[Side effects of antiretroviral therapy].
Highly active antiretroviral therapy (HAART) has changed the natural history of HIV infection, but the presence of adverse events may limit its efficacy. Nucleoside reverse transcriptase inhibitors can cause mitochondrial toxicity and anemia, non-nucleoside reverse transcriptase inhibitors are associated with rash and central nervous system disturbance; protease inhibitors elicit gastrointestinal adverse effects and metabolic abnormalities including lipodystrophy syndrome, hyperlipidemia and insulin resistance. These complications have the potential to increase morbidity and mortality significantly in those requiring long-term treatment of HIV-infection. The presence of such abnormalities also has an impact on adherence to treatment. Besides providing health benefits, HAART may have a negative impact on patients' quality of life. Identifying and treating these complications has important implications for patient survival.
Teodor
Andra
A
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica de Boli Infecţioase.
Teodor
D
D
Luca
V
V
D000740:Anemia / Q000139:chemically induced; D023241:Antiretroviral Therapy, Highly Active / Q000009:adverse effects*; D003920:Diabetes Mellitus / Q000139:chemically induced; D003875:Drug Eruptions / Q000209:etiology; D005767:Gastrointestinal Diseases / Q000139:chemically induced; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy; D039682:HIV-Associated Lipodystrophy Syndrome / Q000139:chemically induced; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced; D006949:Hyperlipidemias / Q000139:chemically induced; D007333:Insulin Resistance; D008659:Metabolic Diseases / Q000139:chemically induced; D009422:Nervous System Diseases / Q000139:chemically induced; D011788:Quality of Life