Evidence map›Paper›PMID 41059201›Full record

ArticleFrontiers in pharmacology2025

Tracing the evolution of polypharmacy and contraindicated drug‒drug interactions in people living with HIV in Belgium.

Victoria Lopez Delhoulle, Li-Cécile Destordeur, Nathalie Maes, Karine Fombellida, Majdouline El Moussaoui, Gilles Darcis

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Victoria Lopez DelhoulleUniversity of Liège, Liège, Belgium.
Li-Cécile DestordeurUniversity of Liège, Liège, Belgium.
Nathalie MaesBiostatistics and Research Method Center, University Hospital of Liège, Liège, Belgium.
Karine FombellidaInfectious Diseases Department, Liège University Hospital of Liège, Liège, Belgium.
Majdouline El MoussaouiInternal general medicine, Liège University Hospital of Liège, Liège, Belgium.
Gilles DarcisInfectious Diseases Department, Liège University Hospital of Liège, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: People living with HIV (PWH) are more likely to develop comorbid conditions, which increases the likelihood of polypharmacy and potentially harmful drug-drug interactions (DDIs). As antiretroviral (ARV) therapies evolve, the nature and frequency of these interactions also change, highlighting the need for continued vigilance. Methods: We conducted a retrospective cohort study at the University Hospital of Liège (Belgium). We collected and analysed antiretroviral drugs (ARVs), comedications, and demographic and clinical data from 2017 to 2022. We used the University of Liverpool HIV drug interaction database to identify contraindicated red-flag interactions. Results: We observed a significant and continuous increase in the use of non-ARV medications in our cohort. Drug-drug interactions (DDIs) remained common and usually involved a boosted ARV regimen. The number of red-flag DDIs decreased over time after 2017 for several reasons including switching to unboosted ARV regimens. Topical steroids and proton pump inhibitors were the drugs most frequently involved in contraindicated DDIs among the comedications. Conclusion: Polypharmacy in people living with HIV (PWH) is a growing concern. Although the level of contraindicated drug-drug interactions (DDIs) has decreased over time, it remains a significant issue. Active monitoring and the implementation of alert systems can help clinicians mitigate the risk of such interactions.

Indexed as

ageingantiretroviralARVDDIsdrug‒drug interactionspeople living with HIVpolypharmacyred-flag interactions

Identifiers

PMID41059201
PMCPMC12497831

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.