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Tables for:
Directly Observed Antiretroviral Therapy for Injection Drug Users With HIV Infection

[AIDS Read 12(7):305-316, 2002. © 2002 Cliggott Publishing, Division of SCP Communications ]


Table 1. Baseline Patient Characteristics in San Francisco AIDS Clinic Study


Total (number of patients)39
   Men24
   Women15
Age (y)
   Mean33.6
   Range21 - 45
Patients with
   Hepatitis C Ab+39/39 (100%)
   Hepatitis C PCR+19/39 (49%)
   HBsAg+8/39 (20.5%)
CD4+ count (cells/µL)
   Mean224
   Range10 - 1515
HIV RNA level (copies/mL)
   Mean225,265 (5.35 log10)
   Range1118 - 1,194,828 (3.04 - 6.09 log10)

Table 2. Significant Interactions Between Methadone and Other Medications


DrugEffect on methadonePresumed mechanism of actionDataReference
CarbamazepineReducedInduction of CYP-450Clinical only21
PhenytoinReducedInduction of CYP-450Clinical only21 - 24
Valproic acidNo effect Clinical only24
BarbituratesReducedInduction of CYP-450Clinical only25
FluvoxamineIncreasedInhibition of CYP-450Clinical and PK26, 27
FluoxetineIncreasedInhibition of CYP-450Clinical and PK28, 29
CimetidineIncreasedInhibition of CYP-450Clinical only30, 31
FluconazoleIncreasedInhibition of CYP-450Clinical and PK32
RifampicinReducedInduction of CYP-450Clinical and PK33 - 36
NevirapineReducedInduction of CYP-450Clinical and limited PK19, 37 - 39
EfavirenzReducedInduction of CYP-450Clinical20, 40
RitonavirIncreasedInhibition of CYP-450Clinical and limited PK41, 42
NelfinavirReduced??Induction of CYP-450Clinical and PK43, 44
Lopinavir/ritonavirReduced??Induction of CYP-450 or plasma protein binding effectsClinical and PK45
ZidovudineReduced zidovudine*Inhibition of intracellular phosphorylationLimited clinical and PK46, 47
DidanosineReduced didanosine*Inhibition of intracellular phosphorylationLimited clinical and PK48

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.