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Table 3 ART in HIV-infected patients with cryptococcosis

From: Integrated therapy for HIV and cryptococcosis

Time to start ART

 Deferred until 5 weeks after the start of antifungal therapy

ART regimen

 Consider drug–drug interactions between fluconazole and antiretroviral agents

  Fluconazole may potentially increase PI concentrations, but no clinical significance

  Fluconazole has the potential to increase NNRTI concentration

   No significant interactions with efavirenz

   Nevirapine has the most potential clinical relevancea

   No significant interactions with rilpivirine

 Monitor closely for nevirapine-associated adverse events, including hepatotoxicity

  1. aHIV-infected patients who received nevirapine, those also taking fluconazole 200 or 400 mg/day had nevirapine Cmin 76% higher, compared to those not taking fluconazole