Didanosine vs Atazanavir

Interacting Drugs
Didanosine
vs
Atazanavir
Security Level
Moderate, Consider therapy modification
Mechanism
Atazanavir: Didanosine may decrease the serum concentration of Atazanavir. Specifically, the buffered formulation of didanosine may decrease atazanavir absorption. Atazanavir may decrease the serum concentration of Didanosine. Reported with enteric coated didanosine capsules.
Management
To avoid therapeutic failure of atazanavir the drug should be administered 2 hours before or 1 hour after didanosine. This recommendation applies to both buffered didanosine products and enteric coated didanosine products.

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