antiretrovirals Flashcards
standard ART
2 NRTIs + 1 active agent from another class (triple therapy)
fovir, vudine, cavir class
NRTIs
NRTIs for HBV
tenofovir, emtricitabine, lamivudine
NRTI eliminations
renally (except abacavir)
navir class
NNRTIs
NNRTIs ADEs
hepatotoxicity, rash
DDI more common in NRTI vs NNRTI
NNRTI
NNRTIs DDI
CYP3A4, acid suppressants (rilpivirine)
navir class
protease inhibitor
navir ADEs
increased GI + metabolic toxicity
navir 3A4 inhibition causes
increased bioavailability, decreased risk of resistance
tegravir class
INSTI
INSTI ADEs
well-tolerated
elvitegravir requirement
booster (COBI)
entry inhibitors
maraviroc, ibalizumab, fostemsavir
maraviroc, ibalizumab, fostemsavir use
multi-drug resistance
maraviroc needs
trophile test
TDF vs TAF tox.
TDF more bone + renal tox.
NNRTI resistance
lowest barrier to resistance
abacavir requirements
test