A 50-year-old woman with multidrug-resistant HIV started a new salvage antiretroviral therapy regimen 8 weeks ago that consisted of darunavir plus ritonavir, dolutegravir, tenofovir alafenamide-emtricitabine, and doravirine. Her serum creatinine has risen from a baseline level of 0.9 mg/dL to 1.1 mg/dL. There is no proteinuria. A recheck of the serum creatinine during the next 9 months shows it is stable at 1.1 to 1.2 mg/dL.
Which one of the following antiretroviral medications is the likely cause for the increase in serum creatinine?
Figure 1. Inhibiition of Tubular Creatinine Secretion by Bictegravir and Dolutegravir
Illustration: David H. Spach, MD
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Question Last Updated
January 28th, 2025
January 28th, 2025
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Bictegravir-Tenofovir alafenamide-Emtricitabine Biktarvy
Darunavir-Cobicistat-Tenofovir alafenamide-Emtricitabine Symtuza
Dolutegravir-Abacavir-Lamivudine Triumeq
Dolutegravir-Lamivudine Dovato
Dolutegravir-Rilpivirine Juluca
Doravirine-Tenofovir DF-Lamivudine Delstrigo
Efavirenz-Tenofovir DF-Emtricitabine Atripla
Elvitegravir-Cobicistat-Tenofovir alafenamide-Emtricitabine Genvoya
Elvitegravir-Cobicistat-Tenofovir DF-Emtricitabine Stribild
Rilpivirine-Tenofovir alafenamide-Emtricitabine Odefsey
Rilpivirine-Tenofovir DF-Emtricitabine Complera
Fostemsavir Rukobia
Ibalizumab Trogarzo
Maraviroc Selzentry
Dolutegravir Tivicay
Raltegravir Isentress
Tenofovir alafenamide-Emtricitabine Descovy
Tenofovir DF-Emtricitabine Truvada and Multiple Generics
Doravirine Pifeltro
Efavirenz Sustiva
Etravirine Intelence
Rilpivirine Edurant