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14.1.5

Contraindications

Clinical HIV Guidelines, 5th Edition, 2022. Chapter 14, Understanding ART regimens and formulations.

Clinical description

  • Most contraindications are not absolute for a specific regimen: balance risks, benefits and

alternatives. A suitable alternative regimen can be chosen from Table 16. The following conditions are absolute contraindications:

o Patients who developed severe toxicity to any specific ARV (hepatitis or Stevens - Johnson syndrome from NVP or EFV, severe anaemia from AZT, ABC hypersensitivity) must NEVER AGAIN be given a regimen containing the responsible ARV.

o Do not use TDF-containing regimens in severe renal failure (creatinine clearance <50ml/min).

Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.

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