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Summarize HIV prophylaxis and treatment regimens, including PREP, CYP450 inducers, treatment failure criteria, and second-line regimens.

Biology

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Step 1: HIV Prophylaxis and Treatment Regimens

  • PREP (Pre-Exposure Prophylaxis):
    • TDF+FTC\text{TDF} + \text{FTC}
    • TDF+3TC\text{TDF} + \text{3TC}
  • CYP450 Inducers:
    • Phenytoin
    • Carbamazepine
    • Rifampicin
    • Phenobarbital
  • Treatment Failure Criteria:
    • Viral load >1000> 1000 copies/mL\text{mL}
    • CD4\text{CD4} cell count <200< 200 cells/mm3\text{mm}^3
    • Rule out poor adherence.
  • Recommended 2nd Line Regimens:
    • AZT+3TC+DTG\text{AZT} + \text{3TC} + \text{DTG}
    • AZT+3TC+DRV/r\text{AZT} + \text{3TC} + \text{DRV/r}
    • TDF+3TC+DRV/r\text{TDF} + \text{3TC} + \text{DRV/r}
    • TAF+FTC+DRV/r\text{TAF} + \text{FTC} + \text{DRV/r}
  • Alternative 2nd Line Regimens:
    • $\text{AZ
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