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Nonnucleoside Reverse Transcriptase Inhibitors (NNRTIs) for HIV

Índice de Materias

Nonnucleoside Reverse Transcriptase Inhibitors (NNRTIs) for HIV


Nombre genéricoNombre de marca

Combination medicines

Nombre genéricoNombre de marca
efavirenz, emtricitabine, tenofovirAtripla
emtricitabine, rilpivirine, and tenofovirComplera

These medicines may be available in other combinations to treat HIV infection.

How It Works

Nonnucleoside reverse transcriptase inhibitors (NNRTIs) are antiretroviral medicines. They prevent the human immunodeficiency virus (HIV) from multiplying. When the amount of virus in the blood is kept at a minimum, the immune system has a chance to recover and grow stronger.

Why It Is Used

The use of three or more antiretroviral medicines (antiretroviral therapy, or ART) is the usual treatment for HIV infection.

The combination of medicines used for ART will depend on your health, other conditions you might have (such as hepatitis), and results of testing. Talk to your doctor about the best treatment plan for you.

Medical experts recommend that people begin treatment for HIV as soon as they know that they are infected.1, 2 Treatment is especially important for pregnant women, people who have other infections (such as tuberculosis or hepatitis), and people who have symptoms of AIDS.

You may also want to start HIV treatment if your sex partner does not have HIV. Treatment of your HIV infection can help prevent the spread of HIV to your sex partner.3

The U.S. National Institutes of Health recommends one of the following programs for people who start treatment for HIV:3

Los Puntos de decisión se centran en cualquier decisión clave sobre la asistencia médica que sea importante para distintos problemas de salud. HIV: When Should I Start Antiretroviral Medicines for HIV Infection?
Las Medidas prácticas les ayudan a las personas a participar activamente en la gestión de una condición de salud. HIV: Taking Antiretroviral Drugs

How Well It Works

When compared with people who are given single- or double-medicine therapy, people who are given triple-medicine therapy (ART):

Antiretroviral therapy can also decrease symptoms of HIV infection, such as fever, weakness, and weight loss.

The rate at which antiretrovirals decrease viral loads is affected by:3

Side Effects

All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.

Here are some important things to think about:

Call 911 or other emergency services right away if you have:

Call your doctor if you have:

Common side effects of these medicines include:

In rare cases, nevirapine causes liver damage that can be severe and life-threatening. Regular blood tests may be needed to watch for liver problems.

Etravirine can cause a rare, but severe, skin reaction.

Side effects of any combination medicine can include the side effects of any of the single medicines in the combination.

Side effects usually are not as bad after your body has adjusted to the medicine. Report all side effects to your doctor. He or she may be able to help you reduce side effects by giving you other medicines.

Many people think that antiretroviral medicines always have severe side effects. In fact, only a few people experience severe side effects.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Resistance to single-medicine NNRTI treatment develops quickly. For this reason, they should be used only in combination with other antiretroviral medicines to treat HIV infection or to prevent or delay the development of resistance.

Things to think about when choosing a combination of medicines include:

Taking medicine

Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.

There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.

Advice for women

If you are pregnant, breast-feeding, or planning to get pregnant, do not use any medicines unless your doctor tells you to. Some medicines can harm your baby. This includes prescription and over-the-counter medicines, vitamins, herbs, and supplements. And make sure that all your doctors know that you are pregnant, breast-feeding, or planning to get pregnant.


Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Complete the new medication information form (PDF) to help you understand this medication.



  1. U.S. Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents (2012). Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. Available online:

  2. Thompson MA, et al. (2012). Antiretroviral treatment of adult HIV infection: 2012 recommendations of the International Antiviral Society—USA Panel. JAMA, 308(4): 387–402.

  3. U.S. Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents (2011). Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. Available online:

Créditos para Nonnucleoside Reverse Transcriptase Inhibitors (NNRTIs) for HIV

By Healthwise Staff
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer Peter Shalit, MD, PhD - Internal Medicine
Last Revised November 7, 2012

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