Current Standards of Care in HIV and a Brief History of HIV Treatments

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HIV, or human immunodeficiency virus, is a virus that attacks the immune system and can lead to AIDS, or acquired immunodeficiency syndrome. The history of HIV treatments is long and complex, with many different drugs and strategies developed over the years.

The first treatments for HIV were developed in the mid-1990s, and were known as “highly active antiretroviral therapy” (HAART). These drugs, which were typically combinations of three or more different medications, aimed to suppress the virus and prevent it from replicating. This led to a significant improvement in the prognosis for people living with HIV, as well as a decrease in the number of AIDS-related deaths.

However, these early treatments were not without their problems. The drugs were often difficult to take, with many side effects and interactions. In addition, the virus was able to become resistant to the drugs over time, making treatment less effective.

In response to these challenges, researchers continued to develop new drugs and strategies. One of the most significant advancements in the field was the development of “integrase inhibitors” in 2007. These drugs block a specific enzyme that the virus needs to replicate, making it much more difficult for the virus to become resistant.

Another important development was the use of “co-receptor antagonists,” which block the virus from entering cells. These drugs, known as “entry inhibitors,” have been shown to be highly effective in certain patients and are now a standard part of many HIV treatment regimens.

Currently, the standard of care for HIV treatment involves the use of combination antiretroviral therapy (cART). It is a combination of at least three drugs from two different classes. This approach is effective in suppressing the virus and allowing the immune system to recover. The goal of treatment is to achieve an undetectable viral load, meaning the virus is present in such low amounts that it cannot be detected by standard tests. When a person’s viral load is undetectable, they are said to have an “undetectable viral load” (UVL) which is not only beneficial for the individual but also helps to prevent further spread of the virus.

In recent years, advances in HIV treatment have also led to the development of “long-acting” antiretroviral therapy (ART). These drugs are given as infusions or injections, rather than pills, and can be administered less frequently. This has the potential to improve adherence and make treatment more convenient for patients.

Overall, the history of HIV treatments is one of constant evolution, with new drugs and strategies being developed to improve the prognosis for people living with HIV. While there is still no cure for the virus, these treatments have allowed many people to live long and healthy lives. Today, people with HIV who are on treatment and maintain an undetectable viral load for at least 6 months have effectively no risk of transmitting HIV to their sexual partners.

References: 1. (2021). HIV Treatment. Retrieved from

2. World Health Organization. (2021). HIV treatment. Retrieved from

3. U.S. Department of Health and Human Services. (2021). Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV. Retrieved from

*This article was produced with the assistance of artificial intelligence. Please always check and confirm with your own sources, and always consult with your healthcare professional when seeking medical treatment.

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