HIV/HCV Coinfection: Not a Special Population Anymore?

Lisa M. Redden, Lauren M. Hynicka, Joel V. Chua, Shyam Kottilil

Abstract


The global burden of HCV/HIV co-infection is estimated at 2.3 million people worldwide.  Until recently, HCV treatment in this population has been limited by poor efficacy and lower rates of sustained virologic response (SVR) as compared to those achieved in mono-infected populations.  However, the introduction of direct acting antiviral medications (DAAs) has revolutionized therapy for co-infected patients, and resulted in dramatic improvements in response to treatment, with SVR rates exceeding 95% in HIV infected patients.  In addition to increased effectiveness, the DAAs have excellent safety profiles and can be co-administered concurrent with antiretroviral medications.  Several of these pangenotypic HCV regimens are reviewed in this paper, along with relevant antiretroviral drug interactions to be aware of during therapy.


Keywords


HIV-HCV Coinfection, Hepatitis C, Direct acting antivirals

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References


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DOI: http://dx.doi.org/10.18103/imr.v3i12.588

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