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Increased
Mitochondrial Toxicity with Ribavirin in HIV/HCV Coinfection
[Lafeuillade A, et al. Lancet 2001;357:280]: This
is a brief report of 15 patients with HIV/HCV co-infection who were
treated with interferon plus ribavirin plus HAART and developed
lactic acidosis. The authors point out that ribavirin is a nucleoside
analog, and this may enhance the possibility of mitochondrial toxicity
when combined with the nucleosides used in HAART. They also point
out that the data available for interferon plus ribavirin treatment
of HCV in patients who are co-infected with HIV are sparse, and
this is a side effect that clinicians should be alerted to in the
event of concurrent treatment of both viruses.
posted
2/22/2001

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