UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

CLINICAL AND PHARMACOLOGICAL EVALUATION OF THE COMPATIBILITY OF METHADONE WITH DRUGS FOR PATIENTS WITH HIV INFECTION

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Abstract

The aim of this study was to determine the clinical and pharmacological compatibility of methadone with antiretroviral drugs in HIV-infected patients receiving methadone maintenance therapy. A bibliosemantic and analytical evaluation was conducted using the certified databases DrugBank and HIV Drug Interactions, in combination with artificial intelligence technologies (GPT-5). It was established that tenofovir, lamivudine, and dolutegravir demonstrate high clinical compatibility with methadone and can be safely used in first-line treatment regimens. In contrast, efavirenz, nevirapine, ritonavir, atazanavir, and darunavir may decrease methadone concentrations or prolong the QT interval, requiring careful clinical supervision, ECG monitoring, and dose adjustment. The obtained results have practical significance for addiction specialists, infectious disease physicians, and clinical pharmacist, providing an evidence-based foundation for the safe pharmacotherapy of HIV infection in patients receiving methadone maintenance therapy.

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References

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