Public Health and Preventive Medicine
Articles Information
Public Health and Preventive Medicine, Vol.1, No.2, Jun. 2015, Pub. Date: Apr. 22, 2015
Diagnosis, Treatment and Prophylaxis of Aids
Pages: 53-57 Views: 4528 Downloads: 1122
Authors
[01] Ana Carolina Kogawa, Department of Drugs and Pharmaceutics, School of Pharmaceutical Sciences, Universidade Estadual Paulista “Júlio de Mesquita Filho” - UNESP, Araraquara, Brazil.
[02] Hérida Regina Nunes Salgado, Department of Drugs and Pharmaceutics, School of Pharmaceutical Sciences, Universidade Estadual Paulista “Júlio de Mesquita Filho” - UNESP, Araraquara, Brazil.
Abstract
AIDS is the final stage of the disease caused by HIV. It attacks the defense cells of the body, leaving the body vulnerable to all kinds of diseases. Therapeutic agents are divided according to their mechanism of action, nucleoside or nucleotide transcriptase inhibitor, non-nucleoside reverse transcriptase inhibitors, protease inhibitors, fusion inhibitor, entry inhibitor and integrase inhibitor. AIDS is diagnosed through different phases. Each with different characteristics. Selection of mutations in HIV genome conferring cross resistance to different compounds of each class is unfortunately a not infrequent occurrence. Drug resistance due to mutations and sub-inhibitory antiretroviral drug concentrations provide treatment failure. Currently, treatment of HIV infection relies on the so-called “Highly Active Antiretroviral Therapy” which proposes the combination of several drugs in a daily regimen. The reduction in the incidence of HIV infection has been a priority for the control of AIDS in the world with an initial prevention strategy based on behavior change. Around the world there are campaigning to mobilize people about prophylaxis of the disease. and 1st of December is celebrated the “International day of fight against AIDS”. All this global involvement is remarkable, since the number of deaths and new infections has been falling. AIDS still has no cure, but HIV patients have a treatment to prolong survival and improve quality of life by reducing the viral load and immune system reconstitution.
Keywords
AIDS, Antiretroviral Drugs, Diagnosis, HIV, Prophylaxis, Treatment
References
[01] Reddy, B.V.R.; Jyothi, G.; Reddy, B.S.; Raman, N.V.V.S.S.; Reddy, K.S.C.; Rambabu, C. Stability-indicating HPLC method for the determination of darunavir ethanolate. J Chromatogr Sci., 2013, 51, 471-476.
[02] D’Avolio, A.; Simiele, M.; Siccardi, M.; Baietto, L.; Sciandra, M.; Bonora, S.; Di Perri, G. HPLC–MS method for the quantification of nine anti-HIV drugs from dry plasma spot on glass filter and their long term stability in different conditions J. Pharm. Biomed. Anal., 2010, 52, 774-780.
[03] Rao, R.N.; Shinde, D.D. Two-dimensional LC–MS/MS determination of antiretroviral drugs in rat serum and urine. J. Pharm. Biomed. Anal., 2009, 50, 994-999.
[04] Else, L.; Watson, V.; Tjia, J.; Hughes, A.; Siccardi, M.; Khoo, S.; Back, D. Validation of a rapid and sensitive high-performance liquid chromatography–tandem mass spectrometry (HPLC–MS/MS) assay for the simultaneous determination of existing and new antiretroviral compounds. J. Chromatogr. B., 2010, 878, 1455-1465.
[05] D’Avolio, A.; Siccardi, M.; Sciandra, M.; Lorena, B.; Bonora, S.; Trentini, L.; Di Perri, G. HPLC–MS method for the simultaneous quantification of the new HIV protease inhibitor darunavir, and 11 other antiretroviral agents in plasma of HIV-infected patients. J. Chromatogr. B., 2007, 859, 234-240.
