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. 2022 Feb 14;10(2):433. doi: 10.3390/microorganisms10020433

Table 1.

Position of two-drug regimens in HIV clinical guidelines.

Naïve-to-ART Patients
GeSIDA EACS DHHS Observations
DTG + 3TC Recommended Recommended Recommended HbS Ag-negative
HIV VL < 500,000 copies/mL
RAL + bDRV Not recommended Alternative Alternative CD 4 count > 200 cells/mm3
HIV VL < 100,000 copies/mL
bDRV + 3TC Not recommended Not recommended Alternative †
Simplification in Virologically Suppressed Patients
GeSIDA EACS DHHS Observations
DTG + RPV Recommended Recommended Recommended
DTG + 3TC Recommended Recommended Recommended
bPI + 3TC Alternative Recommended Alternative ‡ ‡ DRV is preferred over LPV and ATV
DTG + bDRV Recommended Alternative Alternative
bDRV + RPV Not recommended Alternative Not recommended

ART: anti-retroviral treatment; GeSIDA: Grupo de estudio del SIDA; EACS: European AIDS Clinical Society; DHHS: Department of Health and Human Services; HbS Ag: hepatitis B surface antigen; HIV VL: human immunodeficiency virus viral load; DTG: dolutegravir; 3TC: lamivudine; RAL: raltegravir; bDRV: boosted-darunavir; RPV: rilpivirine; bPI: boosted-protease inhibitor; DRV: davunavir; LPV: lopinavir; ATV: atazanavir. † If chronic kidney disease is present, and only DRV/r.