[Current antiretroviral therapy: A review].
A V KravchenkoV V MaleyevPublished in: Terapevticheskii arkhiv (2023)
The article presents an overview of clinical recommendations for currant antiretroviral therapy. Currently, the current preferred first-line antiretroviral therapy regimens are combinations of 2 or 3 antiretroviral drugs (ARVs) in one tablet with a frequency of administration 1 time per day and, as a rule, include drugs of the 2nd generation (integrase inhibitors or non-nucleoside reverse transcriptase inhibitors). These schemes have high efficiency and a good genetic barrier in the development of HIV resistance mutations. HIV protease inhibitors are used as alternative regimens. Schemes with the least number and spectrum of side effects, no effect on metabolic processes and minimal drug interactions have advantages. Switching patients to injectable therapy regimens with a frequency of administration of drugs once every 2 months can significantly improve the quality of life of patients and, accordingly, adherence to their treatment. The development and introduction of new classes of ARVs into clinical practice ensures the suppression of HIV replication in most patients with HIV strains resistant to drugs of the main groups of ARVs (nucleoside/nucleotide reverse transcriptase.
Keyphrases
- antiretroviral therapy
- hiv infected
- hiv positive
- human immunodeficiency virus
- hiv aids
- hiv infected patients
- end stage renal disease
- men who have sex with men
- hepatitis c virus
- hiv testing
- clinical practice
- newly diagnosed
- chronic kidney disease
- high efficiency
- mesenchymal stem cells
- south africa
- prognostic factors
- gene expression
- adipose tissue
- peritoneal dialysis
- patient reported outcomes
- dna methylation
- metabolic syndrome
- bone marrow
- insulin resistance