Depo-medroxyprogesterone in women on antiretroviral therapy: effective contraception and lack of clinically significant interactions

Clin Pharmacol Ther. 2007 Feb;81(2):222-7. doi: 10.1038/sj.clpt.6100040. Epub 2006 Dec 27.

Abstract

We conducted an open-label, steady-state pharmacokinetic (PK) study of drug interactions among HIV-infected women treated with depo-medroxyprogesterone acetate (DMPA) while on nucleoside analogues plus nelfinavir (N=21), efavirenz (N=17), or nevirapine (N=16); or nucleosides only or no antiretroviral therapy as a control group (N=16). PK parameters were estimated using non-compartmental analysis, with between-group comparisons of medroxyprogesterone acetate (MPA) PKs and within-subject comparisons of ARV PKs before and 4 weeks after DMPA dosing. Plasma progesterone levels were measured at baseline and at 2, 4, 6, 8, 10, and 12 weeks after DMPA dosing. There were no significant changes in MPA area under the concentration curve, peak or trough concentrations, or apparent clearance in the nelfinavir, efavirenz, or nevirapine groups compared to the control group. Minor changes in nelfinavir and nevirapine drug exposure were seen after DMPA, but were not considered clinically significant. Suppression of ovulation was maintained.

Publication types

  • Controlled Clinical Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Alkynes
  • Antiretroviral Therapy, Highly Active / methods*
  • Area Under Curve
  • Benzoxazines
  • CD4 Lymphocyte Count
  • Chromatography, Liquid
  • Cyclopropanes
  • Drug Administration Schedule
  • Drug Interactions
  • Female
  • HIV Infections / blood
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • HIV Protease Inhibitors / administration & dosage
  • HIV Protease Inhibitors / pharmacokinetics
  • HIV Protease Inhibitors / therapeutic use
  • Half-Life
  • Humans
  • Injections
  • Medroxyprogesterone Acetate / administration & dosage
  • Medroxyprogesterone Acetate / pharmacokinetics
  • Medroxyprogesterone Acetate / therapeutic use*
  • Middle Aged
  • Nelfinavir / administration & dosage
  • Nelfinavir / pharmacokinetics
  • Nelfinavir / therapeutic use
  • Nevirapine / administration & dosage
  • Nevirapine / pharmacokinetics
  • Nevirapine / therapeutic use
  • Ovulation Inhibition / drug effects*
  • Oxazines / administration & dosage
  • Oxazines / pharmacokinetics
  • Oxazines / therapeutic use
  • Progesterone / blood
  • RNA, Viral / blood
  • Reverse Transcriptase Inhibitors / pharmacokinetics
  • Reverse Transcriptase Inhibitors / therapeutic use
  • Time Factors

Substances

  • Alkynes
  • Benzoxazines
  • Cyclopropanes
  • HIV Protease Inhibitors
  • Oxazines
  • RNA, Viral
  • Reverse Transcriptase Inhibitors
  • Progesterone
  • Nevirapine
  • Medroxyprogesterone Acetate
  • Nelfinavir
  • efavirenz