Antiretroviral Drug Flashcards

1
Q

What are the anti retro viral drugs

A

Nucleoside reverse transcript is non nucleoside reverse transcript is protease inhibitor entry inhibitor integers inhibitor

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2
Q

The mechanism of nucleoside reverse transcriptase

A

These drugs after entering HIV infected cells are converted to the active fry phosphate form by cellular kines and competitively inhibit the HIV river transcript is which will interrupt the growing viral DNA and terminate the chain elongation of pro viral DNA

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3
Q

Which drugs are included in nucleoside reverse transcript is inhibitor

A
Zidovudine
Stavudine
Lamivadine
Emtricitabine
Abacavir
Didanasone
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4
Q

Characteristics of nRTI

A

Effective against HIV 1 and hiv2

Protects any uninfected cell

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5
Q

Which thymidine analogue is used as nucleoside reverse transcript is inhibitors

A

Zidovudine
Protype drug of nRTI
Protects uninfected cell
Cross placental barrier

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6
Q

Adverse drug reaction of zidovudine

A
Bone marrow suppression
Anemia
Neutropenia
Initially....
Nausea
Vomitting
Long term therapy
  Hepatotoxicity
   Myopathy with fatigue
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7
Q

Which nucleoside reverse transcriptase inhibitor cause hypersensitivity reaction

A

Abacavir

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8
Q

Which nucleoside reverse transcriptase inhibitor is effective against hepatitis b virus

A

Tenofovir

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9
Q

Non nucleoside reverse transcriptase inhibitor

A

Effective against HIV 1
Directly and noncompatitively inhibits HIV riverse transcriptase
enzyme
Can be combined with nRTI for the treatment of aids

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10
Q

Which drugs are included in non nucleoside reverse transcriptase inhibitors

A

Nevirapine
Delaviridine
Efavirenz

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11
Q

What are the adverse reaction of non nucleoside reverse transcript is inhibitor

A

Skin rashes, fever ,nausea, CNS disturbences

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12
Q

Nevirapine information

A

Highly lipids soluble
Cross placental barrier
ADR rashes, hepatotoxicity

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13
Q

Which non nucleoside reverse transcript is drug has longer duration of action

A

Efivarinz

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14
Q

Which are the drugs which are included in protease inhibitors

A

Idinavir
Nelfavir
Ritonavir

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15
Q

Mechanism of action of protease inhibitor

A

It competitively in he beat HIV protest enzyme and prevent cleavage of polyproteins to final functional structure enzymetic component of HIV which will infect the other cell and so the infection of other cell is prevented

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16
Q

Adverse drug reaction of protease inhibitor

A

Nausea ,vomiting ,diarrhoea ,muscle wasting, insulin resistance ,diabetes

17
Q

Which protease is inhibitor inhibits both HIV 1 and hiv2

A

Ritonavir

18
Q

Example of entry fusion inhibitor

A

Enfuvirtide

Maraviroc

19
Q

Ccr5 chemokine receptor antagonist

A

Maraviroc

20
Q

Side effects of entry fusion inhibitor

A

Pain

Erythema

21
Q

Example of integrase inhibitor

A

Raultegravir

Dolutegravir

22
Q

Mechanism of action of integerase inhibitor

A

The prevent integration of viral DNA with the host DNA and are effective against both HIV 1 and hiv2

23
Q

Prophylaxis of HIV infection

A

1.pre exposure prophylaxis
High risk - heterosexual men, transgender,iv drug abuser
FDC- tenofovir (300mg)+emtricitabine (200mg)
2.post exposure prophylaxis
Initiated within 72 hours of exposure
Same fdc
Drug administration till 28 days