Guides

Introduction to this edition

This is a guide for anyone interested in HIV treatment (called ART).

It is especially for people with HIV to feel more in control of this part of life.

The guide was written and reviewed by community activists and health professionals, including people living with HIV.

Information is based on the 2023 interim update of the UK BHIVA guidelines.

bhiva.org

We also refer to 2024 European and US guidelines.

eacsociety.org

hivinfo.nih.gov

All guidelines stress that ART should be individualised for you.

Changes in this update include:

  • One major change is that for the first time since 2000 this guide will not be available as a printed booklet. This is due to funders deciding that online information makes printed versions no longer important. If you are a funder and would like to support this, please get in touch.
  • All online pages have been updated and edited.
  • New information is included for transgender and non-binary people and ART.
  • Information is included about choice of ART and current guidelines. This includes that guidelines recommend integrase inhibitors – either dolutegravir or bictegravir – for first-line ART.
  • The section on choice of first-line ART has been updated to focus on the most commonly used combinations.
  • The guide includes new information about weight changes as a side effect of some HIV drugs.
  • It also includes recent options for two-drug ART with some drugs. This includes cabotegravir/rilpivirine long-acting injections – but only as a switch option. These injections are now available in the UK. This is only for some people.
  • The section on future drugs has been updated.
  • The guide and 4-page drug chart in the centre pages have been updated to include new drugs and formulations. Pill sizes approximate to actual size.

Detailed information about every HIV drug

It is an exciting time if you are HIV positive.

ART is now recommended for everyone, even at a high CD4 count. This is for all ages, genders, other health risks and where in the world you live.

By taking control over this aspect of HIV, you can carry on with your life.

ART also prevents HIV transmission: U=U.

PrEP is also more widely used by people who are HIV negative. This makes HIV prevention a more shared experience and reduces fear of HIV.

Starting ART is now a routine next step after finding out you are HIV positive. This is one of the best ways to move forward after the shock of being diagnosed.

— Simon, London.

Last updated: 1 November 2024.