Abstract
Despite the benefits of protease inhibitor (PI)-based HIV treatment, issues of tolerability, dosing frequency, pill count and long-term metabolic complications necessitate evaluation of alternate treatment strategies. The weight of evidence demonstrates that a switch from a PI-based regimen to one containing nevirapine can be accomplished safely while maintaining virological suppression. There is no immunological cost. There is probably an overall benefit in terms of the metabolic milieu.
MeSH terms
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Adult
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Australia
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CD4 Lymphocyte Count
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Drug Administration Schedule
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Europe
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Female
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HIV Infections / drug therapy*
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HIV Infections / immunology
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HIV Protease Inhibitors / administration & dosage*
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HIV Protease Inhibitors / metabolism
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Humans
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Male
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Middle Aged
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Nevirapine
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Quality of Life
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Reverse Transcriptase Inhibitors / administration & dosage*
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Reverse Transcriptase Inhibitors / metabolism
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United States
Substances
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HIV Protease Inhibitors
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Reverse Transcriptase Inhibitors
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Nevirapine