Abstract:
:Stavudine (d4T) is used extensively as part of HAART in resource poor settings, despite its toxicities. The revised WHO guidelines specify replacement of d4T with less toxic but more expensive drugs when feasible, and that d4T doses be standardized to 30 mg twice daily (bid) (irrespective of body-weight), from the approved 40 mg bid in adults (body-weight ≥60 kg). Therefore, an in silico population pharmacokinetic and biochemical model was utilized to compare relative efficacies of the two doses in humans. Assessment of predicted quartile ranges of simulated concentrations of the triphosphate of d4T suggested sufficient trough concentrations to inhibit wild type HIV-1 reverse transcriptase at the reduced dose, lending support to the revised WHO recommendations.
journal_name
Antiviral Resjournal_title
Antiviral researchauthors
Hurwitz SJ,Schinazi RFdoi
10.1016/j.antiviral.2011.08.004subject
Has Abstractpub_date
2011-11-01 00:00:00pages
372-7issue
2eissn
0166-3542issn
1872-9096pii
S0166-3542(11)00393-7journal_volume
92pub_type
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更新日期:2002-07-01 00:00:00
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00
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journal_title:Antiviral research
pub_type: 杂志文章,评审
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journal_title:Antiviral research
pub_type: 杂志文章
doi:10.1016/j.antiviral.2003.11.008
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