Drug-Drug Interactions Among Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) Medications

Kirpal Kaur1, Mona A Gandhi, Judianne Slish

  • 1St John Fisher College Wegmans School of Pharmacy, Rochester, NY, USA.

Insights

Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) coinfection affects many. Drug interactions between HIV and HCV treatments are critical for managing coinfection and preventing liver complications.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Pharmacology

Background:

  • Hepatitis C virus (HCV) coinfection is present in one-fourth of individuals with human immunodeficiency virus (HIV).
  • Liver complications are the leading cause of death in HIV-HCV coinfected patients, especially since the advent of highly active antiretroviral therapy.
  • HIV-HCV coinfection can worsen both viral infections.

Purpose of the Study:

  • To review the current literature on drug-drug interactions (DDIs) between HIV and HCV treatments.
  • To emphasize the importance of managing DDIs in coinfected patients.

Main Methods:

  • Literature review of studies on drug-drug interactions in HIV-HCV coinfection.
  • Analysis of current treatment guidelines and research findings.

Main Results:

  • Drug-drug interactions between HIV and HCV medications can significantly impact treatment efficacy and toxicity.
  • Management strategies are essential to mitigate risks associated with these interactions.
  • Further research is needed to optimize DDI management in this population.

Conclusions:

  • Understanding and managing drug-drug interactions is crucial for the optimal treatment of HIV-HCV coinfected individuals.
  • Addressing DDIs can improve patient outcomes and reduce liver-related morbidity and mortality.
  • This review highlights the need for careful consideration of pharmacologic profiles when prescribing treatments for coinfected patients.

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