Table 2: Antiretroviral Drugs Available in India

S. No. Class Drug (Active Ingredient) Company Remarks
1 NRTI Zidovudine (AZT)* Ranbaxy (Sirmour, Himachal Pradesh), Aurobindo (Hyderabad, Andhra Pradesh), Cipla (Verna Industrial Estate, Goa), Matrix Laboratories (Nashik, Maharashtra), Hetero Drugs (Hyderabad, Andhra Pradesh) Second Line
2 NRTI Lamivudine (3TC) # Ranbaxy (Sirmour, Himachal Pradesh), Cipla Limited (Verna Industrial Estate, Goa), Matrix Laboratories (Nashik, Maharashtra), Hetero Drugs (Hyderabad, Andhra Pradesh), Macleods Pharmaceuticals (Kachigam,Daman) Second Line
3 NRTI Stavudin (d4T)* Aurobindo (Hyderabad, Andhra Pradesh), Matrix Laboratories (Nashik, Maharashtra), Cipla (Verna Industrial Estate, Goa), Emcure Pharmaceuticals (Pune, Maharashtra), Hetero Drugs (Hyderabad, Andhra Pradesh) -
4 NRTI Didanosine (ddl)* Aurobindo (Hyderabad, Andhra Pradesh) Second Line
5 NRTI Abacavir sulfate (ABC) # Aurobindo (Hyderabad, Andhra Pradesh), Matrix Laboratories (Nashik, Maharashtra) Second Line
6 NRTI Emtricitabine (FTC) # Aurbindo (Hyderabad, Andhra Pradesh), Matrix Laboratories (Nashik, Maharashtra) -
7 NRTI Tenofovir disoproxil fumarate (TDF) # Matrix Laboratories (Nashik, Maharashtra) Second Line
8 NRTI Abacavir, zidovudine, and lamivudine (ABC, AZT and 3TC) # Aurbindo (Hyderabad, Andhra Pradesh) 3NRTI; Trizivir US brand name in Indian generic FDC manufactured; First Line
9 NRTI Lamivudine and zidovudine (3TC and AZT) # Aurobindo (Hyderabad, Andhra Pradesh), Pharmacare Ltd, Cipla (Verna Industrial Estate, Goa), Emcure Pharmaceuticals Limited (Pune, Maharashtra), Matrix Laboratories (Nashik, Maharashtra), Hetero Drugs (Hyderabad, Andhra Pradesh) 2 NRTI; Combivir US brand name in Indian generic FDC manufactured; First Line
10 NRTI Abacavir and lamivudine (ABC and 3TC) # Aurobindo (Hyderabad, Andhra Pradesh) 2 NRTI; Epzicom US brand name in Indian generic FDC manufactured
11 NRTI Tenofovir disoproxil fumarate and emtricitabine (TDF and FTC) # Matrix Laboratories (Nashik, Maharashtra), Aurobindo (Hyderabad, Andhra Pradesh) 2 NRTI; Truvada US brand name in Indian generic FDC manufactured; Second Line
12 2 NRTI Lamivudine+Tenofovir Disoproxil Fumarate # Matrix Laboratories (Nashik, Maharashtra) -
13 2 NRTI Abacavir Sulfate+Lamivudine # Aurobindo (Hyderabad, Andhra Pradesh)
14 3 NRTI Lamivudine+Zidovudine+Abacavir Sulfate # Aurbindo (Hyderabad, Andhra Pradesh) First Line
15 NNRTI Nevirapine (NVP) # Ranbaxy (Sirmour, Himachal Pradesh), Aurobindo (Hyderabad, Andhra Pradesh), Cipla (Verna Industrial Estate, Goa), Strides Arcolabs (Anekal Taluk Bangalore), Hetero Drugs (Hyderabad, Andhra Pradesh), Matrix Laboratories (Nashik, Maharashtra) First Line
16 NNRTI Efavirenz (EFV) # Aurobindo (Hyderabad, Andhra Pradesh), Cipla Limited (Verna Industrial Estate, Goa), Strides Arcolab (Anekal Taluk Bangalore), Matrix Laboratories (Nashik, Maharashtra), Emcure Pharmaceuticals (Pune, Maharashtra), Hetero Drugs (Hyderabad, Andhra Pradesh) First Line
