Article
Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for UGT1A1 and Atazanavir Prescribing.
Clinical pharmacology and therapeutics - 1 Apr 2016
Gammal R S, Court M H, Haidar C E, Iwuchukwu O F, Gaur A H, Alvarellos M, Guillemette C, Lennox J L, Whirl-Carrillo M, Brummel S S, Ratain M J, Klein T E, Schackman B R, Caudle K E, Haas D W
Abstract excerpt
The antiretroviral protease inhibitor atazanavir inhibits hepatic uridine diphosphate glucuronosyltransferase (UGT) 1A1, thereby preventing the glucuronidation and elimination of bilirubin. Resultant indirect hyperbilirubinemia with jaundice can cause premature discontinuation of atazanavir. Risk for bilirubin-related discontinuation is highest among individuals who carry two UGT1A1 decreased function alleles...
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