Emerging concepts on the use of antiretroviral therapy in older adults living with HIV infection.

Abstract:

PURPOSE OF REVIEW:With the overwhelming success of combination antiretroviral therapy, HIV infection is now a chronic, but manageable, medical condition. Consequently, HIV-infected cohorts are ageing leading to new challenges in the life-long management of this condition. Here, we review recent data concerning the modern treatment of older HIV-infected adults. RECENT FINDINGS:HIV-infected cohorts are ageing with the majority of those infected predicted to be more than 50 years old within the next 2 decades. There is emerging evidence of increased antiretroviral drug exposure in older individuals, but the evidence this leads to increased toxicity is less clear-cut. In addition, the choice of antiretroviral agents is more challenging in older HIV-infected patients because of the presence of comorbidities, which occur more commonly and at a younger age than in HIV-uninfected individuals and because of a higher propensity for drug-drug interactions due to the use of concomitant medications. Specific recommendations regarding antiretroviral treatment of older HIV-infected individuals are lacking and prospective trials in older age groups are urgently needed. SUMMARY:The use of antiretroviral therapies in older individuals is complex. Development of novel antiretrovirals and antiretroviral combinations with a low propensity for toxicity, drug-drug interactions and reliable pharmacology regardless of age is urgently needed.

journal_name

Curr Opin Infect Dis

authors

Winston A,Underwood J

doi

10.1097/QCO.0000000000000117

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

17-22

issue

1

eissn

0951-7375

issn

1473-6527

journal_volume

28

pub_type

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