A review of low-dose ritonavir in protease inhibitor combination therapy.

Author: CameronD W, CooperC L, GallicanoK, van HeeswijkR P G

Paper Details 
Original Abstract of the Article :
The pharmacokinetics of protease inhibitors center around the microsomal enzyme cytochrome P-450 3A4. As a potent inhibitor of this enzyme, ritonavir can increase the bioavailability and half-life of coadministered protease inhibitors. Evidence suggests that increased exposure to protease inhibitors...See full text at original site
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引用元:
https://doi.org/10.1086/375233

データ提供:米国国立医学図書館(NLM)

Boosting Protease Inhibitors: Low-Dose Ritonavir in HIV Treatment

The fight against HIV is a long and arduous journey, like traversing a vast and unforgiving desert. Protease inhibitors, a class of drugs that block the HIV protease enzyme, have emerged as crucial weapons in this battle, but their effectiveness can be hampered by their limited bioavailability. This review explores the potential of low-dose ritonavir, a potent inhibitor of the cytochrome P-450 3A4 enzyme, to enhance the efficacy of protease inhibitors.

The review examines the pharmacokinetic interactions between ritonavir and other protease inhibitors, focusing on how low-dose ritonavir can increase their bioavailability and half-life. The authors also discuss the clinical evidence supporting the use of low-dose ritonavir-boosted protease inhibitor regimens in achieving durable virological suppression and improving immune reconstitution in HIV-infected individuals.

A Powerful Alliance: Low-Dose Ritonavir and Protease Inhibitors

This review demonstrates the potential of low-dose ritonavir to significantly enhance the effectiveness of protease inhibitors in HIV treatment. By boosting the bioavailability and half-life of these drugs, low-dose ritonavir can help achieve sustained viral suppression, a crucial milestone in HIV management. It's like adding a powerful camel to your caravan, providing the strength and stamina needed to navigate the challenging terrain of HIV infection.

Navigating the Side Effects: Optimizing HIV Therapy

The study also highlights the importance of carefully managing potential side effects associated with low-dose ritonavir-boosted regimens, such as gastrointestinal disturbances, hepatotoxicity, and blood lipid abnormalities. By understanding these potential challenges and implementing strategies to mitigate them, we can optimize HIV therapy and maximize the benefits of this powerful combination.

Dr. Camel's Conclusion

Low-dose ritonavir, like a trusty oasis in the desert, can provide the necessary boost to enhance the effectiveness of protease inhibitors in HIV treatment. However, it's crucial to be aware of potential side effects and manage them carefully to ensure optimal outcomes and a successful journey towards managing HIV infection.

Date :
  1. Date Completed 2003-07-02
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

12802760

DOI: Digital Object Identifier

10.1086/375233

Related Literature

SNS
PICO Info
in preparation
Languages

English

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