Article
Ritonavir decreases the nonrenal clearance of digoxin in healthy volunteers with known MDR1 genotypes.
Therapeutic drug monitoring - 1 Jun 2004
Penzak Scott R, Shen Jean M, Alfaro Raul M, Remaley Alan T, Natarajan Ven, Falloon Judith
Abstract excerpt
Our objective was to examine the influence of ritonavir on P-glycoprotein (P-gp) activity in humans by characterizing the effect of ritonavir on the pharmacokinetics of the P-gp substrate digoxin in individuals with known MDR1 genotypes. Healthy volunteers received a single dose of digoxin 0.4 mg orally before and after 14 days of ritonavir 200 mg twice daily. After each digoxin dose blood and urine were...
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