Antiretroviral Agents in HIV-1

Antiretroviral Agents in HIV

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Selecting a Treatment Regimen Table 5C. Characteristics of Protease Inhibitors (PIs) Drug Formulation Atazanavir (ATV) Reyataz® Dosing Recommendations 100, 150, 200, 300 mg capsules ARV-naïve pts: 400 mg once daily or (ATV 300 mg + RTV 100 mg) once daily With TDF or for ARV-experienced pts: (ATV 300 mg + RTV 100 mg) once daily With EFV in treatment-naïve pts: (ATV 400 mg + RTV 100 mg) once daily Darunavir (DRV) Prezista® 75, 150, 400, 600 mg tablets ARV-naïve pts or ARV-experienced patients with no DRV mutations: (DRV 800 mg + RTV 100 mg) once daily ARV-experienced pts with at least one DRV mutation: (DRV 600 mg + RTV 100 mg) bid ▶ Unboosted DRV is NOT recommended ▶ Take with food Fosamprenavir (FPV) Lexiva® (a prodrug of amprenavir) 700 mg tablet or 50 mg/mL oral suspension ARV-naïve pts: ▶ FPV 1,400 mg bid or ▶ (FPV 1,400 mg + RTV 100-200 mg) once daily or ▶ (FPV 700 mg + RTV 100 mg) bid PI-experienced pts (once-daily dosing NOT recommended): ▶ (FPV 700 mg + RTV 100 mg) bid With EFV: ▶ (FPV 700 mg + RTV 100 mg bid or ▶ (FPV 1,400 mg + RTV 300 mg) once daily (not FDA-approved) ▶ Take without regard to meals (if not boosted with RTV tablet) Indinavir (IDV) Crixivan® 100, 200, 400 mg capsules 800 mg q8h Take 1 hr before or 2 hrs after meals; may take with skim milk or low-fat meal With RTV: (IDV 800 mg + RTV 100-200 mg) bid (not FDA-approved) ▶ Take without regard to meals 14 ▶ Suspension: Take without food ▶ FPV w/ RTV tablet: Take with meals

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