Table 1. Contraindications, warnings, and precautions for dolutegravir and raltegravir1,2.
Dolutegravir | Raltegravir | ||
Contraindications | |||
Coadministration with dofetilide | X | ||
Warnings and precautions | |||
Hypersensitivity reactions | X | X | |
Hepatitis coinfection | X | ||
Fat redistribution | X | ||
Immune reconstitution syndrome | X | X | |
Phenylketonurics | X | ||
Special populations | |||
Renal impairment | Caution in INSTI-experienced patients with severe renal impairment | No unique precautions | |
Hepatic impairment | Not recommended in severe impairment | Not studied in severe impairment | |
Pediatric patients | 12 years and older and weighing ≥40 kg | 2 to 18 years of age | |
Elderly patients | Caution | Caution | |
Pregnancy | Category B | Category C | |
Antiretroviral pregnancy registry | Recommended | ||
Breast-feeding | Avoid | Avoid |
Note: INSTI = integrase strand transfer inhibitor.