Source:http://linkedlifedata.com/resource/pubmed/id/15700621
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2005-2-9
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pubmed:abstractText |
Highly active antiretroviral therapy (HAART) consisting of protease inhibitor (PI)-containing regimens has revolutionized the treatment options for HIV-infected individuals. However, even with successful treatment, virus is not completely eliminated, and virologic failure can occur because of treatment complexity, tolerability and side-effect issues, and suboptimal pharmacokinetics. Ritonavir-boosted PI therapies (i.e. combinations of low-dose ritonavir with a primary PI) can effectively enhance the pharmacokinetics of the primary PI by reducing its first-pass metabolism and postabsorptive clearance, thereby increasing potency. Boosted PI regimens may also simplify treatment by reducing regimen complexity and pill burden. For treatment-experienced patients, the higher PI concentrations achieved with ritonavir boosting may improve activity against PI-resistant virus. This article reviews the principles of PI boosting, its advantages and disadvantages, and the clinical experience with this strategy in treatment-experienced populations.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1139-6121
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
226-33
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:15700621-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:15700621-Clinical Trials as Topic,
pubmed-meshheading:15700621-Drug Resistance, Viral,
pubmed-meshheading:15700621-Drug Synergism,
pubmed-meshheading:15700621-HIV Infections,
pubmed-meshheading:15700621-HIV Protease Inhibitors,
pubmed-meshheading:15700621-Humans,
pubmed-meshheading:15700621-Ritonavir
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pubmed:articleTitle |
Protease-inhibitor boosting in the treatment-experienced patient.
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pubmed:affiliation |
Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. jgallant@jhmi.edu
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pubmed:publicationType |
Journal Article,
Review
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