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. Author manuscript; available in PMC: 2015 Apr 8.
Published in final edited form as: Pediatr Rev. 2014 Jul;35(7):268–286. doi: 10.1542/pir.35-7-268

TABLE 4.

Neonatal Antiretroviral (ARV) Drug Dosing for Prevention of Mother-to-Child Transmission of HIV

ARV Drug Dosing Duration
Zidovudine (ZDV) should be given to ALL HIV-exposed newborns and should be started as soon after birth as possible, preferably within 6–12 hours of delivery
ZDV ≥35 weeks’ gestation at birth: 4 mg/kg/dose PO twice daily (if unable to tolerate oral agents, 3 mg/kg/dose IV, beginning within 6–12 hours of delivery, then every 12 hours) Birth through 6 weeks
ZDV ≥30 to <35 weeks’ gestation at birth: 2 mg/kg/dose PO (or 1.5 mg/kg/dose IV) every 12 hours, advanced to 3 mg/kg/dose PO (or 2.3 mg/kg/dose IV) every 12 hours at age 15 days Birth through 6 weeks
ZDV <30 weeks’ gestation at birth: 2 mg/kg body weight/dose PO (or 1.5 mg/kg/dose IV) every 12 hours, advanced to 3 mg/kg/dose PO (or 2.3 mg/kg/dose IV) every 12 hours after age 4 weeks Birth through 6 weeks
Nevirapine (NVP) administered in addition to ZDV to Newborns of HIV-infected Women who Received No Antepartum ARV Prophylaxis
Nevirapine (NVP)
Weight Band dosing
Birth weight 1.5–2 kg: 8 mg* for each dose
Birth weight >2 kg: 12 mg* for each dose

(*NOTE: NVP dosing given as actual doses, NOT as mg/kg dosing)
3 doses in the first week of life
  • 1st dose within 48 hours of birth (as soon after birth as possible)

  • 2nd dose 48 hours after 1st

  • 3rd dose 96 hours after 2nd