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Combination of carbamazepine and nevirapine used to accelerate nevirapine elimination and reduce HIV-1 resistance mutations. Single-dose carbamazepine has been shown to reduce nevirapine-driven HIV mutations, particularly in the context of preventing mother-to-child transmission of HIV. The effect is modulated by individual CYP3A activity, with carbamazepine inducing CYP3A4 to enhance nevirapine metabolism.
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