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. Author manuscript; available in PMC: 2024 Apr 15.
Published in final edited form as: JAMA. 2020 Oct 27;324(16):1651–1669. doi: 10.1001/jama.2020.17025

Table 2.

Other Recommended Initial Antiretroviral Therapy (ART) Regimensa

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.

a

The recommended initial ART regimens appear in Box 2.

b

The regimens are listed in alphabetical order. Drug components separated with a virgule indicate these are available as co-formulations.

c

Available as a single-tablet co-formulation.

d

Available in generic formulations in many countries.

e

Darunavir has a high barrierto resistance.

f

Fixed-dosecombination should not be used ifcreatinineclearance rate is below 50 mL/min.

g

Use this regimen only if pretreatment HIV RNA level is below100 000 copies/mL and CD4cell count is 200/μL.