Collaboration between pharmacist and doctor to ensure the efficacy and safe-ty of treatments in patients with HIV
DOI:
https://doi.org/10.26876/osagaiz.1.2024.514Keywords:
HIV, interactions, efficacy, safetyAbstract
The goal is to analyze the interactions between antiretroviral drugs and other medications prescribed for patients with HIV and identify pharmaceutical risks, analysing the influence they have on viral load and other types of treatments, and thus ensuring their efficacy and safety, all in collaboration with the doctor.
Material and methods: it is a retrospective study conducted in April- May 2021, including all the patients attended by a doctor and a pharmacist in the outpatient infectious diseases clinic. Data were collected using electronic clinical record: age, gender, viral load, antiretroviral treatment, and other treatments. Patients have been divided into different groups according to the third antiretroviral treatment drug. Interactions, the interaction level, and the influence of antiretrovirals on blood concentration have also been collected.
Results: 100 patients have been analysed. The median age is 52 (P25: 36; P75: 59); 72 % are male. The 95 % have less than 50 copies/ml. As third drug, 33 patients have an integrase inhibitor, 26 a non-nucleoside reverse transcriptase inhibitor, 23 the potentiated protease inhibitor and 17 other combinations. Of all patients, 68 are taking medicines other than HIV. In total, there are 229 drugs, 3.3 drugs per patient. Of these 229 drugs, 57 (24.9 %) had some interaction: 39 (68.4 %) are very relevant, 17 (29.8 %) not relevant and 1 (1.8 %) is contraindicated. Some therapeutic groups had higher prevalence of interactions.
Conclusion: 24.9 % of drugs have interactions, of which 68.4 % are very relevant. Validation by a pharmacist improves the detection of interactions and therefore ensures safety.
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