Table 2.
Participant | Neurologic Diagnosis | EI-AED, Dose Daily | Serum EI-AED level (mcg/mL) | ARV regimen(s) during AED/ARV overlap | Serum ARV levels (ng/mL)¶ | Seizure control during AED/ARV overlap |
---|---|---|---|---|---|---|
1 | Status epilepticus secondary to Herpes Simplex Virus encephalitis | Carbamazepine 1,000 mg | 9.1 | Regimen 1: Nevirapine, Zidovudine, Didanosine |
Nevirapine: 2,071*; 4,408 | No |
Carbamazepine 1,000 mg | 9.9 | Regimen 2: Nevirapine, Zidovudine, Abacavir |
Nevirapine: 3,231; 2,614* | Yes | ||
2 | Distal motor sensory neuropathy | Carbamazepine 600 mg | 0.7 | Efavirenz, Tenofovir, Lamivudine | Efavirenz: 1,379 | Not applicable |
3 | Focal epilepsy with complex partial seizures | Phenytoin 500-550 mg | 9 | Regimen 1: Lopinavir, Ritonavir, Didanosine, Lamivudine |
Lopinavir: 4,382; 4,360 | Yes |
Phenytoin 500-550 mg | 15 | Regimen 2: Lopinavir. Ritonavir, Tenofovir, Lamivudine |
Lopinavir: 976*; 2,858 | Yes | ||
4 | Seizures secondary to progressive multifocal leukoencephalopathy | Phenytoin 600 mg | 22.2; 20 | Regimen 1: Efavirenz, Stavudine, Zalcitabine |
Efavirenz: 187*; 307* | Yes |
Phenytoin 600 mg | 19.3; 23 | Regimen 2: Lopinavir, Ritonavir, Stavudine, Lamivudine |
Lopinavir: 1,264 | Yes | ||
5 | Seizure disorder, not otherwise specified | Phenytoin 300 mg | 11.7 | Efavirenz, Zidovudine, Lamivudine | Efavirenz: 200*; 7,556 | Yes |
6 | Seizure disorder, not otherwise specified | Carbamazepine 1,000 mg | 7.5 | Regimen 1: Efavirenz, Stavudine, Didanosine |
Efavirenz: 16,567; 13,610 | No |
Carbamazepine 400 mg | 6.1 | Regimen 2: Efavirenz, Stavudine, Didanosine |
Efavirenz: 11,861; 16,836 | No | ||
Carbamazepine 400 mg | 20 | Regimen 3: Lopinavir, Ritonavir, Tenofovir, Lamivudine |
Lopinavir: 1,072 | No | ||
7 | Seizure disorder, not otherwise specified | Carbamazepine 800 mg | 3.8 | Lopinavir, Ritonavir, Tenofovir, Didanosine, Stavudine | Lopinavir: 3,369 | Unknown |
8 | Seizure disorder, not otherwise specified | Phenytoin 600 mg | 15.4 | Lopinavir, Ritonavir, Didansine, Stavudine | Lopinavir: 515*; 145* | Unknown |
9 | Seizure disorder, not otherwise specified | Phenytoin 200-400 mg | 3.4 | Lopinavir, Ritonavir, Abacavir, Zidovudine, Lamivudine | Lopinavir: 4,890; 2,082 | Unknown |
Phenytoin 200-400 mg | 7.6 | Lopinavir, Ritonavir, Abacavir, Zidovudine, Lamivudine | Lopinavir: 4,117; 5,810 | Unknown | ||
10 | Trigeminal neuralgia | Carbamazepine 400 mg | 3.1 | Nevirapine,Tenofovir, Emtricitabine | Nevirapine: 3,469 | Not applicable |
EI-AED, enzyme-inducing antiepileptic drug; ARV, antiretroviral drug;
Serum ARV level refers to efavirenz, nevirapine or lopinavir, as applicable.
ARV level below minimum recommended level (Cmin) for the drug