Absence of opioid withdrawal symptoms in patients receiving methadone and the protease inhibitor lopinavir-ritonavir

Clin Infect Dis. 2002 Apr 15;34(8):1143-5. doi: 10.1086/339541. Epub 2002 Mar 19.

Abstract

A study was designed to determine the interactions, both clinical and pharmacokinetic, between methadone and lopinavir-ritonavir. Results demonstrated a 36% reduction in the methadone area under the plasma concentration-time curve after the introduction of lopinavir-ritonavir, with no coincident symptoms of opioid withdrawal and no requirement for methadone dose adjustment.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Analgesics, Opioid / adverse effects
  • Analgesics, Opioid / blood
  • Analgesics, Opioid / pharmacokinetics*
  • Drug Interactions
  • Female
  • HIV Infections / drug therapy
  • HIV Protease Inhibitors / pharmacology*
  • HIV Protease Inhibitors / therapeutic use
  • Humans
  • Lopinavir
  • Male
  • Methadone / adverse effects
  • Methadone / blood
  • Methadone / pharmacokinetics*
  • Opioid-Related Disorders / etiology
  • Pyrimidinones / pharmacology
  • Pyrimidinones / therapeutic use
  • RNA, Viral / drug effects
  • Ritonavir / pharmacology
  • Ritonavir / therapeutic use
  • Substance Withdrawal Syndrome / etiology*

Substances

  • Analgesics, Opioid
  • HIV Protease Inhibitors
  • Pyrimidinones
  • RNA, Viral
  • Lopinavir
  • Ritonavir
  • Methadone