Barry and Judy Silverman College of Pharmacy, Nova Southeastern University, Fort Lauderdale, Florida, USA.
Division of Infectious Disease, Memorial Healthcare System, Hollywood, Florida, USA.
Pharmacotherapy. 2024 Jul;44(7):488-493. doi: 10.1002/phar.2921.
Five long-acting (LA) antiretrovirals (ARVs) are currently available in a limited number of countries worldwide for HIV-1 prevention or treatment - cabotegravir, rilpivirine, lenacapavir, ibalizumab, and dapivirine. Implementing use of LA ARVs in routine clinical practice requires significant changes to the current framework of HIV-1 prevention, treatment, and service provision. Given the novelty, complexity, and interdisciplinary requirements of safe and optimal use of LA ARVs, consensus recommendations on the use of LA ARVs will assist clinicians in optimizing use of these agents. The purpose of these recommendations is to provide guidance for the clinical use of LA ARVs for HIV-1 treatment and prevention. In addition, future areas of research are identified and discussed.
目前在全球范围内有 5 种长效(LA)抗逆转录病毒药物(ARVs)可用于 HIV-1 的预防或治疗,包括卡替拉韦、利匹韦林、拉替拉韦、依非韦伦和多替拉韦。在常规临床实践中实施 LA ARVs 的使用需要对当前 HIV-1 预防、治疗和服务提供的框架进行重大改变。鉴于 LA ARVs 的安全和优化使用的新颖性、复杂性和跨学科要求,关于 LA ARVs 使用的共识建议将有助于临床医生优化这些药物的使用。这些建议的目的是为 LA ARVs 治疗和预防 HIV-1 的临床使用提供指导。此外,还确定和讨论了未来的研究领域。