Page 55 - Children Bookt.pdf
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                                    Preferred second-line regimen
                                                                              Quality
            First-line regimen  RTI components       PI        Strength of
                                                                                of
            at failure       (NRTI/NNRTI)  a      component  recommendation
                                                                             evidence
               2 NRTIs +
                             ABC + 3TC
               ++!*                                                      Moderate
                                     or             LPV/r d      Strong
              AZT- or d4T-
                             ABC + ddI
               containing                   plus
                             AZT + 3TC
                  or
                                    or
             ABC-containing
                             AZT + ddI              LPV/r d      Strong        High
                             ddI   + EFVc or
                                d
              Triple NRTI
                                     NVP
           (a)  Continuation of 3TC in second-line regimens may be considered.
           (b)  ddI may not need to be taken on an empty stomach in children.
           (c)  EFV is currently not recommended for children <3 years of age, and should be
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           (d)  LPV/r is available as solid and liquid co-formulations.




























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