TABLE 2.

Major Antiretroviral Toxicities Described in the WHO Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Prevention HIV Infection 201638

Antiretroviral DrugToxicity
AbacavirHypersensitivity reaction
Atazanavir/rElectrocardiographic abnormalities (PR and QRS interval prolongation)
Indirect hyperbilirubinemia (clinical jaundice)
Nephrolithiasis
ZidovudineSevere anemia, neutropenia
Lactic acidosis or severe hepatomegaly with steatosis
Lipoatrophy
Lipodystrophy
Myopathy
Darunavir/rHepatotoxicity
Severe skin and hypersensitivity reactions
DolutegravirHepatotoxicity
Hypersensitivity reactions
EfavirenzPersistent central nervous system toxicity (such as dizziness, insomnia, abnormal dreams) or mental symptoms (anxiety, depression, mental confusion)
Convulsions
Hepatotoxicity
Severe skin and hypersensitivity reactions
Gynecomastia
Severe skin and hypersensitivity reactions
Lopinavir/rElectrocardiographic abnormalities (PR and QRS interval prolongation, torsades de pointes)
Hepatotoxicity
Pancreatitis
Dyslipidemia
Diarrhea
NevirapineHepatotoxicity
Severe skin rash and hypersensitivity reaction, including Stevens-Johnson syndrome
RaltegravirRhabdomyolysis, myopathy, myalgia
Hepatitis and hepatic failure
Severe skin rash and hypersensitivity reaction
Tenofovir
Disoproxil Fumarate
Chronic kidney disease
Acute kidney injury and Fanconi syndrome
Decreases in bone mineral density
Lactic acidosis or severe hepatomegaly with steatosis