monitoring in HIV infection: current status and future directions. AIDS. 2002;16(suppl 1):S5–37. - PubMed
    1. Boffito M, Acosta E, Burger D et al. Current status and future prospects of therapeutic drug monitoring and applied clinical pharmacology in antiretroviral therapy. Antivir Ther. 2005;10:375–392. - PubMed
    1. Piscitelli SC, Gallicano KD. Interactions among drugs for HIV and opportunistic infections. N Engl J Med. 2001;344:984–996. - PubMed
    1. Marzolini C, Telenti A, Decosterd LA et al. Efavirenz plasma levels can predict treatment failure and central nervous system side effects in HIV-1-infected patients. AIDS. 2001;15:71–75. - PubMed
    1. Veldkamp AI, Weverling GJ, Lange JM et al. High exposure to nevirapine in plasma is associated with an improved virological response in HIV-1-infected individuals. AIDS. 2001;15:1089–1095. - PubMed

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