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Editorial
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Volume 341:1925-1926 December 16, 1999 Number 25
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Choosing the Best Initial Therapy for HIV-1 Infection

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 by Staszewski, S.
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 by Starr, S. E.
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Fifteen drugs are currently available for the treatment of patients with human immunodeficiency virus type 1 (HIV-1) infection, all of which target the virally encoded transcriptase or protease enzymes. Under development is a second generation of antiretroviral drugs that are more potent or that act at different sites of the viral replicative cycle. Theoretically, many combinations of drugs are possible. However, because of interactions between drugs, additive toxicity, and cross-resistance, the actual number of therapeutic options is limited in previously treated patients; this fact underscores the importance of initiating therapy for HIV-1 infection with the best possible regimen.

After years . . . [Full Text of this Article]

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