Hesperian Health Guides

ART for treatment and prevention for people age 11 and older

Every day 20,000 people visit the HealthWiki for lifesaving health information. A gift of just $5 helps make this possible!

Make a giftMake a gift to support this essential health information people depend on.


HealthWiki > Helping Children Live with HIV > Chapter 7: Prevention of HIV in children and mothers > ART for treatment and prevention for people age 11 and older


If you have HIV and are pregnant or breastfeeding, you can take the same ART medicines other adults take for treatment. Start as soon as you know you have HIV. Keep taking ART lifelong. If you must stop your ART, do not stop before the baby is 6 to 12 months old, and continue at least as long as you breastfeed the baby

Combination 1
HIV Ch7 Page 115-1.png
Medicines Dose Warnings and side effects Advantages
  • tenofovir (TDF)
300 mg, once a day Can cause kidney problems
  • Preferred combination for pregnant and breastfeeding women and people with hepatitis B.
  • lamivudine (3TC)
300 mg, once a day
or
  • emtricitabine (FTC)
200 mg, once a day
  • efavirenz (EFV)
600 mg, once a day
  • Good combination if taking rifampicin for TB
Combination 2
Medicines Dose Warnings and side effects Advantages
  • zidovudine (AZT)
250 to 300 mg, 2 times a day Anemia
Low white blood count
  • Good combination if taking rifampicin for TB.
  • lamivudine (3TC)
150 mg, 2 times a day, or 300 mg, once a day
  • efavirenz (EFV)
600 mg, once a day
Combination 3
Medicines Dose Warnings and side effects Advantages
  • zidovudine (AZT)
250 to 300 mg, 2 times a day Anemia
Low white blood count
  • Good combination if taking rifampicin for TB.
  • lamivudine (3TC)
150 mg, 2 times a day, or 300 mg, once a day
  • nevirapine (NVP)
200 mg, once a day for 14 days, then 200 mg 2 times a day Skin rash
Liver problems
Combination 4
Medicines Dose Warnings and side effects Advantages
  • tenofovir (TDF)
300 mg, once a day Kidney problems
  • lamivudine (3TC)
300 mg, once a day
or
  • emtricitabine (FTC)
200 mg, once a day
  • nevirapine (NVP)
200 mg, once a day for 14 days, then 200 mg 2 times a day Skin rash
Liver problems


IMPORTANT: Many people take stavudine (d4T) instead of zidovudine (AZT) in Combinations 2 and 3. Most HIV treatment programs are trying not to use stavudine because long-term use can cause severe side effects. If you use stavudine, do not take more than 30 mg, 2 times a day.





This page was updated:27 Nov 2019