Table 2.
Class | Drug | Reaction | Hepatotoxicity | Frequency |
---|---|---|---|---|
NRTI | Zidovudine | Exanthema | Not reported | Rare |
Abacavir | Exanthema, HSR | Elevated LFTs hepatitis, liver failure | 2.3–9% [23] | |
Emtricitabine | Rash | Elevated LFTs | 17% [134] | |
NNRTIs | Efavirenz | SJS, TENExanthema, | Elevated LFTs | 0.1% [135] 4.6–20% [129] |
Nevirapine | Exanthema, TEN, SJS, HSR, | Elevated LFTs immune mediated hepatitis, liver failure | 17–32% [49] 0.3–2% [49] 2–10% discontinuation [9] | |
Etravirine | Rash, SJS, TEN | Elevated LFTs | 16% [136] 2% discontinuation [72] | |
PIs | Tipranavir | Rash, dyslipidaemia | Elevated LFTs s, toxic hepatitis | 2–14% [85] 2–6.4% [87] |
Atazanavir | Rash | Hyperbilirubinaemia | 6% [137] | |
Fosamprenavir | Rash, HSR | Elevated LFTs | 1–19% [79] Discontinuation <1% | |
Lopinavir | Rash | Elevated LFTs | 2–4% [77] | |
Darunavir | Rash, HSR | Elevated LFTs | 6.7% [138] Rare | |
Entry inhibitors | Enfuvirtide | Injection site reactions, HSR | Not reported | Rare |
Maraviroc | Rash, cough, | Elevated LFTs | Rash [91,139] |
HSR, hypersensitivity reaction; SJS, Stevens-Johnson syndrome; TEN, toxic epidermal necrolysis; LFTs, liver function tests.