As a substrate of CYP 3A4, dolutegravir is
affected by rifampin, efavirenz, tipranavir/ritonavir, fosamprenavir/ritonavir, and dose increase
is required. Dolutegravir inhibits the organic cation transporter 2, resulting in decreased creatinine
clearance with no apparent decrease in renal function. Other adverse effects are minimal
but include diarrhea, headache, and nausea. Clinical trials in treatment-naïve and experienced
patients are ongoing and will be presented in this text.