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Differential diffusions of indinavir and lopinavir in genital secretions of human immunodeficiency virus-infected women
Authors:Launay Odile  Tod Michel  Louchahi Kamel  Belarbi Linda  Bouchaud Olivier  Mémain Nathalie  Petitjean Olivier  Robineau Michel  Guillevin Loïc  Lortholary Olivier
Affiliation:Fédération de Médecine Interne, Maladies Infectieuses et Tropicales and UPRES EA 3409, Université Paris-Nord, Bobigny, France. odile.launay@cch.ap-hop-paris.fr
Abstract:Plasma and cervicovaginal secretion (CVS) samples were collected from 19 human immunodeficiency virus type 1-infected women on lopinavir- or indinavir-containing regimens. Lopinavir and indinavir were detectable in 29 and 93% of CVS samples, respectively, a finding that may be ascribed to these drugs' differences in protein binding and pK(a). The relationship between lopinavir and indinavir pharmacodynamics and viral evolution in the female genital tract should be assessed over time.
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