HIV/AIDS

Update of recommendations on first- and second-line antiretroviral regimens

Policy brief

Authors:
WHO

Update of recommendations on first- and second-line antiretroviral regimens

Publication details

Number of pages: 16
Publication date: July 2019
Languages: English
WHO reference number: WHO/CDS/HIV/19.15

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Overview

The 2019 updated guidelines provide the latest recommendations based on rapidly evolving evidence of safety and efficacy and programmatic experience using dolutegravir (DTG) and efavirenz (EFV) 400 mg in pregnant women and people coinfected with TB.

These guidelines provide further reassurance of DTG as the preferred antiretroviral (ARV) drug in first- and second-line regimens due to the declining estimate of neural tube defect risk and observed efficacy. This reassurance comes at a time when pretreatment resistance to non-nucleoside reverse-transcriptase inhibitors (NNRTI) is increasing in low- and middle-income countries, creating demand for access to alternative non-NNRTI ARV drugs.

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