Scaling up Antiretroviral Therapy in Resource Limited Settings : Guidelines for a Public Health Approach
(2002; 163 pages) [French] View the PDF document
Table of Contents
View the documentAbbreviations
View the documentPreface
View the documentSummary
View the documentI. Introduction
View the documentII. Objectives of the document
View the documentIII. Background and purpose
View the documentIV. Approach to antiretroviral therapy
View the documentV. When to start antiretroviral therapy in adults and adolescents
View the documentVI. Recommended first-line regimens for adults and adolescents
View the documentVII. When to change therapy in adults and adolescents
View the documentVIII. Recommended second-line regimens in adults and adolescents
View the documentIX. Drug resistance
View the documentX. Antiretroviral therapy in women, with specific reference to pregnancy
View the documentXI. Infants and children
View the documentXII. Tuberculosis and other HIV-related conditions
View the documentXIII. Injecting drug users
View the documentXIV. Drug adherence
Close this folderXV. Monitoring antiretroviral therapy
View the documentAnnex 1. WHO staging system for HIV infection and disease in adults and adolescents
View the documentAnnex 2. WHO staging system for HIV infection and disease in children
View the documentAnnex 3. Characteristics of NNRTI-based regimens
View the documentAnnex 4. Characteristics of triple NsRTI-based regimens
View the documentAnnex 5. Characteristics of PI-based regimens
View the documentAnnex 6. Characteristics of NNRTI-, triple NsRTI- and PI-based regimens in special populations
View the documentAnnex 7. Antiretroviral dosage regimens for adults and adolescents
View the documentAnnex 8a. Antiretroviral drug interactions
View the documentAnnex 8b. Drug interactions between non-nucleoside reverse transcriptase inhibitors and protease inhibitors
View the documentAnnex 8c. Drug interactions involving non-nucleoside reverse transcriptase inhibitors and protease inhibitors of relevance to poor countries
View the documentAnnex 9. Choice of antiretroviral drugs in HIV-infected pregnant women
View the documentAnnex 10. Summary of paediatric drug formulations and doses
View the documentAnnex 11a. Antiretroviral drug toxicity
View the documentAnnex 11b. Monitoring and management of antiretroviral drug toxicity
View the documentReferences
View the documentInterim WHO Antiretroviral Treatment Working Group, Geneva, 19-20 november 2001
View the documentWHO International Consultative Meeting on HIV/AIDS Antiretroviral Therapy, 22-23 May 2001, Geneva
 

Annex 7. Antiretroviral dosage regimens for adults and adolescents

Drug class/drug

Dose

Nucleoside RTIs

Zidovudine (ZDV)

300 mg twice daily

Stavudine (d4T)

40 mg twice daily
(30 mg twice daily if <60 kg)

Lamivudine (3TC)

150 mg twice daily

Didanosine (ddI)

400 mg once daily
(250 mg once daily if < 60 kg)

Abacavir (ABC)

300 mg twice daily

Nucleotide RTI

Tenofovir (TDF)

300 mg once daily

Non-nucleoside RTIs

Efavirenz (EFZ)

600 mg once daily

Nevirapine (NVP)

200 mg once daily for 14 days, then
200 mg twice daily

Protease inhibitors

Nelfinavir (NFV)

1250 mg twice daily

Indinavir/ritonavir (IDV/r)

800 mg/100 mg twice dailyb, c

Lopinavir/ritonavir (LPV/r)

400 mg/100 mg twice daily
(533 mg/133 mg twice daily when combined with EFZ or NVP)

Saquinavir/ritonavir (SQV/r)

1000 mg/100 mg twice dailyc, d

a The doses listed are those for individuals with normal renal and hepatic function. Product-specific information should be consulted for dose adjustments that may be indicated for renal or hepatic dysfunction or for potential drug interactions with other HIV and non-HIV medications.

b This dosage regimen is not approved but supportive data exist and the regimen is in common clinical use. Other IDV/r dosage regimens that range from 800 mg/200 mg twice daily to 400 mg/100 mg twice daily are also in clinical usage but more data are needed to determine the optimal dose combination.

c Dosage adjustment when combined with an NNRTI is indicated but a formal recommendation cannot be made at this time. One consideration is to increase the RTV component to 200 mg twice daily when EFZ or NVP is used concomitantly. More drug interaction data are needed.

d This dosage regimen is not approved but supportive data exist for its use. Both the hard-gel and soft-gel capsule formulations can be used when SQV is combined with RTV.

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Last updated: May 3, 2013