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Table 14. Drugs That Should Not Be Used With Protease Inhibitors, Non-Nucleoside Reverse
            Transcriptase Inhibitors, or CCR5 Antagonist  (page 1 of 2)

            This table lists only drugs that should not be coadministered at any dose and regardless of RTV boosting. See Tables 15 and
            16 for more detailed PK interaction data.

                                                       Drug Categories

                              Lipid-            Gastro-                       Ergot
        Antiretroviral  Cardiac       Antimyco-          Neuro-  Psycho-                       Antiretroviral
          Agents a,b  Agents  Lowering  bacterials  intestinal  leptics  tropics  Derivatives   Herbs  Agents  Others
                              Agents            Drugs                    (vasoconstrictors)
        ATV +/− RTV  none    lovastatin  rifampin  cisapride e  pimozide  midazolam f  dihydroergotamine St.  ETR  alfuzosin
                             simvastatin rifapentine c          triazolam  ergonovine  John’s  NVP       irinotecan
                                                                         ergotamine    wort              salmeterol
                                                                         methylergonovine                sildenafil for PAH
        DRV/r      none      lovastatin  rifampin  cisapride e  pimozide  midazolam f  dihydroergotamine St.  none  alfuzosin
                             simvastatin rifapentine c          triazolam  ergonovine  John’s            salmeterol
                                                                         ergotamine    wort              sildenafil for PAH
                                                                         methylergonovine
        FPV +/− RTV  flecainide  lovastatin  rifampin  cisapride e  pimozide  midazolam f  dihydroergotamine St.  ETR  alfuzosin
                   propafenone simvastatin rifapentine c        triazolam  ergonovine  John’s            salmeterol
                                                                         ergotamine    wort              sildenafil for PAH
                                                                         methylergonovine
        LPV/r      none      lovastatin  rifampin d  cisapride e  pimozide  midazolam f  dihydroergotamine St.  none  alfuzosin
                             simvastatin rifapentine c          triazolam  ergonovine  John’s            salmeterol
                                                                         ergotamine    wort              sildenafil for PAH
                                                                         methylergonovine
        SQV/r      amiodarone  lovastatin  rifampin d  cisapride e  pimozide  midazolam f  dihydroergotamine St.  none  alfuzosin
                   dofetilide  simvastatin rifapentine c        triazolam  ergonovine  John’s            salmeterol
                   flecainide                                   trazodone  ergotamine  wort              sildenafil for PAH
                   lidocaine                                             methylergonovine  garlic
                   propafenone                                                         supple-
                   quinidine                                                           ments
        TPV/r      amiodarone  lovastatin  rifampin  cisapride e  pimozide  midazolam f  dihydroergotamine St.  ETR  alfuzosin
                   flecainide  simvastatin rifapentine c        triazolam  ergonovine  John’s            salmeterol
                   propafenone                                           ergotamine    wort              sildenafil for PAH
                   quinidine                                             methylergonovine
        EFV        none      none     rifapentine c  cisapride e  pimozide  midazolam f  dihydroergotamine St.  other NNRTIs  none
                                                                triazolam  ergonovine  John’s
                                                                         ergotamine    wort
                                                                         methylergonovine
        ETR        none      none     rifampin  none   none     none     none          St     unboosted PIs carbamazepine
                                      rifapentine c                                    John’s  ATV/r, FPV/r,  phenobarbital
                                                                                       wort   or TPV/r   phenytoin
                                                                                              other NNRTIs  clopidogrel
        NVP        none     none      rifapentine c  none  none  none    none          St.    ATV +/− RTV  ketoconazole
                                                                                       John’s  other
                                                                                       wort   NNRTIs
        RPV        none     none      rifabutin  proton  none   none     none          St.    other NNRTIs carbamazepine
                                      rifampin  pump                                   John’s            oxcarbazepine
                                      rifapentine c  inhibitors                        wort              phenobarbital
                                                                                                         phenytoin
        MVC        none     none      rifapentine c  none  none  none    none          St.    none       none
                                                                                       John’s
                                                                                       wort





            Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents        K-17

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