https://interactions.guidetherapeutiquevih.com/en/interaction-details?id=8353
No pharmaceutical opinion available for this interaction.
Phenytoin may possibly induce the metabolism and decrease the plasma concentration of Atazanavir / ritonavir.
Atazanavir / ritonavir may possibly induce the metabolism (CYP 2C9) and consequently decrease the concentration of Phenytoin.
Possible decrease of clinical efficacy.
Monitor for signs and symptoms of therapeutic failure.
An increase in dosage may be necessary.
Should not be administered without low-dose ritonavir or cobicistat.
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Possible decrease of clinical efficacy.
Avoid if possible. Use an alternative or monitor patient closely.
Monitor for signs and symptoms of therapeutic failure.
An increase in dosage may be necessary.
As clinically indicated : brivaracetam, gabapentin, lacosamide, lamotrigine, levetiracetam, pregabalin, rufinamide, topiramate, vigabatrin, zonisamide.
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Atazanavir plasma level
CD4+
Viral load HIV
Phenytoin
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