Nelfinavir, a protease inhibitor, increases sirolimus levels in a liver transplantation patient: A case report
Ashok Kumar B. Jain, Raman Venkataramanan, Jonathan A. Fridell, Mary Gadomski, Leslie M. Shaw, Margaret Ragni, Magdalena Korecka, John Fung – 30 December 2003 – With the increasing success of liver transplantation and the proven effectiveness of highly active retroviral therapy in HIV‐positive patients, liver transplantation has been performed successfully in selected HIV‐positive recipients with CD4 and an HIV viral load response to highly active antiretroviral therapy. In these patients, an interaction between a protease inhibitor (nelfinavir) and tacrolimus has been shown.