disease interaction(s) of asthma with HIV1 infection
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Complications
- patients using fluticasone with HIV1 protease inhibitor (ritonavir) risk iatrogenic Cushing's syndrome due to inhibition of CYPA4 by ritonavir further increasing 1/2life of fluticasone & serum levels[1][2]
Management
- replace fluticasone with beclomethasone or budesonide as these glucocorticoids are safer to use with HIV1 protease inhibitors (ritonavir)[1][2]
More general terms
References
- ↑ 1.0 1.1 1.2 Foisy MM, Yakiwchuk EM, Chiu I, Singh AE. Adrenal suppression and Cushing's syndrome secondary to an interaction between ritonavir and fluticasone: a review of the literature. HIV Med. 2008 Jul;9(6):389-96. PMID: https://www.ncbi.nlm.nih.gov/pubmed/18459946 Free article
- ↑ 2.0 2.1 2.2 NEJM Knowledge+ Complex Medical Care