PMID- 21234380 OWN - NLM STAT- MEDLINE DCOM- 20110421 LR - 20231105 IS - 1740-2530 (Electronic) IS - 1740-2522 (Print) IS - 1740-2522 (Linking) VI - 2011 DP - 2011 TI - Timing of antiretroviral therapy for HIV in the setting of TB treatment. PG - 103917 LID - 10.1155/2011/103917 [doi] LID - 103917 AB - The convergent human immunodeficiency virus (HIV) and tuberculosis (TB) pandemics continue to collectively exact significant morbidity and mortality worldwide. Highly active antiretroviral therapy (HAART) has been a critical component in combating the scourge of these two conditions as both a preemptive and therapeutic modality. However, concomitant administration of antiretroviral and antituberculous therapies poses significant challenges, including cumulative drug toxicities, drug-drug interactions, high pill burden, and the immune reconstitution inflammatory syndrome (IRIS), thus complicating the management of coinfected individuals. This paper will review data from recent studies regarding the optimal timing of HAART initiation relative to TB treatment, with the ultimate goal of improving coinfection-related morbidity and mortality while mitigating toxicity resulting from concurrent treatment of both infections. FAU - Piggott, Damani A AU - Piggott DA AD - Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, 1550 Orleans Street, Rm 110, Baltimore, MD 21231, USA. FAU - Karakousis, Petros C AU - Karakousis PC LA - eng PT - Journal Article PT - Review DEP - 20101227 PL - Egypt TA - Clin Dev Immunol JT - Clinical & developmental immunology JID - 101183692 RN - 0 (Anti-HIV Agents) RN - 0 (Antitubercular Agents) SB - IM MH - AIDS-Related Opportunistic Infections/complications/drug therapy MH - Anti-HIV Agents/*administration & dosage/*pharmacokinetics/therapeutic use MH - *Antiretroviral Therapy, Highly Active MH - Antitubercular Agents/*administration & dosage/*pharmacokinetics/therapeutic use MH - Clinical Trials as Topic MH - Drug Administration Schedule MH - Drug Interactions MH - HIV Infections/*complications/*drug therapy/virology MH - HIV-1/drug effects MH - Humans MH - Mycobacterium tuberculosis/drug effects MH - Treatment Outcome MH - Tuberculosis/*complications/*drug therapy PMC - PMC3017895 EDAT- 2011/01/15 06:00 MHDA- 2011/04/22 06:00 PMCR- 2010/12/27 CRDT- 2011/01/15 06:00 PHST- 2010/07/27 00:00 [received] PHST- 2010/10/06 00:00 [revised] PHST- 2010/10/20 00:00 [accepted] PHST- 2011/01/15 06:00 [entrez] PHST- 2011/01/15 06:00 [pubmed] PHST- 2011/04/22 06:00 [medline] PHST- 2010/12/27 00:00 [pmc-release] AID - 10.1155/2011/103917 [doi] PST - ppublish SO - Clin Dev Immunol. 2011;2011:103917. doi: 10.1155/2011/103917. Epub 2010 Dec 27.