ART Therapy (lecture) Flashcards
What is the expected increase in CD4 counts of people on effective ART therapy?
2x baseline every 3 - 6 months
What 4 conditions may indicate deferral of ART?
Barriers to adherence
Co morbidities complicate ART
Elite Controllers
Long-term non-progressor
What are the thee strategies of ART polyRx?
2 x NRTI + PI
2 x NRTI + NNRTI
2 x NRTI + integrase inhibitor
Lamivudine, Abacavir, Tenofovir, and Emtricitabine are all examples of what class of drugs?
NRTI
Which NRTI has the highest incidence of hypersensitivity?
Abacavir (5%)
What NRTI is given as a prophylactic for vertical transmission?
Tenovir
Note: This is a nucleoTIDE (not side)
What is the most commonly prescribed NNRTI?
Efavirenz
What is an absolute contraindication of Efavirenz?
Pregnancy, it is teratogenic
What is the suffix common to all protease inhibitors?
-navir
What metabolic abnormalities are a common side effect of protease inhibitors?
Hyperlipidemia, Hyperglycemia
What protease inhibitor is synergistic with other PIs?
Ritonavir
What is the most common side effect of Indinavir?
Kidney stones (made of the drug itself)
What dietary restriction is indicated in Atazanavir use?
Milk may inhibit absorption
What is the first line protease inhibitor?
Darunavir
What is the MoA of Enfuvirtide?
Fusion inhibitor (enFUvirtide prevents inFUsion) by blocking gp41