Real-world HIV clinical cases involving
drug-drug interactions

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Have you managed a patient on an unboosted INSTI with an enzyme inducer?

We’re collecting real-world clinical cases to better understand drug interactions between unboosted integrase inhibitors (such as dolutegravir or bictegravir) and enzyme inducers (including rifampicin or carbamazepine).

Your experience could contribute to safer prescribing and help shape clinical practice.

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Featured Case

Tenofovir-DF Diclofenac

Clinical Outcome: Co-administration of Tenofovir-DF (TDF) and Diclofenac can cause nephrotoxicity.

Chronic diclofenac use in a patient on TDF led to acute kidney injury. Diclofenac inhibits MRP4, increasing TDF renal exposure. Switching to TAF or close monitoring can reduce nephrotoxicity risk.

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