Rhabdomyolysis in an HIV-infected patient with impaired renal function concomitantly treated with rosuvastatin and lopinavir/ritonavir

Antivir Ther. 2011;16(3):435-7. doi: 10.3851/IMP1747.

Abstract

The authors describe an HIV-infected patient with moderate renal failure receiving combination antiretroviral therapy. Because of dyslipidaemia he was initially treated with pravastatin but developed rhabdomyolysis after a switch to rosuvastatin. With this case we illustrate that statins as well as antiretroviral therapy are susceptible to clinical relevant drug-drug or drug-disease interactions. Knowledge of these interactions is important to provide patients with the best possible care.

Publication types

  • Case Reports

MeSH terms

  • Anti-HIV Agents / adverse effects*
  • Anti-HIV Agents / therapeutic use
  • Drug Therapy, Combination
  • Dyslipidemias / chemically induced
  • Dyslipidemias / drug therapy
  • Fluorobenzenes / adverse effects*
  • Fluorobenzenes / therapeutic use
  • HIV Infections / complications
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • HIV-1 / drug effects
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects*
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
  • Lopinavir
  • Male
  • Middle Aged
  • Pyrimidines / adverse effects*
  • Pyrimidines / therapeutic use
  • Pyrimidinones / adverse effects*
  • Pyrimidinones / therapeutic use
  • Renal Insufficiency / complications*
  • Renal Insufficiency / drug therapy
  • Rhabdomyolysis / chemically induced
  • Rhabdomyolysis / drug therapy*
  • Ritonavir / adverse effects*
  • Ritonavir / therapeutic use
  • Rosuvastatin Calcium
  • Sulfonamides / adverse effects*
  • Sulfonamides / therapeutic use
  • Treatment Outcome

Substances

  • Anti-HIV Agents
  • Fluorobenzenes
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Pyrimidines
  • Pyrimidinones
  • Sulfonamides
  • Lopinavir
  • Rosuvastatin Calcium
  • Ritonavir