Table 4.
Summary of the factors affecting antiretroviral drug CNS penetrations.
General factors | Pharmacokinetics/pharmacogenetics | Other factors |
---|---|---|
(i) Blood-Brain barrier (BBB) (ii) Blood-CSF barrier (BCSFB) (iii) Drug transporter |
(i) Drug-drug interactions (ii) Drug-herb interactions (iii) Enzyme inhibition/induction (iv) Polymorphism in drug metabolizing enzyme (v) Drug-protein binding (vi) Molecular weight of the antiretroviral drug |
(i) Local cerebral blood flow (ii) Presence of chronic inflammation |