Evidence map›Paper›PMID 41817180›Full record

ReviewClinical microbiology reviews2026

Interactions between long-acting antiretrovirals and opioids: a call for clinical awareness.

Candy Carbajal, Florida Owens, Dileepkumar Veeragoni, Myosotys Rodriguez, Francisco Fernandez-Lima, Adel Nefzi, Shilpa Buch, Nazira El-Hage

Abstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Candy CarbajalDepartment of Cellular and Molecular Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.ORCID 0009-0002-4909-5242
Florida OwensDepartment of Cellular and Molecular Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Dileepkumar VeeragoniDepartment of Cellular and Molecular Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Myosotys RodriguezDepartment of Cellular and Molecular Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Francisco Fernandez-LimaDepartment of Chemistry and Biochemistry, College of Arts and Sciences, Florida International University, Miami, Florida, USA.
Adel NefziCenter For Translational Science, Florida International University, Miami, Florida, USA.
Shilpa BuchDepartment of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Nazira El-HageDepartment of Cellular and Molecular Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.ORCID 0000-0002-8154-6763

Funding

Title: Pharmacokinetic, pharmacodynamic , and toxicological interactions among Opioids and CabotegravirR01DA057145 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI Shilpa J Buch, NAZIRA EL-HAGE · 2022 to 2026
$2.5M
NIDA NIH HHS R01 DA057145NIH HHS R01DA057884, R01DA057145
6 · The paper itself

Abstract

SUMMARYThis review summarizes potential drug-drug interactions (DDIs) between long-acting antiretrovirals (LAAs) and opioids, focusing on pharmacodynamics (PD), pharmacokinetics (PK), and side effects related to absorption, distribution, metabolism, and excretion (ADME). It also covers dysregulation in epigenetics and in the immune system. A comprehensive literature review was performed using PubMed and Google Scholar, along with data from the Liverpool HIV Drug Interactions Database, to evaluate pharmacokinetic interactions between LAA drugs, such as cabotegravir, rilpivirine, lenacapavir, and dapivirine, with opioids used in clinical settings, including morphine, tramadol, oxycodone, and codeine; medications for opioid use disorder (MOUD), such as methadone and buprenorphine; and the illicit opioids, including fentanyl and heroin. The review highlights key factors increasing DDI risk and discusses clinical considerations for managing preexposure prophylaxis (PrEP) or antiretroviral therapy (ART) in persons who use opioids. Lastly, it proposes research strategies for studying DDIs, including the use of animal models, physiologically based pharmacokinetic (PBPK) models, and clinical trials.

Indexed as

Analgesics, OpioidAnti-HIV AgentsHIV InfectionsAnimalsDrug InteractionsHumansAnalgesics, OpioidAnti-HIV Agentsdrug-drug interactionsdrug transporterHIVlong-acting antiretroviralsmetabolic enzymesopioids

Identifiers

PMID41817180
PMCPMC13255545

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.