Re: India to provide costly 'second-line' AIDS drugs

[Guest guest]

Dear forum,

Yes this is a bold declaration from NACO chief !.

But there is another situation evolving which may need immediate attention even

before thinking second line. There are a large number of patients who cannot

tolerate stavudine and zidovudine in the first line.

We don’t have Tenofovir in the first line medicine and can not provide

lamivudine and nevirapine from the program even if the patient can afford to

bye Tenofovir ( Rs 1500 per month ). I feel our immediate need is to include

tenofovir tablets for alternative first line and I am sure NACO will look into

it.

Altering the first line to Tenofovir/efavirenz/ emtricitabine is another option

which may solve may other issues related to ARV.

Dr Ajithkumar

Trichur, Kerala

e-mail: <ajisudha@...>

[Guest guest]

Dear Forum,

Re: /message/7176

Supporting the motion of Dr Ajithkumar, and adding:

1 Line alternative

Tenofovir/efavirenz/ emtricitabine

once a DAY tablet

in FIX DRUG COMBINATION (FDC) like TRIOMUNE

NOW IN THE INDIAN MARKET AT

cost 5000 INR x month

If we compare with 2 line

TNF or ABC

3TC

LPN/r or EFV

8 to 11 pills per day 10000 INR x month

An efficient alternative before shift to 2 line!, and figures speaks for its

one

Thank you

Dr. CARAVOTTA

LIZANDRE Bld, Plot 38

GF,1A. St. BAPTIST Rd

BANDRA West 400050

MUMBAI- INDIA

e-mail: jorge.caravotta@...

MOBILE: +91 9920041943

LAN line: +91 2226424819

http://drjorgecaravotta.com/

http://humanityfilms.blogspot.com/