Drug Index

Raltegravir

Mechanism :

Raltegravir inhibits the catalytic activity of integrase, thus preventing integration of the proviral gene into human DNA.


Indication :

  • Treatment of HIV-1 infection in combination with other antiretroviral agents

Contraindications :

Hypersensitivity to raltegravir or any other component of the formulation


Dosing :

3 to <20 kg: 6 mg/kg/dose PO twice daily; Maximum dose: 300 mg/dose.

Adverse Effect :

Increased serum AST, ALT & cholesterol, increased glucose, hyperbilirubinemia, fatigue, abdominal pain, cough, rash, dizziness, insomnia, vomiting, arthralgia, extremity pain, nausea, diarrhea, pyrexia.


Interaction :

Etravirine: May decrease the serum concentration of Raltegravir.
Fibric Acid Derivatives: Raltegravir may enhance the myopathic (rhabdomyolysis) effect.
HMG-CoA Reductase Inhibitors (Statins): Raltegravir may enhance the myopathic (rhabdomyolysis) effect of HMG-CoA Reductase Inhibitors.
Proton Pump Inhibitors: May increase the serum concentration of Raltegravir.
Rifampin, Rifabutin, Rifapentine: May decrease the serum concentration of Raltegravir.



Hepatic Dose :

Mild to moderate hepatic impairment: No adjustment of dosage recommended
Severe hepatic impairment: Dose reduction is reasonable.
11/03/2023 12:42:21 Raltegravir
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