Drug Interactions Might Provoke Tenofovir-Associat

Drug Interactions May Provoke Tenofovir-Associated renal disappointment (pr... hypertext transportation protocol://www.medscape.com/viewarticle/524756_print www.medscape.com Drug Interactions Might Provoke Tenofovir-Associated Renal Failure Abigail Zuger, MD post: 03/13/2006; AIDS Clinical C atomic number 18. 2006;4(2) © 2006 mama Medical Society A review of 27 cases suggests that ritonavir, ddI, and atazanavir energy raise the risk for tenofovir-associated nephritic tribulation. Tenofovir seldom causes patients to complain of ramp effects, and some studies have suggested that it is unbosom of major toxicity. However, its use has been associated with the increment of subtle, sometimes irreversible, nephritic dysfunction, and risks for this tortuousness are not wholesome understood. Researchers account on 5 new cases of tenofovir-associated renal failure and reviewed 22 cases previously reported in the literature. All 27 patients were receiving tenofovir in a conspiracy antiretroviral regimen that included ritonavir (21 patients), ddI (9 patients), and atazanavir (5 patients). Duration of tenofovir use ranged from 1 to 29 months (mean, 11 months). CD4-cell counts and viral loads ranged widely. All patients had ruler serum creatinine levels at baseline.

Renal failure was accompanied by Fanconi syndrome in 16 patients, albuminuria in 6, and urinary bank deposit characteristic of acute tubular necrosis in 8. deuce patients briefly indispensable dialysis. After tenofovir was discontinued, urinary abnormalities resolved in all patients, although phoebe bird still had s ome degree of renal dysfunction subsequentl! y a mean follow-up of 7.5 months. The authors mull that interactions with other antiretrovirals are responsible for sporadic cases of tenofovirassociated renal failure. ritonavir inhibits secretion of tenofovir into the pissing and may raise serum tenofovir levels considerably. ddI may compete with tenofovir for urinary secretion, resulting in elevated serum levels of ddI and ddI-associated renal damage. Atazanavir also...If you want to keep up a full essay, order it on our website: OrderCustomPaper.com

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