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Table 6 Antiretroviral options after first-line non-nucleoside reverse transcriptase inhibitor-based regimens

From: Guidelines for antiretroviral therapy in HIV-1 infected adults and adolescents 2014, Thailand

NRTI in failing regimen

NRTI option in next regimen

Third agent

Tenofovir

Choosing NRTI based on genotypic resistant result or considering zidovudine plus lamivudine

Recommended agent: lopinavir/ritonavir

Alternative agents: Atazanavir/ritonavir

Darunavir/ritonavir

Raltegravir*

Dolutegravir

Zidovudine, stavudine or abacavir

Choosing NRTI based on genotypic resistant result or considering tenofovir plus lamivudine or emtricitabine

 
  1. *Used with caution in non-fully active NRTI backbone owing to rapid emerging of treatment failure.
  2. NRTI = Nucleoside reverse transcriptase inhibitor.