Nevirapine (NVP) 1st line ARV side effects

This is an automatically translated article.

The article was written by Doctor, Dr. Le Xuan Luat - Infectious, hepatobiliary doctor - Department of General Internal Medicine, Vinmec Times City International General Hospital.
Nevirapine was approved for use in 1996 in the US. Nevirapine belongs to the class of non-nucleotide reverse transcriptase inhibitors (NNRTIs). After the HIV virus enters the host cell, the HIV RNA strand is released, and the single strand RNA is reverse transcribed to form DNA by reverse transcriptase. The drug inhibits the formation of DNA, reduces the amount of HIV virus.

1. First-line ARV regimens

Table 1: First-line ARV regimens
Đối tượng Phác đồ ưu tiên Phác đồ thay thế Phác đồ đặc biệt (khi không dùng được hoặc không có phác đồ ưu tiên hay thay thế)
Người lớn bao gồm cả phụ nữ mang thai (*) và trẻ từ 10 tuổi trở lên TDF + 3TC (hoặc FTC) + DTG1 TDF + 3TC + EFV 400 mg TDF + 3TC (hoặc FTC) + EFV 600mg
AZT + 3TC + EFV 600 mg
TDF + 3TC (hoặc FTC) +PI/r ABC + 3TC + DTG1
Trẻ dưới 10 tuổi ABC+ 3TC + DTG ABC+3TC+ LPV/r ABC + 3TC + EFV3 (hoặc NVP)
AZT + 3TC + EFV3 (hoặc NVP)
AZT + 3TC + LPV/r (hoặc RAL)
Trẻ sơ sinh (trẻ dưới 4 tuần tuổi) AZT+3TC+RAL AZT+3TC+NVP AZT+3TC+LPV/r
Table 2: Symbols of ARV drug names
Tên thuốc Viết tắt
Tenofovir TDF
Efavirenz EFV
Lamivudine 3TC
Abacvir ABC
Dolutegravir DTG
Nevirapine NVP
Lopinavir/ ritonavir LPV/r
Raltegravir RAL

2. Nevirapine (NVP) 1st line ARV side effects

Rash The most common side effect of Nevirapine is a rash. The incidence of mild rash in nevirapine users can be as high as 50%. Nevirapine users may develop a rash at any time during the first 4-6 weeks of taking the drug. The first 10 days of taking the drug is the time when the rash is most common. The rash may appear slowly and spread to the whole body. The rash can be mild to severe, ranging from erythema, papule, vesicular vesicles, mucosal lesions of natural cavities.
Liver damage NVP causes liver damage to varying degrees. NVP users need periodic liver enzyme monitoring. If liver enzymes are elevated above 5 times normal, consideration should be given to discontinuing NVP.

Tác dụng phụ thuốc ARV thường gặp nhất là bị phát ban
Tác dụng phụ thuốc ARV thường gặp nhất là bị phát ban
Fatigue Diarrhea Headache Leukopenia Fever Abdominal Pain Nausea Anemia Body aches If you have any questions related to the topic of PHARMACEUTICAL you need a doctor's advice, you can leave a question in the ASK DOCTOR section VINMEC will be directly on the hospital website. Your question will be sent to the doctor and you will receive a consultation as soon as possible!

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