Neuronal toxicity of efavirenz: a systematic review.

Author: DecloedtEric H, MaartensGary

Paper Details 
Original Abstract of the Article :
INTRODUCTION: Efavirenz commonly causes early neuropsychiatric side effects, but tolerance develops in most patients. There is emerging evidence that efavirenz use may damage neurons, which could result in impaired neurocognitive performance. AREAS COVERED: The authors conducted a systematic review...See full text at original site
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引用元:
https://doi.org/10.1517/14740338.2013.823396

データ提供:米国国立医学図書館(NLM)

Efavirenz: A Double-Edged Sword in HIV Treatment?

Efavirenz, a widely used antiretroviral drug for HIV infection, is known to cause neuropsychiatric side effects. However, there are growing concerns about its potential to damage neurons, leading to impaired neurocognitive performance. This systematic review, a comprehensive analysis of existing research, examined the evidence for efavirenz-induced neuronal toxicity and its potential impact on cognitive function. The review revealed a complex picture, with limited clinical evidence but strong preclinical data suggesting that efavirenz might have neurotoxic effects, requiring further investigation.

Efavirenz and Neurotoxicity: A Balancing Act

The review revealed limited clinical evidence linking efavirenz use to worsened neurocognitive impairment. However, preclinical studies showed that efavirenz, particularly its metabolite 8-hydroxy-efavirenz, can be toxic to neurons in culture, raising concerns about its potential neurotoxic effects in humans. This suggests a need for further research to fully understand the potential risks associated with efavirenz use and to develop strategies to minimize these risks.

Navigating the Desert of HIV Treatment: Seeking Safer Options

This research is like a warning sign in the vast desert of HIV treatment, highlighting the potential risks associated with certain medications. The findings suggest that efavirenz might have neurotoxic effects, requiring careful monitoring and further research to understand its long-term impact on cognitive function. This review serves as a reminder that the search for safe and effective treatments for HIV infection is an ongoing journey, requiring careful consideration of both benefits and potential risks.

Dr.Camel's Conclusion

This research highlights the complexity of HIV treatment and the need for careful consideration of both the benefits and potential risks associated with medications. The desert of HIV research is vast and ever-changing, requiring a constant search for safer and more effective treatments. This review serves as a reminder that vigilance and ongoing research are crucial in our quest for better therapies for those living with HIV.

Date :
  1. Date Completed 2014-06-02
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

23889591

DOI: Digital Object Identifier

10.1517/14740338.2013.823396

SNS
PICO Info
in preparation
Languages

English

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