Interactions between alcohol and the HIV entry inhibitor Maraviroc

J Int Assoc Provid AIDS Care. 2013 Nov-Dec;12(6):375-7. doi: 10.1177/2325957413495567. Epub 2013 Jul 23.

Abstract

Background: Alcohol use is common among people with HIV, and beliefs about alcohol interactions with medications predict decreased medication adherence, risking drug-resistant mutations. Maraviroc is an HIV entry inhibitor approved for treatment of both drug-sensitive and drug-resistant HIV strains. The present study evaluated the effects of alcohol on maraviroc pharmacokinetics and the effects of maraviroc on alcohol pharmacokinetics.

Methods: Ten healthy adults completed alcohol (1 g/kg) and placebo alcohol pharmacokinetics sessions before and after 7 days of maraviroc administration.

Results: Alcohol concentrations increased 12% following maraviroc. Maraviroc pharmacokinetics were unaffected by alcohol.

Conclusions: Maraviroc treatment should not be interrupted if alcohol is consumed.

Keywords: HIV/AIDS; alcohol; drug interactions; maraviroc.

Publication types

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

MeSH terms

  • Adult
  • Alcohol Drinking / metabolism*
  • Area Under Curve
  • Cyclohexanes / administration & dosage
  • Cyclohexanes / blood
  • Cyclohexanes / pharmacokinetics*
  • Double-Blind Method
  • Drug Interactions
  • Ethanol / administration & dosage
  • Ethanol / pharmacokinetics*
  • Female
  • HIV Fusion Inhibitors / administration & dosage
  • HIV Fusion Inhibitors / blood
  • HIV Fusion Inhibitors / pharmacokinetics*
  • HIV Infections / drug therapy*
  • HIV Infections / metabolism*
  • Humans
  • Male
  • Maraviroc
  • Triazoles / administration & dosage
  • Triazoles / blood
  • Triazoles / pharmacokinetics*

Substances

  • Cyclohexanes
  • HIV Fusion Inhibitors
  • Triazoles
  • Ethanol
  • Maraviroc