Division of Infectious Diseases, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA.
J Antimicrob Chemother. 2011 Feb;66(2):235-9. doi: 10.1093/jac/dkq448. Epub 2010 Dec 5.
With HIV-infected patients living longer and recommendations to initiate antiretrovirals (ARVs) being made earlier, the likelihood for potential drug-drug interactions between ARVs and concurrent medications used to manage co-morbid conditions will increase. In order to maximize the clinical benefit and minimize potential toxicity of ARVs and co-administered medications, it is important for clinicians to recognize significant drug-drug interactions. This article highlights clinically significant drug-drug interactions with antituberculosis agents, antimalarials, anticoagulants, chemotherapeutic agents and pulmonary antihypertensive agents when they are co-administered with newer ARVs (e.g. darunavir, raltegravir, maraviroc and etravirine).
随着感染 HIV 的患者寿命的延长,以及更早地建议开始使用抗逆转录病毒药物(ARV),ARV 与用于治疗合并症的同时使用的药物之间发生潜在药物相互作用的可能性将会增加。为了最大限度地提高 ARV 和合并用药的临床益处并最小化潜在毒性,临床医生识别有意义的药物相互作用非常重要。本文重点介绍了当与新型 ARV(例如达芦那韦、拉替拉韦、马拉维若和依曲韦林)同时使用时,抗结核药物、抗疟药物、抗凝剂、化疗药物和肺降压药物之间具有临床意义的药物相互作用。