Table 1.
Potential advantages and disadvantages of starting antiretroviral therapy (ART) early in the course of treatment for serious opportunistic infections (OIs)
Potential advantages of early initiation of ART | Potential disadvantages of early initiation of ART (overlapping treatment) |
---|---|
Prevent progressive immunodeficiency | High pill burden |
More rapid immune recovery | Co-toxicity |
More rapid resolution of OI | Pharmacokinetic drug interactions |
Rapid reduction in mortality risk | Immune reconstitution disease |
Prevention of further OIs and other morbidity | More difficult to identify drug causing toxicity |