Pharmacy World and Science

, Volume 17, Issue 2, pp 25–30 | Cite as

Concise overview of the clinical pharmacokinetics of dideoxynucleoside antiretroviral agents

  • David M. Burger
  • Pieter L. Meenhorst
  • Jos H. Beijnen


In this paper aspects of the clinical pharmacokinetics of the antiretroviral agents zidovudine, didanosine and zalcitabine are reviewed. Special attention is paid to possibly altered pharmacokinetics in special circumstances, such as hepatic and renal dysfunction, pregnancy, stage of disease,etc. The dideoxynucleoside antiretroviral agents have some clinical pharmacokinetic properties in common (rapid absorption and elimination), but substantial differences exist in their degree of absorption, metabolism and penetration into the cerebrospinal fluid. All agents display wide interpatient variability in pharmacokinetic parameters. The relevance of therapeutic drug monitoring of antiretroviral agents is also discussed.


Didanosine Pharmacokinetics Therapeutic drug monitoring Zalcitabine Zidovudine 


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Copyright information

© Royal Dutch Association for Advancement of Pharmacy 1995

Authors and Affiliations

  • David M. Burger
    • 1
  • Pieter L. Meenhorst
    • 2
  • Jos H. Beijnen
    • 3
  1. 1.Department of PharmacySlotervaart HospitalEC Amsterdamthe Netherlands
  2. 2.Department of Internal MedicineSlotervaart HospitalAmsterdamthe Netherlands
  3. 3.Department of PharmacySlotervaart HospitalAmsterdamthe Netherlands

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