Table 1.
Drug Class | Drug Name | Abbreviation | LMIC Use | High-income Country Use |
---|---|---|---|---|
NRTIs | Lamivudine | 3TC | First-line, second-line | First-line, second-line |
Emtricitabine | FTC | First-line, second-line | First-line, second-line | |
Tenofovir | TDF | First-line, second-line | First-line, second-line | |
Abacavir | ABC | Not commonly used (HLA testing required) | First-line, second-line | |
Zidovudine | AZT | Alternative first-line, second-line | Salvage | |
| ||||
NNRTIs | Efavirenz | EFV | First-line | Alternative first-line |
Rilpivirine | RPV | Not commonly used | Alternative first-line | |
Etravirine | ETR | Not commonly used | Second-line, salvage | |
Nevirapine | NVP | Alternative first-line | Not commonly used | |
| ||||
PIs | Atazanavir | ATV | Second-line | Alternative first-line |
Darunavir | DRV | Alternative second-line, third-line | First-line, second-line, salvage | |
Lopinavir | LPV | Second-line | Not commonly used | |
| ||||
INSTIs | Elvitegravir | EVG | Not commonly used | First-line |
Raltegravir | RAL | Alternative second-line, third-line | First-line | |
Dolutegravir | DTG | Alternative first-line | First-line, second-line, salvage | |
| ||||
CCR5 Antagonist | Maraviroc | MVC | Not commonly used | Salvage |
Abbreviations: NRTIs: nucleoside reverse transcriptase inhibitors; NNRTIs: non-nucleoside reverse transcriptase inhibitors; PIs: protease inhibitors; INSTIs: integrase strand transfer inhibitors; LMIC: low- and middle-income countries (Panel on Antiretroviral Guidelines for Adults and Adolescents, 2016; World Health Organization, 2015a).