Table 2.
Regimensb | Potential uses and cautions |
---|---|
• Darunavir/cobicistat/tenofoviralafenamide/emtricitabinec • Darunavir/cobicistat plus tenofovir disoproxil fumarate/lamivudined |
• Potential use for patients with known or suspected pretherapy multidrug resistance • Potential use for patients who have resistance to InSTIs • Potential use for patients at high risk of poor adherencee |
• Dolutegravir/abacavir/lamivudine | • Caution for patients with kidney insufficiencyf |
• Doravirine/tenofovir disoproxil fumarate/lamivudinec • Doravirine plus tenofovir alafenamide/emtricitabine • Doravirine plus tenofovir disoproxil fumarate/lamividinec |
• Potential use for patients who are intolerant to InSTIs |
• Efavirenz (400 mg or 600 mg) plus tenofovir disoproxil fumarate/lamivudinec,d • Efavirenz (400 mg or 600 mg) plus tenofovir disoproxil fumarate/emtricitabine |
• Potential use for patients being treated for co-infection with HIV and tuberculosis • Potential use for patients who are pregnant or intend to become pregnant |
• Raltegravir plus tenofoviralafenamide/emtricitabine • Raltegravir plus tenofovir disoproxilfumarate/emtricitabine • Raltegravir plus tenofovir disoproxil fumarate/lamivudined |
• Potential use for patients at high risk of drug-drug interactions • Potential use for patients who are intolerant to other InSTI initial regimens • Potential use for patients with child-bearing potential who are trying to conceive • Potential use for patients who are sexually active and not consistently using contraception |
• Rilpivirine/tenofovir alafenamide/emtricitabinec,g • Rilpivirine plus tenofovir disoproxil fumarate/lamivudined,g |
• Potential use for patients who are intolerant to InSTIs • Small pill size is an advantage for some patients |
Abbreviation: InSTI, integrase strand transfer inhibitor.
The recommended initial ART regimens appear in Box 2.
The regimens are listed in alphabetical order. Drug components separated with a virgule indicate these are available as co-formulations.
Available as a single-tablet co-formulation.
Available in generic formulations in many countries.
Darunavir has a high barrierto resistance.
Fixed-dosecombination should not be used ifcreatinineclearance rate is below 50 mL/min.
Use this regimen only if pretreatment HIV RNA level is below100 000 copies/mL and CD4cell count is 200/μL.