Antiretroviral Agents in HIV-1 (2014)

DHHS Adult HIV 2014

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20 Selecting a Treatment Regimen Table 7b. HIV Drugs (continued) Drug Name Formulations Dosing Recommendations a Characteristics of Protease Inhibitors (PIs) (continued) Lopinavir/ritonavir (LPV/r) Kaletra ® Tablets: (Take without regard to meals) • LPV 200 mg + RTV 50 mg, or • LPV 100 mg + RTV 25 mg Oral Solution: (Take with food) • Each 5 mL contains (LPV 400 mg + RTV 100 mg ) • Oral solution contains 42% alcohol. • LPV/r 400 mg/100 mg bid or LPV/r 800 mg/200 mg once daily • Once-daily dosing is not recommended for patients with ≥3 LPV-associated mutations, pregnant women, or patients receiving EFV, NVP, FPV, NFV, carbamazepine, phenytoin, or phenobarbital. With EFV or NVP (PI- Naive or PI- Experienced Patients): • LPV/r 500 mg/125 mg bid (use a combination of 2 LPV/r 200 mg/50 mg tablets + 1 LPV/r 100 mg/25 mg tablet to make a total dose of LPV/r 500 mg/125 mg ), or • LPV/r 533 mg/133 mg oral solution bid Drug Name Formulations Dosing Recommendations a Characteristics of Integrase Inhibitors Dolutegravir (DTG) Tivicay ® 50 mg tablets Adults: 50 mg once daily a Children and Adolescents: ≥12 years and ≥40 kg: 50 mg once daily a Elvitegravir (EVG) Available only as Stribild ® Tablets: FTC 200 mg + TDF 300 mg + EVG 150 mg + COBI 150 mg Adults: One tablet once daily with food Raltegravir (RAL) Isentress ® 400 mg tablets Chewable tablets 100 mg scored and 25 mg Adults: 400 mg bid With rifampin: 800 mg bid Children and Adolescents: ≥12 years: 400 mg bid 2-11 years & ≥10 kg d : weight based a Max: 300 mg bid ▶ Take without regard to meals Characteristics of Non-Antiretroviral Pharmacoenhancers Cobicistat (COBI) Available only as Stribild ® • FTC 200 mg + • TDF 300 mg + • EVG 150 mg + • COBI 150 mg Adults: One tablet once daily with food a For dosage adjustment in hepatic insufficiency, see Table 4. b Rare cases of Stevens-Johnson syndrome have been reported with most NNRTIs. e highest incidence of rash was seen with NVP.

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