1. Ergotism in Thailand caused by increased access to antiretroviral drugs: a global warning
- Author
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Avihingsanon, A., Ramautarsing, R.A., Suwanpimolkul, G., Chetchotisakd, P., Bowonwatanuwong, C., Jirajariyavej, S., Kantipong, P., Tantipong, H., Ohata, J.P., Suankratay, C., Ruxrungtham, K., Burger, D.M., Avihingsanon, A., Ramautarsing, R.A., Suwanpimolkul, G., Chetchotisakd, P., Bowonwatanuwong, C., Jirajariyavej, S., Kantipong, P., Tantipong, H., Ohata, J.P., Suankratay, C., Ruxrungtham, K., and Burger, D.M.
- Abstract
Item does not contain fulltext, Ergotism is a toxic condition resulting from overexposure to the ergot compounds produced by various fungi of the genus Claviceps. Traditionally, such exposure was due to ingestion of infected grains, but long-term or excessive use of medications containing ergot derivatives or drug-drug interactions between these medications can result in ergotism. Ergotamine, typically used to treat migraine, has less than 5% bioavailability due to extensive first-pass metabolism by cytochrome P450 3A4 (CYP3A4). Concurrent intake of ergotamine and strong CYP3A4 inhibitors, such as the HIV protease inhibitors (PIs), can lead to clinical ergotism. A total of 13 cases of clinical ergotism in HIV-infected patients has been published since 1997 (most recently reviewed by Frohlich et al).
- Published
- 2014