Loading...
Currently recommended antiretrovirals are generally better tolerated and safer to use than older HIV drugs, but concern remains about a range of adverse effects (metabolic, cardiac, and renal) when these agents are used long-term. Data presented at CROI 2012 addressed some of these concerns.
PIs and Cardiovascular Risk
Previous studies, including the DAD Study (JW AIDS Clin Care Feb 1 2010), have shown an association between older protease inhibitors (PIs; lopinavir and indinavir) and increased risk for coronary heart disease. However, a new analysis from the DAD study, focusing on atazanavir and risk for myocardial infarction (MI) or stroke, suggests that this may not be a class-wide effect: During nearly 280,000 person-years of follow-up (i…