Additional Antiretrovirals Flashcards
What are the additional retrovirals
Enfuvirtide
Raltegravir
Maraviroc
What does Enfuvirtide do
Fusion inhibitor
What does Raltegravir do
Integrase strand transfer inhibitor (INSTI)
How does Enfuvirtide work
Similar structure to gp41
Binds gp41 and prevents virion fusion
Does Enfuvirtide interact with other anti-retrovirals
No
What does Maraviroc do
Entry inhibitor
How does Raltegravir work
Binds Integrase on HIV 1,2
Inhibits viral genome integration into host DNA
What metabolizes Raltegravir
UGT1A1 glucuronidation
What decreases the serum conc of Raltegravir
Rifampin
Tipranavir
Efavirenz
What increases the serum conc of Raltegravir
PPIs
Raltegravir AE
Increase creatine phosphokinase
N/D
HA
How does Maraviroc work
Bind CCR5 blocking entry into cell
What metabolizes Maraviroc
3A4
Maraviroc AE
Hepatotoxicity