Bernardino de la Serna J I, Mora Rillo M, Arribas López J R
Unidad VIH, Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, España.
Enferm Infecc Microbiol Clin. 2008 Jun;26 Suppl 8:7-12. doi: 10.1157/13126266.
Highly active antirretroviral therapy has transformed the prognosis of patient infected with human immunodeficiency virus. The efficacy of these drugs has shifted the clinicians; attention to other therapeutic aspects like QD regimens, fixed dose combinations and clinical safety. Tenofovir disoproxil fumarate(TDF) is a nucleoside monophosphate (nucleotide) analogue that inhibits reverse trascriptase enzyme. It's administered in a q.d. regimen and it's recommended by most of the clinical guidelines as a start regimen in combination with two other drugs. Currently more than 5 years of clinical experience is accumulated and confirmed that a combination of tenofovir and a nonnucleoside analogue transcriptase inhibitor is a comfortable, safe, highly effective and low pill burden regimen.
高效抗逆转录病毒疗法已经改变了人类免疫缺陷病毒感染者的预后。这些药物的疗效使临床医生的注意力转移到了其他治疗方面,如每日一次的治疗方案、固定剂量组合和临床安全性。替诺福韦酯(TDF)是一种抑制逆转录酶的核苷单磷酸(核苷酸)类似物。它采用每日一次的治疗方案,并且大多数临床指南都推荐将其作为起始方案与其他两种药物联合使用。目前已经积累了超过5年的临床经验,证实替诺福韦与非核苷类逆转录酶抑制剂联合使用是一种舒适、安全、高效且药片负担低的治疗方案。