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Correspondence
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Volume 330:1316-1317 May 5, 1994 Number 18
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Fluconazole and Enhanced Effect of Rifabutin Prophylaxis

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 by Nightingale, S. D.
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To the Editor: The results of two double-blind, randomized, placebo-controlled trials published in the Journal (Sept. 16 issue)1 have shown that prophylactic treatment with rifabutin (300 mg per day) significantly reduces the incidence of Mycobacterium avium complex bacteremia. A Special Report in the same issue2 further recommends rifabutin prophylaxis in adults and adolescents with human immunodeficiency virus infection and CD4+ counts of 100 cells or less per cubic millimeter and suggests that effective primary prophylaxis could improve the patients' quality of life and survival.

Fluconazole, a potent inhibitor of cytochrome P-450, significantly (P<0.01) increases both the maximal concentration and the . . . [Full Text of this Article]

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