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Educational draft · awaiting clinical reviewUse Rapid for revision, not patient-care decisions. Check current national and local guidance and the BNF or BNFC before acting.
Rapid

Antiretroviral treatment principles

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ART-associated acute illness or loss of control

Systemic hypersensitivity, severe mucocutaneous reaction, acute kidney or liver injury, lactic acidosis, neuropsychiatric crisis, or major viraemia during pregnancy requires urgent coordinated assessment.

Action: Stabilise first, identify the suspected drug or cause, and contact the HIV team before interrupting a whole regimen whenever circumstances allow. Send viral load, resistance and organ-directed tests, preserve necessary HBV-active treatment, and manage pregnancy, interactions or opportunistic illness in parallel.

Synopsis

Choose and use complete ART through shared decisions, interpret viral-load change, and manage interactions, toxicity, pregnancy and HBV without sacrificing suppression.

  • Treat HIV with a complete combination acting at two or more replication steps; a single antiretroviral drug is not HIV therapy.
  • An integrase inhibitor plus two nucleoside or nucleotide agents is a frequent starting framework, but resistance, HBV, pregnancy, kidney function and interactions decide the actual regimen.
  • Obtain baseline viral load and genotype, while allowing prompt complete treatment to begin before every result is back when clinically appropriate.

Key red flags

Suspected abacavir hypersensitivity makes abacavir permanently contraindicated; re-exposure can provoke a faster and potentially fatal reaction.

Removing tenofovir with emtricitabine or lamivudine from a patient with chronic HBV can unleash viral rebound and severe hepatitis.

A newly detectable HIV viral load needs confirmation plus adherence, supply, absorption and interaction assessment before a resistance-informed regimen change.

Rifamycins, enzyme-inducing anticonvulsants, acid suppression and polyvalent cations can reduce particular antiretroviral exposures enough to jeopardise control.

Pregnancy with missed treatment, persistent vomiting or detectable viraemia requires same-day review by the HIV maternity team.

Rash accompanied by mucosal injury, fever, hepatitis or systemic compromise demands urgent assessment for a serious drug reaction.

Systemic drug reaction

Fever, rash, respiratory or gastrointestinal features after abacavir, or mucosal and organ involvement with any agent, requires urgent expert action.

Confirmed virological rebound

Repeat detectable viraemia after previous suppression directs attention to supply, dosing, absorption, interaction and resistance rather than an automatic empiric add-on.

Inflammatory worsening after ART

Clinical deterioration despite a falling viral load can reveal immune restoration around an occult or recently treated infection and needs syndrome-specific review.

Investigation priorities

01
Serial HIV viral loadFirst step

Determine whether a new regimen suppresses replication and whether control remains durable.

Management branches

StartConstruct a regimen the virus cannot escape

A person with confirmed HIV is ready to begin ART.

  1. Gather genotype, viral load, CD4, HBV status, HLA-B*57:01, organ function, pregnancy context, prior ART and tuberculosis treatment.
  2. Select a complete guideline-supported combination whose components remain active, using a high resistance barrier when uncertainty is material.

Key medicines

Bictegravir/emtricitabine/tenofovir alafenamideTake one tablet containing 50 mg/200 mg/25 mg by mouth once daily when selected as the complete regimen.Review genotype, HBV, kidney and pregnancy context, rifamycins, anticonvulsants and polyvalent-cation instructions before prescribing or stopping.
Dolutegravir with tenofovir disoproxil/emtricitabineTake dolutegravir 50 mg by mouth once daily plus tenofovir disoproxil 245 mg/emtricitabine 200 mg once daily when specialist selected.Rifampicin can require a dolutegravir dose adjustment; address cation timing and renal or bone risk, and do not interrupt HBV-active cover casually.
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Sources and review status5 sources · checked 13 Sept 2026 · clinical review pending
Sources

Sources and review status

National guidance is shown before implementation-dependent detail. Typical adult dose examples remain subject to patient factors, contraindications and the live BNF or specialist protocol. Source check completed 13 Sept 2026; clinical approval remains outstanding.

Authoring stateRapid draftClinical stateAwaiting reviewJurisdictionUnited Kingdom