Modifying Antiretroviral Therapy in Virologically Suppressed HIV-Infected Patients

  • Author: José R. Arribas, MD (More Info)
  • Section Editor: Eric S. Daar, MD
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 3/17/20 (What's New)

Summary

  • Virologically suppressed patients with a high risk of cardiovascular disease and nephrotoxicity may need to switch to a new regimen that excludes or limits both ritonavir and NRTIs
    • INSTI Plus an NNRTI
    • SWORD-1 and SWORD-2 trials demonstrated that switching virologically suppressed patients from various regimens to once-daily oral dolutegravir plus rilpivirine was well tolerated and noninferior to continuing baseline therapy at Week 48[Llibre 2018]
    INSTI Plus an NRTIBoosted PI Plus an NRTI
      PI Plus an INSTI

      Action required

      Keywords: Switch Strategies

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