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Question Help thanks regarding Crack Cocaine

  • 1.  Question Help thanks regarding Crack Cocaine

    Posted 07-04-2020 14:19
    I have a question. Does anyone know if crack cocaine effects Prezcobix and Delstrigo? I looked on Lexicomp and Lexicomp only lists Topical Cocaine. I really need to have a better resource for street drugs and ARVs. One of my patients smokes crack and just alerted me to this. He had AIDS a year ago, and has a lot of mutations. Above is his regimen. I finally got his numbers up to 299  14% and < 20 copies in March. As of this week he is 255 13.5% and RNA 120 copies . He says despite smoking crack over the past 2 years he has not missed any doses since he returned to care. When he came in and shared this with me it was because he was checking himself into rehab. I drew labs that is what I found. 

    Thanks for any help

    Amber


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    Amber Siegel MSN APRN AGNP-
    Midway Specialty Care Center
    Orlando, Florida
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  • 2.  RE: Question Help thanks regarding Crack Cocaine

    Posted 07-04-2020 16:18





  • 3.  RE: Question Help thanks regarding Crack Cocaine

    Posted 30 days ago
    Thanks Michael!  I should have just texted you. Hahahahaha

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    Amber Siegel MSN APRN AGNP-
    Midway Specialty Care Center
    Orlando, Florida
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  • 4.  RE: Question Help thanks regarding Crack Cocaine

    Posted 07-04-2020 16:43
    I use www.hiv-druginteractions.org for interaction checks. It does list cocaine, but appears that cocaine levels are affected if anything. Another consideration is the potential for interactions with whatever the cocaine is cut with.

    Heidi Wood







  • 5.  RE: Question Help thanks regarding Crack Cocaine

    Posted 30 days ago
    Thank you!

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    Amber Siegel MSN APRN AGNP-
    Midway Specialty Care Center
    Orlando, Florida
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  • 6.  RE: Question Help thanks regarding Crack Cocaine

    Posted 07-05-2020 02:01
    I recommend the Liverpool HIV drug interactions checker. https://www.hiv-druginteractions.org/checker

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    Larry Lyle, DO
    San Diego CA
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  • 7.  RE: Question Help thanks regarding Crack Cocaine

    Posted 25 days ago

    In addition to the great resources already offered, one of my favorites for interactions between ARVs and recreational drugs is from the Toronto HIV Clinic: https://hivclinic.ca/wp-content/uploads/2019/07/21.-DDI-table_rec-drugs_revised.pdfhttps://hivclinic.ca/wp-content/uploads/2019/07/21.-DDI-table_rec-drugs_revised.pdf 

    They have a nice chart with colors that indicates the levels of crack may be increased with darunavir/cobicistat. 



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    Dena Behm Dillon, PharmD, AAHIVP
    Clinical Pharmacy Specialist, University of Iowa HealthCare
    Partners PrEP Coordinator, Iowa TelePrEP
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