Nevirapine

Paul A. Pham, Pharm.D., John G. Bartlett, M.D., Alice Jenh Hsu, Pharm.D.
Nevirapine is a topic covered in the Johns Hopkins ABX Guide.

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INDICATIONS

FDA

  • Treatment of HIV infection in combination with other antiretroviral agents.
  • Due to increased risk of hepatitis, avoid starting NVP in women with pre-treatment CD4 >250 and men with CD4 >400.

NON-FDA APPROVED USES

  • Single dose at time of delivery to prevent perinatal transmission (widely used in developing countries, but risk of NNRTI resistance; combination therapy preferred when available). Risk of hepatitis for women with CD4 >250 does not apply to single dose NVP.

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INDICATIONS

FDA

  • Treatment of HIV infection in combination with other antiretroviral agents.
  • Due to increased risk of hepatitis, avoid starting NVP in women with pre-treatment CD4 >250 and men with CD4 >400.

NON-FDA APPROVED USES

  • Single dose at time of delivery to prevent perinatal transmission (widely used in developing countries, but risk of NNRTI resistance; combination therapy preferred when available). Risk of hepatitis for women with CD4 >250 does not apply to single dose NVP.

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