Pulse - To Be or Not To Be: Oral Lead-in for the Transition from Oral PrEP to Extended-release Intramuscular Cabotegravir

March 8, 2023

New medications and new guidelines are constantly being released. Pharmacists need a mechanism to keep up with these new medications and guidelines.

Since the beginning of the HIV epidemic, 84.1 million people have been diagnosed and 47% of those people have died because of the disease. At the end of 2021 there were 38.4 million people living with an HIV diagnosis. However, infection rates decreased by 25% from 2015 to 2020. It is important for pharmacists to be able to recognize the various pharmacologic options available for pre-exposure prophylaxis (PrEP). It is also important for pharmacists to be able to weigh the risks and benefits of the pharmacologic options to identify the most appropriate therapy for various individuals. Recently, cabotegravir an extended-release injectable suspension has become available. Since its release in March of 2022, many patients have been switched from oral therapy to cabotegravir. Some clinicians believe when transitioning patients from oral therapy to cabotegravir an overlap of the 2 therapies is needed, while others believe this is not necessary to maintain adequate protection. For the purposes of this presentation, literature surrounding the transition to cabotegravir will be explored, with an additional focus on the pharmacokinetics of intramuscular cabotegravir.

Target Audience

Pharmacist

Learning Objectives

• Identify the approved pharmacologic options for pre-exposure prophylaxis (PrEP) of human immunodeficiency virus (HIV)
• Describe the place in therapy of intramuscular cabotegravir
• Discuss the risks and benefits of oral lead-in during the transition from oral PrEP therapy to extended-release intramuscular cabotegravir

Course summary
Available credit: 
  • 1.00 ACPE Pharmacy
    The UPMC Center for Continuing Education in the Health Sciences is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a Provider of continuing pharmacy education.
Course opens: 
03/08/2023
Course expires: 
04/08/2023
Event starts: 
03/08/2023 - 12:00pm EST
Event ends: 
03/08/2023 - 1:00pm EST

New medications and new guidelines are constantly being released. Pharmacists need a mechanism to keep up with these new medications and guidelines.

Since the beginning of the HIV epidemic, 84.1 million people have been diagnosed and 47% of those people have died because of the disease. At the end of 2021 there were 38.4 million people living with an HIV diagnosis. However, infection rates decreased by 25% from 2015 to 2020. It is important for pharmacists to be able to recognize the various pharmacologic options available for pre-exposure prophylaxis (PrEP). It is also important for pharmacists to be able to weigh the risks and benefits of the pharmacologic options to identify the most appropriate therapy for various individuals. Recently, cabotegravir an extended-release injectable suspension has become available. Since its release in March of 2022, many patients have been switched from oral therapy to cabotegravir. Some clinicians believe when transitioning patients from oral therapy to cabotegravir an overlap of the 2 therapies is needed, while others believe this is not necessary to maintain adequate protection. For the purposes of this presentation, literature surrounding the transition to cabotegravir will be explored, with an additional focus on the pharmacokinetics of intramuscular cabotegravir.

UPMC Mercy
Pittsburgh, PA
United States

Julena Maurer, PharmD

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

Pharmacy (CPE)

This knowledge-based activity provides 1.0 contact hours of continuing pharmacy education credit.

 

Available Credit

  • 1.00 ACPE Pharmacy
    The UPMC Center for Continuing Education in the Health Sciences is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a Provider of continuing pharmacy education.
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