There are five groups of antiretroviral drugs. Each of these groups attacks HIV in a different way.
Antiretroviral drug class | Abbreviations | First approved to treat HIV | How they attack HIV |
---|---|---|---|
Nucleoside/Nucleotide Reverse Transcriptase Inhibitors | NRTIs, nucleoside analogues, nukes | 1987 | NRTIs interfere with the action of an HIV protein called reverse transcriptase, which the virus needs to make new copies of itself. |
Non-Nucleoside Reverse Transcriptase Inhibitors | NNRTIs, non-nucleosides, non-nukes | 1997 | NNRTIs also stop HIV from replicating within cells by inhibiting the reverse transcriptase protein. |
Protease Inhibitors | PIs | 1995 | PIs inhibit protease, which is another protein involved in the HIV replication process. |
Fusion or Entry Inhibitors | 2003 | Fusion or entry inhibitors prevent HIV from binding to or entering human immune cells. | |
Integrase Inhibitors | 2007 | Integrase inhibitors interfere with the integrase enzyme, which HIV needs to insert its genetic material into human cells. |
NRTIs and NNRTIs are available in most countries. Fusion/entry inhibitors and integrase inhibitors are usually only available in resource-rich countries.
Protease inhibitors are generally less suitable for starting treatment in resource-limited settings due to the cost, number of pills which need to be taken, and the particular side effects caused by protease drugs.
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