Pifeltro, known by its generic name Doravirine, is a prescription medication used in the treatment of human immunodeficiency virus type 1 (HIV-1) infection. It belongs to the class of drugs known as non-nucleoside reverse transcriptase inhibitors (NNRTIs). Here is a detailed description of Pifeltro (Doravirine):
1. Mechanism of Action: Doravirine, the active ingredient in Pifeltro, works by inhibiting the reverse transcriptase enzyme, which is essential for the replication of HIV-1. It specifically targets the non-nucleoside reverse transcriptase, preventing the conversion of viral RNA into DNA. This interference with the HIV-1 replication process helps to slow the progression of the virus and reduce viral load in the body.
2. Indications:
- Treatment of HIV-1: Pifeltro is used in combination with other antiretroviral medications to treat HIV-1 infection in adults who have never taken HIV treatment before (treatment-naïve) or in those who are virologically suppressed on their current antiretroviral regimen and wish to change treatment.
3. Administration: Pifeltro is available in tablet form and is taken orally once daily with or without food. The specific combination of antiretroviral drugs used in treatment should be determined by a healthcare provider based on the patient’s viral load, resistance profile, and individual needs.
4. Effectiveness: Clinical studies have demonstrated that Doravirine is effective in reducing viral load and increasing CD4+ cell counts in individuals living with HIV-1. It offers a convenient once-daily dosing option for those starting or switching antiretroviral therapy.
5. Safety Profile: Like all medications, Pifeltro may have potential side effects. Common side effects can include headache, nausea, diarrhea, and abnormal liver function tests. Serious side effects are rare but can include severe skin reactions and liver problems. Patients should discuss potential side effects and any concerns with their healthcare providers.
6. Monitoring: Patients taking Pifeltro for HIV treatment will require regular monitoring of their viral load, CD4+ cell count, liver function, and overall health to ensure that their HIV infection remains well-controlled and to detect and manage any potential side effects.
7. Contraindications: Pifeltro is generally not recommended for individuals with known hypersensitivity to the drug or those taking certain medications that may interact with Doravirine.
Pifeltro (Doravirine) is a valuable addition to the range of antiretroviral medications available for the treatment of HIV-1. It provides an effective and convenient option for individuals living with HIV-1, helping them to achieve and maintain viral suppression and improve their quality of life. Patients should work closely with their healthcare providers to determine the most appropriate treatment regimen based on their individual needs and circumstances.
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