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Aptivus (Tipranavir Capsules) and Raltegravir Tablets

Determining the interaction of Aptivus (Tipranavir Capsules) and Raltegravir Tablets and the possibility of their joint administration.

Check result:
Aptivus (Tipranavir Capsules) <> Raltegravir Tablets
Relevance: 19.06.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Coadministration with tipranavir/ritonavir may reduce the plasma concentrations of raltegravir. The proposed mechanism is induction of raltegravir glucuronidation via uridine diphosphate glucuronosyltransferase (UGT) 1A1. In 15 study subjects, administration of raltegravir 400 mg twice daily in combination with tipranavir/ritonavir 500 mg/200 mg twice daily decreased the raltegravir peak plasma concentration (Cmax), systemic exposure (AUC), and trough plasma concentration (Cmin) by 18%, 24%, and 55%, respectively. The long-term clinical significance of these changes, particularly the reduction in Cmin, is uncertain. In two clinical trials, comparable efficacy was observed in approximately 100 subjects who received raltegravir in combination with tipranavir/ritonavir relative to subjects who did not receive tipranavir/ritonavir. Based on these data, no dosage adjustment of raltegravir is necessary when used together with tipranavir/ritonavir.

References
  • "Product Information. Isentress (raltegravir)." Merck & Company Inc, West Point, PA.
  • "Product Information. Aptivus (tipranavir)." Boehringer-Ingelheim, Ridgefield, CT.
Aptivus (Tipranavir Capsules)

Generic Name: tipranavir

Brand name: Aptivus

Synonyms: Aptivus

Raltegravir Tablets

Generic Name: raltegravir

Brand name: Isentress, Isentress HD

Synonyms: Raltegravir

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.