Third-line Antiretroviral Therapy in a Nigerian Clinic: Case

<!DOCTYPE html> <html> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>Third-line Antiretroviral Therapy in a Nigerian Clinic: Case | 103949</title> <meta name="keywords" content="Herbertson EC, Gbajabiamila TA, Ekama SO, Idigbe IE, Third-line antiretroviral therapy; Regimen; Nigeria"/> <meta name="description" content="There is limited experience with use of third line regimen in sub-Saharan Africa. It is expected that about 10% of those on 1st line treatment will fai..103949"/> <meta name="citation_publisher" content="IT Medical Team" /> <meta name="citation_journal_title" content="Archives of Medicine"> <meta name="citation_title" content="Third-line Antiretroviral Therapy in a Nigerian Clinic: Case Series"> <meta name="citation_author" content="Herbertson EC" /> <meta name="citation_author" content="Gbajabiamila TA" /> <meta name="citation_author" content="Ekama SO" /> <meta name="citation_author" content="Idigbe IE" /> <meta name="citation_year" content="2017"> <meta name="citation_volume" content="9"> <meta name="citation_issue" content="4"> <meta name="citation_doi" content="10.21767/1989-5216.1000223"> <meta name="citation_issn" content="1989-5216"> <meta name="citation_online_date" content="2022/01/21" /> <meta name="citation_firstpage" content="0"> <meta name="citation_lastpage" content="0"> <meta name="citation_abstract" content="There is limited experience with use of third line regimen in sub-Saharan Africa. It is expected that about 10% of those on 1st line treatment will fail and to be switched to 2nd line. Another 10% of those on 2nd line are also expected to fail and be switched to 3rd line. Recommendation for 3rd line in the guidelines is to include new drugs with minimal risk of cross resistance to previously used regimens such as Integrase Inhibitors and second-generation NNRTIs and PIs. We present three cases on third-line regimen on boosted Darunavir, Etravirine and Raltegravir. 66.7% viral suppression was achieved after four years of access to the medication. The third line regimen was well tolerated by the three cases and there was no report of serious adverse drug reaction. Adherence was also good in all cases. Third line regimen is effective but there is need to secure access. The cases reported had to interrupt treatment because access to free third-line ART was terminated by implementing partners. The Nigerian government is encouraged to take up the responsibility to provide third line regimen. 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Therapy in a Nigerian Clinic: Case Series</h2> <p> <i class="fa fa-user"></i> Herbertson EC, Gbajabiamila TA, Ekama SO, Idigbe IE </p> <p><p>There is limited experience with use of third line regimen in sub-Saharan Africa. It is expected that about 10% of those on 1<sup>st</sup> line treatment will fail and to be switched to 2<sup>nd</sup> line. Another 10% of those on 2<sup>nd</sup> line are also expected to fail and be switched to 3<sup>rd</sup> line. Recommendation for 3<sup>rd</sup> line in the guidelines is to include new drugs with minimal risk of cross resistance to previously used regimens such as Integrase Inhibitors and second-generation NNRTIs and PIs. We present three cases on third-line regimen on boosted Darunavir, Etravirine and Raltegravir. 66.7% viral suppression was achieved after four years of access to the medication. The third line regimen was well tolerated by the three cases and there was no report of serious adverse drug reaction. Adherence was also good in all cases. Third line regimen is effective but there is need to secure access. The cases reported had to interrupt treatment because access to free third-line ART was terminated by implementing partners. The Nigerian government is encouraged to take up the responsibility to provide third line regimen.</p> </p> <p class="mb-1 font-size-3 text-muted"> </p> <nav class="nav a-pl-0"> <a href="https://www.itmedicalteam.pl/articles/thirdline-antiretroviral-therapy-in-a-nigerian-clinic-case-series-103949.html" title="Click here" class="nav-link text-danger"><img src="/assets/img/html.svg" alt="HTML" height="26"></a> <a href="https://www.itmedicalteam.pl/articles/thirdline-antiretroviral-therapy-in-a-nigerian-clinic-case-series.pdf" title="Click here" class="nav-link text-success"><img src="/assets/img/PDF_32.png" alt="PDF" height="26"></a> </nav> <div class="nav social-icons align-items-center"> <p class="m-0">Share this article:</p> <a class="facebook" title="Click here" target="_blank" href="https://www.facebook.com/sharer.php?u=https://www.itmedicalteam.pl/abstract/thirdline-antiretroviral-therapy-in-a-nigerian-clinic-case-series-103949.html" rel="noopener"><i class="fa fa-facebook"></i></a> <a class="twitter" title="Click here" target="_blank" href="https://twitter.com/share?url=https://www.itmedicalteam.pl/abstract/thirdline-antiretroviral-therapy-in-a-nigerian-clinic-case-series-103949.html" rel="noopener"><i class="fa fa-twitter"></i></a> <a class="linkedin" title="Click here" target="_blank" href="https://www.linkedin.com/shareArticle?mini=true&url=https://www.itmedicalteam.pl/abstract/thirdline-antiretroviral-therapy-in-a-nigerian-clinic-case-series-103949.html" rel="noopener"><i class="fa fa-linkedin"></i></a> <a class="google" title="Click here" target="_blank" href="https://plus.google.com/share?url=https://www.itmedicalteam.pl/abstract/thirdline-antiretroviral-therapy-in-a-nigerian-clinic-case-series-103949.html" rel="noopener"><i class="fa fa-google-plus"></i></a> </div> </div> </div> </div> </section> <section> <footer> <div class="custom-footer"> <div class="container"> <div class="row"> <div class="col-md-4 md-margin-bottom-40"> <a href="https://www.itmedicalteam.pl/" title="Click here"><img id="logo-footer" src="/assets/images/footer-logo.png" alt="IT Medical Team" width="50%"></a> <p class="py-3">The IT Medical Team is an international, open access source for medical, clinical and pre-clinical research. 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Third-line Antiretroviral Therapy in a Nigerian Clinic: Case | 103949