Total (number of patients) 39 Men 24 Women 15 Age (y) Mean 33.6 Range 21 - 45 Patients with Hepatitis C Ab+ 39/39 (100%) Hepatitis C PCR+ 19/39 (49%) HBsAg+ 8/39 (20.5%) CD4+ count (cells/µL) Mean 224 Range 10 - 1515 HIV RNA level (copies/mL) Mean 225,265 (5.35 log10) Range 1118 - 1,194,828 (3.04 - 6.09 log10)
Drug Effect on methadone Presumed mechanism of action Data Reference Carbamazepine Reduced Induction of CYP-450 Clinical only 21 Phenytoin Reduced Induction of CYP-450 Clinical only 21 - 24 Valproic acid No effect Clinical only 24 Barbiturates Reduced Induction of CYP-450 Clinical only 25 Fluvoxamine Increased Inhibition of CYP-450 Clinical and PK 26, 27 Fluoxetine Increased Inhibition of CYP-450 Clinical and PK 28, 29 Cimetidine Increased Inhibition of CYP-450 Clinical only 30, 31 Fluconazole Increased Inhibition of CYP-450 Clinical and PK 32 Rifampicin Reduced Induction of CYP-450 Clinical and PK 33 - 36 Nevirapine Reduced Induction of CYP-450 Clinical and limited PK 19, 37 - 39 Efavirenz Reduced Induction of CYP-450 Clinical 20, 40 Ritonavir Increased Inhibition of CYP-450 Clinical and limited PK 41, 42 Nelfinavir Reduced ??Induction of CYP-450 Clinical and PK 43, 44 Lopinavir/ritonavir Reduced ??Induction of CYP-450 or plasma protein binding effects Clinical and PK 45 Zidovudine Reduced zidovudine* Inhibition of intracellular phosphorylation Limited clinical and PK 46, 47 Didanosine Reduced didanosine* Inhibition of intracellular phosphorylation Limited clinical and PK 48 CYP-450, cytochrome P-450; PK, pharmacokinetic.
*No alteration in the pharmacokinetics of methadone, but an interaction with the intracellular pharmacokinetics of the nucleoside analogue.