TY - CHAP M1 - Book, Section TI - Antiretroviral Agents and Treatment of HIV Infection A1 - Flexner, Charles A2 - Brunton, Laurence L. A2 - Chabner, Bruce A. A2 - Knollmann, Björn C. PY - 2015 T2 - Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 12e AB - There are currently several million people taking chronic combination antiretroviral therapy to suppress human immunodeficiency virus (HIV) infection, including >3 million in sub-Saharan Africa alone. This is an amazing achievement for a disease that was uniformly fatal and with few treatment options just two decades ago. Combination antiretroviral therapy prolongs life and prevents progression of disease caused by HIV. The pharmacotherapy of HIV infection is a rapidly moving field. In 2009, 24 antiretroviral drugs were available in the U.S. Three-drug combinations are the minimum standard of care for this infection, so current agents constitute several thousand possible regimens. The long-term management of a patient on antiretroviral therapy can be daunting, even for experienced healthcare providers. Knowing the essential features of the pathophysiology of this disease and how chemotherapeutic agents affect the virus and the host is critical in developing a rational approach to therapy. Unique features of this drug class include the need for lifelong administration to control virus replication and the possibility of rapid emergence of permanent drug resistance if these agents are not used properly. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2023/10/01 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1127871336 ER -