Maraviroc

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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An antiretrovirally active CCR5 core receptor antagonist for the treatment of HIV infection. The active substance attacks a human target structure and not, as with the other antiretrovirally active substances, key enzymes of the HIV virus. The aim of the active substance is to prevent HIV viruses from entering their host cells (see entry inhibitors below).

Pharmacodynamics (Effect)
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Cave! Maraviroc is only effective against a certain form of the HI viruses, the CCR5-tropical or R5 viruses. Other strains enter the cell by other routes.

Indication
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Pretreated adult patients with exclusively CCR5 tropical HIV strains. Cave! Do not use on CXCR4 tropical or dual tropical HIV strains. Only to be used in combination therapy with other antiretroviral agents.

Dosage and method of use
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2 times/day 150-600 mg p.o.

Undesirable effects
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Very common: diarrhea, nausea and headaches. Frequently: Increase of transaminases, weight loss. Dizziness, paresthesia, impaired sense of taste (dysesthesia), drowsiness, chesty cough, drug exanthema.

Contraindication
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Hypersensitivity to peanuts or soya.

Preparations
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Celsentri

Note(s)
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  • Remember! Before prescribing Maraviroc, a tropism test must always be carried out!

  • Cave! For Aplaviroc, another HIV entry inhibitor, the approval studies were stopped due to possible liver toxicity. With the CCR5-inhibitor Vicriviroc, an increased incidence of lymphomas has been described.
  • Caution! Patients treated with Maraviroc are significantly more sensitive to West Nile virus infections.

Incoming links (1)

Tropism testing;

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Last updated on: 29.10.2020