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Updated: May 29, 2026

Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors
Published on: April 9, 2014
[Drug-drug interactions with HIV treatments]
E Mossdorf1, C Marzolini, D Fasel
1Klinik für Infektiologie und Spitalhygiene, Universitätsspital Basel. mossdorfe@gmx.ch
Diagnosing drug-drug interactions with boosted atazanavir requires a comprehensive medication review, including over-the-counter drugs. Pharmacologist consultation and therapeutic drug monitoring aid in managing complex interactions for effective combination antiretroviral therapy (cART).
Area of Science:
- Pharmacology
- Clinical Pharmacy
- Infectious Diseases
Background:
- Combination antiretroviral therapy (cART) is crucial for managing HIV.
- Boosted atazanavir is a common component of cART regimens.
- Drug-drug interactions (DDIs) pose a significant challenge in cART management.
Observation:
- New medications can interact with boosted atazanavir, altering its efficacy or toxicity.
- Patient history must include all prescribed and over-the-counter (OTC) medications.
- Physician communication regarding medication changes, side effects, and adherence is vital.
Findings:
- A systematic diagnostic approach is necessary to identify potential DDIs.
- Therapeutic drug monitoring (TDM) of cART is a key diagnostic tool.
- In complex cases, evaluation by a pharmacologist is recommended.
Implications:
- This approach enhances the safe and effective use of boosted atazanavir-based cART.
- Proactive DDI management improves patient outcomes and adherence.
- Interdisciplinary collaboration is essential for optimizing cART regimens.
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