CURRENT RECOMMENDATIONS FOR MANAGEMENT OF HIVAN ART Triple therapy: dose adjusted for renal failure (see Table VI) ACE-1 or
A2RB If proteinuria >1 g/24 hours or if proteinuria on diptsick persists after 3 months on ART Corticosteroids After consultation with a nephrologist Chronic renal failure Refer to a nephrologist if possible, (follow up 3-monthly) manage as for any patient with chronic renal failure: Hypertension (aim for BP <120170 mmHg) Calcium/phosphate/potassium metabolism Anaemia (especially if using AZT/3TC) Acidosis Dyslipidaemia Dietary recommendations End-stage renal disease Initiate renal replacement therapy or refer to nephrologist if therapy unavailable TABLE VI.