HIV Drugs Flashcards
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Protease Inhibitors
-vir- in the middle
NNRTIs
Raltegravir Class
Integrase inhibitor
Enfuvirtide Class
Fusion inhibitor
Maraviroc Class
Fusion inhibitor
Abacavir Didanosine Emtricitabine Lamivudine Tenofovir Zidovudine Class?
NRTIs
MOA of Protease Inhibitors
Inhibit HIV protease enzyme which cleaves precursor proteins
Virus unable to replicate
SE Lipodystrophy
Protease Inhibitors
Includes buffalo hump and increased truncal obesity
SE GI Intolerance
Protease Inhibitors
SE Inhibit Cytochrome P450
Protease Inhibitors (Ritonavir)
SE Hyperlipidemia/hypertriglyceridemia
Protease Inhibitors
SE Pancreatitis
Ritonavir
SE Nephrolithiasis
Indanavir Atasanavir
SE Increased bilirubin
Atasanavir
SE bone marrow suppression
Zidovudine
SE Pancreatitis and Peripheral Neuropathy
Didanosine
SE Hepatic Steatosis
Didanosine
SE Hypersensitivity Rxn
Abacavir (life threatening)
SE Rash
NNRTIs
SE Neuropsych Sx (nightmares, vivid dreams, dizzy, worsening depression)
Efavirenz
SE false positive drug test to cannabinoids
Efavirenz
SE tetratogenic
Efavirenz
SE lactic acidosis
NRTIs
SE megaloblastic anemia
Zidovudine
SE DM hyperglycemia
Protease Inhibitors
Given to pregnant women with HIV
Zidovudine
Reigmen for occupational exposures
3 days
MOA NNRTIs
Bind and inhibit HIV reverse transcriptase blocking DNA synthesis
Do not require phosphorylation
Which drugs don’t require phosphorylation and are noncompetitive inhibitors?
NNRTIs
MOA NRTIs
Competitively inhibit nucleotide binding to reverse transcriptase and terminate the DNA chain
Need to be phosphorylated
Which drugs are competitive inhibitors and need to be phosphorylated for activation?
NRTIs
MOA Inhibits HIV genome integration by reversibly inhibiting HIV integrase
Raltegravir
MOA: Binds gp41 inhibiting viral dnetry
Enfuvirtide
SE injection site reactions and increased risk fo bacterial pneumonia
Enfuvirtide
MOA: binds to CCR5 surface receptor inhibiting interaction with gp120
Maraviroc
Can only be used if patient has ALL R5 virus
Maraviroc
Occupation exposure drug regimen
3 drugs for 4 weeks