[06] D’Avolio, A.; Simiele, M.; Siccardi, M.; Baietto, L.; Sciandra, M.; Oddone, V.; Stefani, F.R.; Agati, S.; Cusato, J.; Bonora, S.; Di Perri, G. A HPLC–MS method for the simultaneous quantification of fourteen antiretroviral agents in peripheral blood mononuclear cell of HIV infected patients optimized using medium corpuscular volume evaluation. J. Pharm. Biomed. Anal., 2011, 54, 779-788.
[07] Fayet, A.; Béguin, A.; Zanolari, B.; Cruchon, S.; Guignard, N.; Telenti, A.; Cavassini, M.; Gunthard, H.F.; Buclin, T.; Biollaz, J.; Rochat, B.; Decosterd, L.A. A LC–tandem MS assay for the simultaneous measurement of new antiretroviral agents: Raltegravir, maraviroc, darunavir, and etravirine. J. Chromatogr. B., 2009, 877, 1057-1069.
[08] Gupta, A.; Singhal, P.; Shrivastav, P.S.; Sanyal, M. Application of a validated ultra performance liquid chromatography–tandem mass spectrometry method for the quantification of darunavir in human plasma for a bioequivalence study in Indian subjects. J. Chromatogr. B., 2011, 879, 2443-2453.
[09] Heine, R.; Alderden-Los, C.G.; Rosing, H.; Hillebrand, M.J.X.; Gorp, E.C.; Huitema, A.D.R.; Beijnen, J.H. Fast and simultaneous determination of darunavir and eleven other antiretroviral drugs for therapeutic drug monitoring: method development and validation for the determination of all currently approved HIV protease inhibitors and non-nucleoside reverse transcriptase inhibitors in human plasma by liquid chromatography coupled with electrospray ionization tandem mass spectrometry. Rapid Commun. Mass Spectrom., 2007, 21, 2505-2514.
[10] Heine, R.; Rosing, H.; Gorp, E.C.M.; Mulder, J.W.; Steeg, W.A.; Beijnen, J.H.; Huitema, A.D.R. Quantification of protease inhibitors and non-nucleoside reverse transcriptase inhibitors in dried blood spots by liquid chromatography–triple quadrupole mass spectrometry. J. Chromatogr. B., 2008, 867, 205-212.
[11] Curran, A.; Gutirerrez, M.; Deig, E.; Mateo, G.; Lopez, R.M.; Imaz, A.; Crespo, M.; Ocan˜a, I.; Domingo, P.; Ribera, E. Efficacy, safety and pharmacokinetics of 900/100 mg of darunavir/ritonavir once daily in treatment-experienced patients. J. Antimicrob. Chemother., 2010, 65, 2195-2203.
[12] Rezk, N.L.; White, N.R.; Jennings, S.H.; Kashuba, A.D.M. A novel LC–ESI-MS method for the simultaneous determination of etravirine, darunavir and ritonavir in human blood plasma. Talanta, 2009, 79, 1372-1378.
[13] Ganduri, R.B.; Lanka, R.A.; Pamidi, S.; Peddareddigari, J.R.; Rao, J.V.L.N.S. New RP-HPLC method for the determination of darunavir in tablet dosage form. Asian J. Pharmaceut. Res., 2011, 1, 10-14.
[14] García, S.P.; Tunica, D.G.; Serra, M.B. Desarrollo y validación de un método para la determinación de darunavir en plasma mediante LC-MS/MS. Rev. Lab. Clin., 2011, 4, 127-133.
[15] Sosnik, A.; Chiappetta, D.A.; Carcaboso, A.M. Drug delivery systems in HIV pharmacotherapy: What has been done and the challenges standing ahead. J. Controlled Release, 2009, 138, 2-15.
[16] Sharma, P.; Garg, S. Pure drug and polymer based nanotechnologies for the improved solubility, stability, bioavailability and targeting of anti-HIV drugs. Adv. Drug Delivery Rev., 2010, 62, 491-502.
[17] Kogawa, A.C.; Corrêa, J.C.R.; Salgado, H.R.N. Influence of darunavir:β-cyclodextrin complexo on the solubility of darunavir. RRJPTS, 2014, 2, 50-55.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.