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Table 9b. Trough Concentrations of Antiretroviral Drugs for
                       Treatment-Experienced Patients with Virologic Failure.....................................................H-18
                   Discontinuation or Interruption of Antiretroviral Therapy .......................................................H-19

            Considerations for Antiretroviral Use in Special Patient Populations ........................................I-1
                   Acute HIV Infection .....................................................................................................................I-1

                       Table 10. Identifying, Diagnosing, and Managing Acute HIV-1 Infection.............................I-4
                   HIV-Infected Adolescents and Young Adults ...............................................................................I-6
                   HIV and Illicit Drug Users..........................................................................................................I-11
                       Table 11. Drug Interactions between Antiretroviral Agents and Drugs
                       Used to Treat Opioid Addiction............................................................................................I-14
                   HIV-Infected Women..................................................................................................................I-17
                   HIV-2 Infection...........................................................................................................................I-24
                   HIV and the Older Patient ..........................................................................................................I-27

            Considerations for Antiretroviral Use in Patients with Coinfections...........................................J-1
                   HIV/Hepatitis B Virus (HBV) Coinfection..................................................................................J-1

                   HIV/Hepatitis C Virus (HCV) Coinfection..................................................................................J-5
                   Mycobacterium tuberculosis Disease with HIV Coinfection.....................................................J-12
            Limitations to Treatment Safety and Efficacy ................................................................................K-1
                   Adherence to Antiretroviral Therapy ..........................................................................................K-1

                       Table 12. Strategies to Improve Adherence to Antiretroviral Therapy .................................K-4
                   Adverse Effects of Antiretroviral Agents....................................................................................K-7
                       Table 13. Antiretroviral Therapy-Associated Common and/or Severe Adverse Effects........K-8
                   Drug Interactions.......................................................................................................................K-14

                       Table 14. Drugs That Should Not Be Used with PIs, NNRTIs, or CCR5 Antagonist .........K-17
                       Table 15a. Drug Interactions between PIs and Other Drugs .............................................K-19
                       Table 15b. Drug Interactions between NNRTIs and Other Drugs......................................K-30
                       Table 15c. Drug Interactions between NRTIs and Other Drugs (Including ARV Agents)..K-36
                       Table 15d. Drug Interactions between CCR5 Antagonist and Other Drugs.......................K-38
                       Table 15e. Drug Interactions between Integrase Inhibitor and Other Drugs.....................K-39

                       Table 16a. Interactions among PIs .....................................................................................K-40
                       Table 16b. Interactions between NNRTIs, MVC, RAL, and PIs..........................................K-41

            Preventing Secondary Transmission of HIV...................................................................................L-1
            Conclusion ...........................................................................................................................................M-1

            Appendix A: Key to Acronyms...........................................................................................................N-1

            Appendix B: Drug Characteristics Tables.......................................................................................O-1
                   Appendix B, Table 1. Characteristics of NRTIs..........................................................................O-1
                   Appendix B, Table 2. Characteristics of NNRTIs.......................................................................O-4
                   Appendix B, Table 3. Characteristics of PIs ...............................................................................O-6

            Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents            v

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