Talk to us  l  Become a volunteer  
A manual for NGOs
Synergising HIV/AIDS and Sexual reproductive Health and Rights
ARTICLE
HIV/AIDS Statistic in Malaysia
 
GALLERY
Visit our gallery to watch some of the movie and images that we offer.
BLOG
Blog by Pi's Twist
Blog by Marina Mahathir
MusingfromMarinaMahathir
Blog from MAC|MAF
 
HIV/AIDS Basic
HIV/AIDS Prevention
HIV/AIDS Testing
HIV/AIDS Treatment
What is HAART?
Starting HAART
Treatment side effects
Adherence
Treatment resistance
Opportunistic illnesses
Advocacy & Public Policy
Positive Living
Red Ribbon
 
AARG
AWAM
Bar Council
BMSM
CWS
FFPAM
PPIM
 
 

In order for HIV treatment to be effective for a long time, it has been found that you need to take more than one medicines at a time. This is what is known as combination therapy or Highly Active Antiretroviral Therapy (HAART). The general recommendation is to use a minimum of 3 different drugs/medicines.

 
If one drug/medicine is taken on its own, after a period of time, the medicine will stop working. After a period of time, HIV will no longer be affected by this one drug/medicine. Hence, the virus will start replicating again as before. This condition is known as the virus becoming resistant to the drugs/medicine. If 2 or more medicine are taken together slows down the production of HIV at all stages and vastly reduces the rate at which resistance develops.
 
 
The groups of medicines/antiretroviral drugs (ARV)
There are 3 main groups of drugs; each of these groups attacks HIV in a different way:
  • Nucleoside Reverse Transcriptase Inhibitors (NRTI)
    The first group of ARV is the Nucleoside Reverse Transcriptase Inhibitors (NRTI). HIV needs an enzyme called reverse transcriptase in order to be able to infect healthy T-cells and reproduce itself. As the name conveys, NRTI inhibits reverse transcriptase that slows down the production of the reverse transcriptase enzyme and disable HIV infection and replication.
  • Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTI)
    The second group of ARV is the non-nucleoside reverse transcriptase inhibitors (NNRTI). This group of drugs also stops HIV from infecting T-cells by intervening with the transcriptase of the virus. The NNRTI binds to the T-cell's reverse transcriptase, hence confusing the HIV virus. NNRTI drugs blocks the duplication and the spread of HIV.
  • Protease Inhibitors
    The third type of ARV is the Protease Inhibitors (PI) group. As the name says, PI inhibits protease. Almost all living cells contain protease. Protease is a digestive enzyme that breaks down protein and is one of the many enzyme that HIV uses to reproduce itself. HIV attacks the long and healthy chains of enzyme & proteins in the cells and cuts them into smaller pieces.

    PI takes effect before HIV has a chance to attack the healthy enzyme and proteins. The NRTI and NNRTI only have effect on newly infected cells. PI can slow the process of immature HIV preventing HIV to mature, thus making them infectious. PI also work in cells that have been infected for a long time, by slowing down the reproduction of the virus.
NRTI* acts like a broken building blocks so that the HIV virus that multiplies in your T-cells is built on broken blocks - it makes it weaker
 
NNRTI* gives wrong instructions to HIV and confuses the building process, so their building is weak and easily collapsed
 
PI* are like workers putting defective parts in each new virus being built, again making the HIV weak
 
The names of antiretroviral drugs (ARV)
ARV is sometimes referred by their chemical name, for example AZT. The second name for the drug is the common name for all drug with the same chemical structure, AZT is also known as zidovudine. The third name is the brand name given by the pharmaceutical company. One of the brand names for zidovudine is Retrovir.
 
Chemical name
Brand name
NRTI
zidovudine
Retrovir/AZT
lamivudine
3TC
zivovudine + lamivudine
Combivir/Duovir
D4T
Zerit/Stavudine
DDL
Videx/Videx EC
NNRTI
nevirapine
Viramune/Nevimune
efavirenz
Stocrin
PI
indinavir
Crixivan
nelfinavir
Viracept
ritonavir
Norvir
lopinavir+ ritonavir
Kaletra
saquinavir
Fortovase, Invirase
10 January 2008
Ujian AIDS.
 
07 January 2008
Ramai wanita pekerja seks di India guna kondom.
 
05 January 2008
Amal kehidupan bermoral elak di jangkiti HIV.
 
Jan 2008
Health and Beauty.
 
Jan 2008
Riding for Life.
 
 
Special Projects
NSEP
Monitoring & Evaluation
Marginalized Communities
Forum
Facebook
Volunteering
Useful Links
Directory of Services
Online Library
Web Mail
 
Who is MAF
Mission
The Malaysian AIDS Foundation's 'Circle of Hope' fund supports
Faces of MAF
What happened recently at the Malaysian AIDS Foundation?
On-Going Fundraising Events
On-line donation
Contact
 
 
(c) 2007 Malaysian AIDS Council All rights reserved