HIV Flashcards
Time to suppression after initiation of therapy
12-24 weeks
NRTI elimination
Renal (Exception: Abacavir)
Abacavir elimination
Alcohol dehydrogenase (NRTI renal exception)
Diminished efficacy with VL >100,000
Abacavir
Rilpivirine
1st Generation NNRTIs
Nevirapine
Efavirenz
Delavirdine
2nd generation NNRTIs
Rilpivirine
Etravirine
NNRTI Metabolism
CYP3A4 Inducers (Exception: Rilpivirine)
Must take at night on an empty stomach, causes vivid dreams
Efavirenz
Must take with a 500 calorie meal
Rilpivirine
Lopinavir/Ritonavir, Saquinavir, Tipranavir, Elvitegravir, Atazanavir taken with food
The two pharmacokinetic boosters
Ritonavir
Cobicastat
Must be boosted with Tenofovir
Atazanavir
Elvitegravir metabolism
CYP3A4 and UGT1A1
Only first line given BID
Raltegravir
Cytidine NRTIs
Emtricitabine
Lamivudine
Causes hyperpigmentation of hands & soles
Emtricitabine