17 NNRTI Etravirine # Johnson & Johnson 204028; mail-box application no. IN/PCT/2001/00436/MUM
18 NNRTI+NRTI Efavirenz, emtricitabine and tenofovir disoproxil fumarate (EFV, FTC and TDF) Viraday is manufactured by Cipla NNRTI+NRTI combination; Atripla US brand name in Indian generic FDC called viraday [2]
19 2 NRTI+NNRTI Stavudine+Lamivudine+Efavirenz # Strides Arcolab (Anekal Taluk Bangalore) First Line
20 2 NRTI+NNRTI Lamivudine+Zidovudine+Efavirenz # Strides Arcolab (Anekal Taluk Bangalore), Aurobindo (Hyderabad, Andhra Pradesh) First Line
21 2 NRTI+NNRTI Lamivudine+Zidovudine+Nevirapine # Aurobindo (Hyderabad, Andhra Pradesh), Cipla Limited (Verna Industrial Estate, Goa), Strides Arcolab (Anekal Taluk Bangalore) First Line
22 2 NRTI+NNRTI Lamivudine+Stavudine+Nevirapine # Strides Arcolab (Anekal Taluk Bangalore) First Line
23 PI Indinavir (IDV) # Cipla (Verna Industrial Estate, Goa), Emcure (Pune, Maharashtra), Hetero Drugs (Hyderabad, Andhra Pradesh), Ranbaxy (Sirmour, Himachal Pradesh) Second Line
24 PI Nelfinavir (NFV) # Cipla (Verna Industrial Estate, Goa), Hetero Drugs (Hyderabad, Andhra Pradesh), Macleods Pharmaceuticals (Kachigam,Daman) Second Line
25 PI Ritonavir (RTV) # Cipla (Verna Industrial Estate, Goa), Hetero Drugs (Hyderabad, Andhra Pradesh) Second Line
26 PI Lopinavir/Ritonavir # Matrix Laboratories (Nashik, Maharashtra), Aurobindo (Hyderabad, Andhra Pradesh), Cipla (Verna Industrial Estate, Goa) Second Line
27 PI Atazanavir (ATV) # Emcure Pharmaceuticals (Pune, Maharashtra) Second Line
28 PI Darunavir** Emcure Pharmaceuticals (Pune, Maharashtra) Second Line
28 Fusion Inhibitor Nil Nil
29 Entry Inhibitors-CCR5 co-receptor antagonist Maraviroc Patent granted in India;204132; mail-box Application No. 885/BOM/1999; Drug registration in process [1] Second Line
30 HIV integrase strand transfer inhibitors Reltegravir Potassium Patent granted in India; 212400; mail-box application no. 868/CHENP/2004

Approved Drugs;
# Tentatively Approved.
** Registration pending with the Indian Drug Controller.
Explanation for classifying drugs (active ingredient) as First Line & Second Line single drug- First Line- National AIDS Control Organization (NACO); National Program.single drug- Second Line- Prioritizing Second-Line Antiretroviral Drugs for Adults and Adolescents: A Public Health Approach.FDC- First Line- NACO+WHO guidelines.FDC- Second Line- WHO guidelines.Source:1. www.jipmer.edu/charu/v4issue1.pdf2. http://pharmacy.around-world.biz/drugs/Atripla.html3. USFDA: HIV prevalence data\President's Emergency Plan for AIDS Relief updated 14/05/2009.4. Prioritizing Second-Line Antiretroviral Drugs for Adults and Adolescents: a Public Health Approach (First & Second Line).