There are three big groups of ARV drugs available in Ethiopia, as listed below:
Note that you don't need to know the complex mechanisms of action of these drugs. Likewise, you don't need to memorise the names of the drug groups.
Table 22.1 lists the commonly used ARV drugs in Ethiopia, arranged into the various groups, together with some rarely used drugs. But be aware that the table is not a complete list of all the ARV drugs; for example, it does not include all the rare drugs, or drugs that are not yet available in most resource-constrained settings like Ethiopia. You can use Table 22.1 as a reference in case a patient asks you about a specific drug, but remember to refer him or her to a health centre for more detailed advice than you can give at health post level. The drugs listed in the first three columns of Table 22.1 are the ones most widely used in Ethiopia, and we will say more about them later in this study session (Sections 22.3.3 and 22.4).
Nucleoside reverse transcriptase inhibitors (NsRTI) | Nucleotide reverse transcriptase inhibitors (NtRTI) | Non-nucleoside reverse transcriptase inhibitors (NNRTI) | Protease inhibitors (PI) |
---|---|---|---|
Stavudine (d4T) Lamivudine (3TC) Zidovudine (AZT or ZDV) Didanosine (ddI) Abacavir (ABC) |
Tenofovir disoproxil fumarate (TDF) |
Nevirapine (NVP) Efavirenz (EFV) |
Lopinavir (LPV) Ritonavir (RTV) Atazanavir(ATV) |