Buch Lab

Florida International University

MICROBIOLOGY/IMMUN/VIROLOGY

Miami · United States

NIH-funded
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NIH R01 · 2025

Title: Pharmacokinetic, pharmacodynamic , and toxicological interactions among Opioids and Cabotegravir

SUMMARY STATEMENT We have identified a previously overlooked problem regarding a possible drug-drug interaction (DDI) among patients with opioid use disorders (OUDs) with high risk to HIV that are using Pre-Existing Prophylaxis (PrEP). Morphine and cabotegravir are metabolized by the enzyme, uridine diphosphate glucuronosyltransferase (UGT) and when combined, can influence the rate of drug metabolism, creating a potential risk for toxicity in people with comorbid HIV and OUD. Opioids are the cornerstone of pain management, and as long as they are continuing to be widely prescribed for chronic pain and/ or illicitly abused, the opioid epidemic in the United States (US) will continue to soar.…

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