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Introduction

  • Highly active antiretroviral therapy (HAART) based on two nucleoside analogue reverse transcriptase inhibitors (NRTIs) and one protease inhibitor (PI) is a recommended initial regimen for the treatment of HIV-1 infection.1
  • PI exposure can be raised or �boosted� by co-administration of a second drug such as ritonavir. Due to favourable clinical data on PI/ritonavir combinations such as saquinavir/ritonavir, this approach is recommended in current guidelines for antiretroviral therapy1-3 and has also been successfully employed during the development of lopinavir/ritonavir.4,5
  • This section of the site aims to explain the principles and rationale behind PI boosting and highlights some of the ongoing investigations and approaches to the use of this strategy.
  • For some PIs, however, boosting is still largely investigational and the outcome of ongoing clinical trials are awaited to further assess the safety and effectiveness of these strategies.
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