Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions

Hepatitis C (HCV) is a widespread health issue, which can lead to hepatic cirrhosis, liver failure, and liver cancer. Nearly 2% of the world's population or > 185 million people are chronically infected with HCV; the management of HCV and the rate of sustained virological response (SVR) were...

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Main Authors: Marina Barakat, Sara Wahdan, Azza Awad, Ebtehal El-Demerdash Zaki
Format: Article
Language:English
Published: Ain Shams University 2022-12-01
Series:Archives of Pharmaceutical Sciences Ain Shams University
Subjects:
Online Access:https://aps.journals.ekb.eg/article_291609.html
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author Marina Barakat
Sara Wahdan
Azza Awad
Ebtehal El-Demerdash Zaki
author_facet Marina Barakat
Sara Wahdan
Azza Awad
Ebtehal El-Demerdash Zaki
author_sort Marina Barakat
collection DOAJ
description Hepatitis C (HCV) is a widespread health issue, which can lead to hepatic cirrhosis, liver failure, and liver cancer. Nearly 2% of the world's population or > 185 million people are chronically infected with HCV; the management of HCV and the rate of sustained virological response (SVR) were significantly assisted by direct-acting antiviral medications. Since 2014, the FDA has approved using the most potent direct-acting antiviral drug (DAA) combinations. The majority of DAAs can affect cytochrome P450 (CYP) enzymes and are extensively processed by liver enzymes. Additionally, these DAAs are both substrates and drug transporters’ inhibitors, making them a potential target for drug-drug interactions (DDIs). As a result, understanding and managing DDIs with DAAs must be regarded as a crucial aspect of the treatment of HCV. Additionally, patients taking numerous medications or having various co-morbidities must be made aware of the potential consequences of DDIs, such as elevated toxicity or an absence of pharmacological efficacy, in current HCV treatments.
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spelling doaj.art-f8b9cb63b5714b878e491a36386a0d3f2023-04-03T20:40:15ZengAin Shams UniversityArchives of Pharmaceutical Sciences Ain Shams University2356-83802356-83992022-12-016227429110.21608/APS.2023.189971.1106Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug InteractionsMarina Barakat0Sara Wahdan1Azza Awad2https://orcid.org/0000-0001-8224-7055Ebtehal El-Demerdash Zaki3https://orcid.org/0000-0003-2951-4892Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ahram Canadian University, October, EgyptDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo, EgyptDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Ahram Canadian University, October, EgyptDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University, Cairo, EgyptHepatitis C (HCV) is a widespread health issue, which can lead to hepatic cirrhosis, liver failure, and liver cancer. Nearly 2% of the world's population or > 185 million people are chronically infected with HCV; the management of HCV and the rate of sustained virological response (SVR) were significantly assisted by direct-acting antiviral medications. Since 2014, the FDA has approved using the most potent direct-acting antiviral drug (DAA) combinations. The majority of DAAs can affect cytochrome P450 (CYP) enzymes and are extensively processed by liver enzymes. Additionally, these DAAs are both substrates and drug transporters’ inhibitors, making them a potential target for drug-drug interactions (DDIs). As a result, understanding and managing DDIs with DAAs must be regarded as a crucial aspect of the treatment of HCV. Additionally, patients taking numerous medications or having various co-morbidities must be made aware of the potential consequences of DDIs, such as elevated toxicity or an absence of pharmacological efficacy, in current HCV treatments.https://aps.journals.ekb.eg/article_291609.htmldaaspharmacokineticspharmacodynamicsp-glycoproteincyp3a4drug interactions
spellingShingle Marina Barakat
Sara Wahdan
Azza Awad
Ebtehal El-Demerdash Zaki
Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions
Archives of Pharmaceutical Sciences Ain Shams University
daas
pharmacokinetics
pharmacodynamics
p-glycoprotein
cyp3a4
drug interactions
title Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions
title_full Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions
title_fullStr Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions
title_full_unstemmed Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions
title_short Direct Acting Antiviral Drugs: Pharmacokinetics and Drug-Drug Interactions
title_sort direct acting antiviral drugs pharmacokinetics and drug drug interactions
topic daas
pharmacokinetics
pharmacodynamics
p-glycoprotein
cyp3a4
drug interactions
url https://aps.journals.ekb.eg/article_291609.html
work_keys_str_mv AT marinabarakat directactingantiviraldrugspharmacokineticsanddrugdruginteractions
AT sarawahdan directactingantiviraldrugspharmacokineticsanddrugdruginteractions
AT azzaawad directactingantiviraldrugspharmacokineticsanddrugdruginteractions
AT ebtehaleldemerdashzaki directactingantiviraldrugspharmacokineticsanddrugdruginteractions