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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.
Abstract:
One-fourth of individuals diagnosed with the human immunodeficiency virus concomitantly have the hepatitis C virus infection. Since the discovery of highly active antiretroviral therapy, liver complications have become the leading cause of morbidity and mortality in HIV-HCV coinfected individuals. Optimal treatment in this patient population is critical, as coinfection has been linked to deterioration of both disease states. The objective of this review article is to highlight the current literature on drug-drug interactions between HIV and HCV treatments. The management of the treatment of coinfection patients has been covered extensively in numerous other publications.
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