A querry on second line drug combination

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Dear FORUM,

A querry on second line drug combination

Will some one comment on prescribing duovir (AZT+3Tc) one tablet twice a day,

Lpr+Rtn(Aluvia)and TDF two tablets twice a day +3Tc(Tenvir and lamivudine)one

tablet daily to a female patient of mid forties having clinical and

immunological failure with Lamivir+Stauvudine +Efavir combination.

I think this is not the correct combination,but I may be wrong as this has been

prescribed to one C------Kaur by PGIMER Chandigarh.

Anyone who can make me and PGI autorities wiser? will SACO or NACO look into

it--as it is medical negligence to my mind (if you do not prescribe proper

combination)

Dr.Bharti

Dr.Rakesh Bharti,

Bharti Derma Care and Research center,

27-D,Sant Avenue,The Mall,

Amritsar143001,Punjab INDIA

Email-rakesh.bharti1@...

9814044213  / 01832277822 /01832278522