Abacavir/lamivudine combination in the treatment of HIV: a review

Geetha Sivasubramanian1, Emmanuel Frempong-Manso2, Rodger D MacArthur11Division of Infectious Diseases, Wayne State University, Detroit, MI, USA; 2University of Pittsburgh Medical Center, Shadyside Hospital, Pittsburgh, OH, USAAbstract: Abacavir has been at the center of research and clinical intere...

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Main Authors: Geetha Sivasubramanian, Emmanuel Frempong-Manso, Rodger D MacArthur
Format: Article
Language:English
Published: Dove Medical Press 2010-02-01
Series:Therapeutics and Clinical Risk Management
Online Access:http://www.dovepress.com/abacavirlamivudine-combination-in-the-treatment-of-hiv-a-review-a4006
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author Geetha Sivasubramanian
Emmanuel Frempong-Manso
Rodger D MacArthur
author_facet Geetha Sivasubramanian
Emmanuel Frempong-Manso
Rodger D MacArthur
author_sort Geetha Sivasubramanian
collection DOAJ
description Geetha Sivasubramanian1, Emmanuel Frempong-Manso2, Rodger D MacArthur11Division of Infectious Diseases, Wayne State University, Detroit, MI, USA; 2University of Pittsburgh Medical Center, Shadyside Hospital, Pittsburgh, OH, USAAbstract: Abacavir has been at the center of research and clinical interest in the last two years. The frequency of the associated abacavir hypersensitivity syndrome has decreased substantially since the introduction of routine testing for the HLA-B*5701 allele; the activity of the drug in HIV-infected persons with HIV RNA values more than 100,000 copies/mL has been questioned; the possible increased risk of myocardial infarction after recent exposure to abacavir has been debated; and the drug has been moved from the “recommended” category to the “alternative” category in several guidelines. Still, the drug remains a useful agent in combination with other drugs, including lamivudine, for the treatment of HIV infection. This review will focus on the pharmacokinetics, activity, side effects, and resistance profile of both abacavir and lamivudine, including a thorough review of all of the recent studies relevant to both drugs.Keywords: HIV, abacavir, lamivudine
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spelling doaj.art-e4e5c5cc985249b6a5cc6d038ab233782022-12-22T04:07:17ZengDove Medical PressTherapeutics and Clinical Risk Management1176-63361178-203X2010-02-012010default8394Abacavir/lamivudine combination in the treatment of HIV: a reviewGeetha SivasubramanianEmmanuel Frempong-MansoRodger D MacArthurGeetha Sivasubramanian1, Emmanuel Frempong-Manso2, Rodger D MacArthur11Division of Infectious Diseases, Wayne State University, Detroit, MI, USA; 2University of Pittsburgh Medical Center, Shadyside Hospital, Pittsburgh, OH, USAAbstract: Abacavir has been at the center of research and clinical interest in the last two years. The frequency of the associated abacavir hypersensitivity syndrome has decreased substantially since the introduction of routine testing for the HLA-B*5701 allele; the activity of the drug in HIV-infected persons with HIV RNA values more than 100,000 copies/mL has been questioned; the possible increased risk of myocardial infarction after recent exposure to abacavir has been debated; and the drug has been moved from the “recommended” category to the “alternative” category in several guidelines. Still, the drug remains a useful agent in combination with other drugs, including lamivudine, for the treatment of HIV infection. This review will focus on the pharmacokinetics, activity, side effects, and resistance profile of both abacavir and lamivudine, including a thorough review of all of the recent studies relevant to both drugs.Keywords: HIV, abacavir, lamivudinehttp://www.dovepress.com/abacavirlamivudine-combination-in-the-treatment-of-hiv-a-review-a4006
spellingShingle Geetha Sivasubramanian
Emmanuel Frempong-Manso
Rodger D MacArthur
Abacavir/lamivudine combination in the treatment of HIV: a review
Therapeutics and Clinical Risk Management
title Abacavir/lamivudine combination in the treatment of HIV: a review
title_full Abacavir/lamivudine combination in the treatment of HIV: a review
title_fullStr Abacavir/lamivudine combination in the treatment of HIV: a review
title_full_unstemmed Abacavir/lamivudine combination in the treatment of HIV: a review
title_short Abacavir/lamivudine combination in the treatment of HIV: a review
title_sort abacavir lamivudine combination in the treatment of hiv a review
url http://www.dovepress.com/abacavirlamivudine-combination-in-the-treatment-of-hiv-a-review-a4006
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