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Transgender women on oral HIV pre‐exposure prophylaxis have significantly lower tenofovir and emtricitabine concentrations when also taking oestrogen when compared to cisgender men
Journal of the International AIDS Society ( IF 4.6 ) Pub Date : 2019-11-01 , DOI: 10.1002/jia2.25405
Eugenie Shieh 1 , Mark A Marzinke 1, 2 , Edward J Fuchs 1 , Allyson Hamlin 1 , Rahul Bakshi 1 , Wutyi Aung 1 , Jennifer Breakey 1 , Tonia Poteat 3 , Todd Brown 4 , Namandjé N Bumpus 1 , Craig W Hendrix 1
Affiliation  

Oral HIV Pre‐Exposure Prophylaxis (PrEP) with tenofovir (TFV) disoproxil fumarate (TDF)/emtricitabine (FTC) is highly effective. Transgender women (TGW) have increased HIV risk, but have been underrepresented in trials. For TGW on oestrogens for gender‐affirming hormone treatment (GAHT), TDF/FTC‐oestrogen interactions may negatively affect HIV prevention or gender‐affirming goals. Our aim was to evaluate any pharmacokinetic drug‐drug interaction between GAHT and TDF/FTC.

中文翻译:

与顺性别男性相比,接受口服 HIV 暴露前预防的跨性别女性在服用雌激素时,替诺福韦和恩曲他滨的浓度显着降低

使用替诺福韦 (TFV)、富马酸二吡呋酯 (TDF)/恩曲他滨 (FTC) 口服 HIV 暴露前预防 (PrEP) 非常有效。跨性别女性 (TGW) 的艾滋病毒风险增加,但在试验中代表性不足。对于使用雌激素进行性别肯定激素治疗 (GAHT) 的 TGW,TDF/FTC-雌激素相互作用可能会对 HIV 预防或性别肯定目标产生负面影响。我们的目的是评估 GAHT 和 TDF/FTC 之间的药代动力学药物相互作用。
更新日期:2019-11-01
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