HIV-hepatitis C coinfection: Difference between revisions
From IDWiki
m (Aidan moved page RNA Human immunodeficiency virus HIV-Hepatitis C coinfection to HIV-Hepatitis C coinfection without leaving a redirect) |
mNo edit summary |
||
| Line 1: | Line 1: | ||
| ⚫ | |||
| − | = HIV-Hepatitis C (HCV) coinfection = |
||
| − | |||
| ⚫ | |||
* Confirm both diagnoses, including ensuring HCV RNA is still positive 6 months after first measured |
* Confirm both diagnoses, including ensuring HCV RNA is still positive 6 months after first measured |
||
| Line 7: | Line 5: | ||
* Treat the HIV for at least 2 weeks before starting HCV treatment |
* Treat the HIV for at least 2 weeks before starting HCV treatment |
||
| − | + | = Regimens = |
|
* Consult [https://www.hep-druginteractions.org/checker HEP Drug Interactions checker] |
* Consult [https://www.hep-druginteractions.org/checker HEP Drug Interactions checker] |
||
* Be careful with Harvoni, which can increase levels of tenofovir, especially when GFR <60 mL/min |
* Be careful with Harvoni, which can increase levels of tenofovir, especially when GFR <60 mL/min |
||
| − | + | = Further Reading = |
|
* [https://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-arv/26/hcv-hiv "Considerations for Antiretroviral Use in Patients with Coinfections"], in ''Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV''. AIDSinfo. |
* [https://aidsinfo.nih.gov/guidelines/html/1/adult-and-adolescent-arv/26/hcv-hiv "Considerations for Antiretroviral Use in Patients with Coinfections"], in ''Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV''. AIDSinfo. |
||
* [https://www.hcvguidelines.org/unique-populations/hiv-hcv "Patients With HIV/HCV Coinfection"], in ''HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C''. IDSA & AASLD. |
* [https://www.hcvguidelines.org/unique-populations/hiv-hcv "Patients With HIV/HCV Coinfection"], in ''HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C''. IDSA & AASLD. |
||
| + | |||
| + | [[Category:HIV]] |
||
| + | [[Category:Hepatitis C]] |
||
Revision as of 19:04, 14 August 2019
Principles
- Confirm both diagnoses, including ensuring HCV RNA is still positive 6 months after first measured
- Treat the HIV first, using any first-line regimen
- Treat the HIV for at least 2 weeks before starting HCV treatment
Regimens
- Consult HEP Drug Interactions checker
- Be careful with Harvoni, which can increase levels of tenofovir, especially when GFR <60 mL/min
Further Reading
- "Considerations for Antiretroviral Use in Patients with Coinfections", in Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. AIDSinfo.
- "Patients With HIV/HCV Coinfection", in HCV Guidance: Recommendations for Testing, Managing, and Treating Hepatitis C. IDSA & AASLD.
