Acute Kidney Injury After Efavirenz/Tenofovir Disoproxil Fumarate/Emtricitabine (Atripla) Overdose

作者:Havenith Thomas*; Burger David; Visschers Maarten J; Schippers Jolanda; Lashof Astrid O
来源:Therapeutic Drug Monitoring, 2017, 39(2): 91-92.
DOI:10.1097/ftd.0000000000000386

摘要

We describe a patient with acute renal failure and irreversible kidney damage after an overdose with the fixed dose combination of efavirenz/tenofovir disoproxil fumarate/emtricitabine (Atripla). The acute kidney injury was most probably caused by tenofovir. Efavirenz and emtricitabine seemed relatively safe in overdose. The pharmacokinetics in overdose of all 3 drugs and the effect of hemodialysis on the tenofovir clearance were studied by measuring the plasma concentrations and by the use of clinical pharmacokinetic software.

  • 出版日期2017-4