Crushing of dolutegravir fixed-dose combination tablets increases dolutegravir exposure
Author(s) -
Marieke Roskam-Kwint,
Pauline Bollen,
Angela Colbers,
Marjolijn Duisenberg-van Essenberg,
Veroniek E. M. Harbers,
David M. Burger
Publication year - 2018
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dky191
Subject(s) - dolutegravir , medicine , virology , pharmacology , human immunodeficiency virus (hiv) , antiretroviral therapy , viral load
If HIV patients are unconscious or cannot swallow tablets for other reasons, antiretroviral medication is crushed and dissolved prior to administration. Crushing can alter drug exposure, possibly leading to treatment failure, development of resistance or toxicity. Currently, there is no information about crushing of the branded fixed-dose combination of dolutegravir/abacavir/lamivudine (Triumeq®, referred to as TRI); therefore, crushing of TRI is not recommended.
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