Antiretroviral Agents in HIV-1 (2018)

Antiretroviral Agents in HIV-1 Pocket Guide

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22 Table 6. Dosing of Antiretroviral Agents (cont'd) Trade Name Contents Usual Daily Dose a Dosing in Renal Insufficiency b Dosing in Hepatic Impairment Selecting a Treatment Regimen Fixed-dose Combinations Atripla ® FTC 200 mg + EFV 600 mg + TDF 300 mg 1 tablet PO once daily NOT recommended for use in patients with CrCl <50 mL/min. Instead use the individual drugs of the fixed-dose combination and adjust TDF and FTC doses according to CrCl level. Child-Pugh Class A: • No dosage adjustment Child-Pugh Class B/C: • NOT recommended Biktarvy ® BIC 50 mg + FTC 200 mg + TAF 25 mg 1 tablet PO once daily NOT recommended for use in patients with CrCl <30 mL/min Child-Pugh Class C: • NOT recommended Combivir® 3TC 150 mg ZDV 300 mg 1 tablet PO bid CrCl <50 mL/min NOT recommended • Monitor for hematologic toxicity Complera ® FTC 200 mg + RPV 25 mg + TDF 300 mg 1 tablet PO once daily NOT recommended for use in patients with CrCl <50 mL/min. Instead use the individual drugs of the fixed-dose combination and adjust TDF and FTC doses according to CrCl level. Child-Pugh Class A/B: • No dosage adjustment Child-Pugh Class C: • No dosage recommendation Descovy ® FTC 200 mg + TAF 25 mg • TAF 10 mg PO daily with EVG/c (Genvoya), or • TAF 25 mg PO daily in other fixed-dose combinations NOT recommended for use in patients with CrCl <30 mL/min or on HD c Child-Pugh Class A/B: • No dosage adjustment Child-Pugh Class C: • No dosage recommendation Epzicom ® ABC 600 mg + 3TC 300 mg 1 tablet PO once daily NOT recommended for use in patients with CrCl <50 mL/min Child-Pugh Class A: • 200 mg PO bid (use oral solution) Child-Pugh Class B/C: • Contraindicated

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