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      Indinavir concentrations and St John's wort.

      Lancet
      Administration, Oral, Adult, Area Under Curve, Chromatography, High Pressure Liquid, Drug Resistance, Female, HIV Protease Inhibitors, administration & dosage, antagonists & inhibitors, pharmacokinetics, Humans, Hypericum, adverse effects, Indinavir, Male, Middle Aged, Plants, Medicinal, Treatment Failure

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          Abstract

          St John's wort reduced the area under the curve of the HIV-1 protease inhibitor indinavir by a mean of 57% (SD 19) and decreased the extrapolated 8-h indinavir trough by 81% (16) in healthy volunteers. A reduction in indinavir exposure of this magnitude could lead to the development of drug resistance and treatment failure.

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