Pharmacokinetics and therapeutic drug monitoring of antiretrovirals in pregnant women.

Abstract:

:Highly active antiretroviral therapy is recommended for HIV-infected pregnant women to prevent mother-to-child transmission. The specific physiological background induced by pregnancy leads to significant changes in maternal pharmacokinetics, suggesting potential variability in plasma concentrations of antiretrovirals during gestation. Therapeutic drug monitoring (TDM) of protease inhibitors (PIs) and non-nucleoside reverse transcriptase inhibitors (NNRTIs) is recommended in certain situations, including pregnancy, but its systematic use in HIV-infected pregnant women remains controversial. This review provides an update of the pharmacokinetic data available for PIs and NNRTIs in pregnant women and highlights the clinical interest of systematic TDM of certain antiretroviral drugs during pregnancy, including nevirapine, nelfinavir, saquinavir, indinavir and lopinavir.

journal_name

Br J Clin Pharmacol

authors

Roustit M,Jlaiel M,Leclercq P,Stanke-Labesque F

doi

10.1111/j.1365-2125.2008.03220.x

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

179-95

issue

2

eissn

0306-5251

issn

1365-2125

pii

BCP3220

journal_volume

66

pub_type

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