American Journal of Pharmacological Sciences
ISSN (Print): 2327-6711 ISSN (Online): 2327-672X Website: http://www.sciepub.com/journal/ajps Editor-in-chief: Srinivas NAMMI
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American Journal of Pharmacological Sciences. 2014, 2(5), 77-81
DOI: 10.12691/ajps-2-5-1
Open AccessReview Article

Renal Effect of Lopinavir/Ritonavir and Sulfamethoxazole/Trimethoprim in Albino Rats

Adikwu Elias1, , Oru-Bo Precious Geoffrey2 and Deo Oputiri2

1Department of Pharmacology, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port Harcourt, Choba, Rivers State, Nigeria

2Department of Pharm Tech. College of Health Technology, Otuogidi, Ogbia, L. G. A., Bayelsa State

Pub. Date: September 17, 2014

Cite this paper:
Adikwu Elias, Oru-Bo Precious Geoffrey and Deo Oputiri. Renal Effect of Lopinavir/Ritonavir and Sulfamethoxazole/Trimethoprim in Albino Rats. American Journal of Pharmacological Sciences. 2014; 2(5):77-81. doi: 10.12691/ajps-2-5-1

Abstract

Lopinavir/ritonavir and sulfamethoxazole/ trimethoprim have been individually associated with renal adverse events which could be characterized by electrolyte imbalance. The concurrent use of these drugs in the management of HIV and co infections may impair renal function; therefore this work evaluates the renal effect of the co administration of these drugs in rats. Seventy five (75) animals which were divided into five (5) groups were used in this study. Group A which served as control contained fifteen (15) animals which were treated with 1% ethanol orally. Group B-E which contained fifteen (15) animals each was further subdivided into three (3) subgroups of five (5) animals each. Animals in these groups were treated with oral doses of SMX/TMP (11.2/2.3mg/kg), LPV/r (11.4/2.9mg/kg) and combined doses of SMX/TMP + LPV/r for 2-8 weeks respectively. Serum levels of potassium, sodium and chloride were evaluated. Kidney tissues were evaluated for catalase (CAT), glutathione peroxidase (GSHPX) and histopathological changes. Results showed that treatment with LPV/r, SMX/TMP and co administered SMX/TMP + LPV/r had no significant time dependent effect on serum potassium, sodium and chloride. Treatment with SMX/TMP produced time dependent decrease in kidney CAT and GSHPX while LPV/r had no significant effect on kidney CAT and GSHPX. No significant synergistic effects were observed on CAT and GSHPX level when these agents were co administered. Single and combined doses of these agents did not produce morphological changes in the kidney of treated animals. Conclusion: Concurrent use of LPV/r and SMX/TMP in the management of a HIV and co infection may not have deleterious effect on serum electrolytes and kidney structure.

Keywords:
toxicity renal protease Inhibitors cotrimoxazole rats

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