Table 2. Advantages and Disadvantages of NNRTIs

Advantages Disadvantages

All NNRTIs
  • No cross resistance to nucleoside analogs
  • Cross-resistance to other NNRTIs
  • Relatively low threshold for development of resistance, especially if used alone or in suboptimal regimen
Nevirapine
  • Once or twice daily dosing
  • Good CNS penetration
  • Compatible with protease inhibitors
  • Potential for pediatric use
  • Rashes (17% mild, 7.6% severe)
  • Reduces the effectiveness of oral contraceptives
Delavirdine
  • Less severe rash than with nevirapine
  • Rash (18% mild, 3.6% severe)
  • Three times daily dosing
  • Poor CNS penetration
  • Drug interactions
  • Limited data regarding safety of combining with protease inhibitors
Efavirenz
  • Single daily dosing
  • Well tolerated
  • Good CNS activity
  • CNS side effects
  • Incompatible with clarithromycin
  • Reduces the effectiveness of oral contraceptives
Loviride
  • Good safety profile
  • Not available in the United States
  • Three times daily dosing
  • Limited antiviral and clinical benefit
HBY 097
  • Not known
  • Not known