This
rise is mediated through inhibition of the renal transporter
OCT-2, but the reduced creatinine secretion does not translate
into a lower glomerular filtration rate.64 Elevations in
transaminases occur in 5%, are generally mild, and occur at a
similar rate as with raltegravir, darunavir–ritonavir, and efavirenz.62
In the limited number of patients with hepatitis B or
C coinfection, the incidence of transaminase elevation rises
to 16%, most likely reflecting immune reconstitution, and
is lower than that observed with raltegravir and efavirenz,
but higher than that with darunavir–ritonavir.62 Elevation in
total cholesterol, low-density lipoprotein, and triglycerides
observed with PIs is absent with dolutegravir.62 Creatine
kinase elevations are common, largely asymptomatic, and
mild, with only 5% being grade III or IV in severity.62
Hypersensitivity reactions were extremely uncommon,
occurring in less than 1%, and tend to occur shortly after
treatment initiation.62
Thisrise is mediated through inhibition of the renal transporterOCT-2, but the reduced creatinine secretion does not translateinto a lower glomerular filtration rate.64 Elevations intransaminases occur in 5%, are generally mild, and occur at asimilar rate as with raltegravir, darunavir–ritonavir, and efavirenz.62In the limited number of patients with hepatitis B orC coinfection, the incidence of transaminase elevation risesto 16%, most likely reflecting immune reconstitution, andis lower than that observed with raltegravir and efavirenz,but higher than that with darunavir–ritonavir.62 Elevation intotal cholesterol, low-density lipoprotein, and triglyceridesobserved with PIs is absent with dolutegravir.62 Creatinekinase elevations are common, largely asymptomatic, andmild, with only 5% being grade III or IV in severity.62Hypersensitivity reactions were extremely uncommon,occurring in less than 1%, and tend to occur shortly aftertreatment initiation.62
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