Alternating regimens
Some researchers have proposed strategies whereby patients alternate or cycle back and forth between two or more different antiretroviral drug regimens. This is based on the theory that regularly switching drugs might reduce the length of time a person is exposed to a failing regimen, thereby minimising the emergence of drug resistance. The SWATCH study, for example, found that patients who alternated between AZT/3TC/nelfinavir and d4T/ddI/efavirenz experienced treatment failure later than those who stayed on a single regimen [1]. However, other research has not been as promising, and this strategy has largely fallen out of favour.
latest aidsmap news
- Slow progress to expand rountine HIV testing in the US
- Concerns over miscarriage of justice after first UK conviction for transmission of hepatitis B
- High rate of death amongst patients with HIV diagnosed late
- CD4 cell count increases sustained up to five years in developing-world treatment programmes
- Raltegravir may have role in PEP if exposure involves drug-resistant HIV
- Excellent outcomes from five years of antiretroviral use in Botswana
- Study explores verbal and non-verbal communication in unprotected sex between men
- IL-2 provides quick ‘AIDS rescue’, but effect does not always last
- Once-a-day etravirine should work as first-line treatment
- Second-line combinations fail twice as often as first-line ones in the first year
