NNRTIs Flashcards

1
Q

What are NNRTIs

A

Highly selective, non-competitive inhibitors of HIV-I RT

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2
Q

Do NNRTIs require phosphorylation

A

No

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3
Q

NNRTI cross resistance

A

Between NNRTIs, NOT NRTIs

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4
Q

Main NNRTI AE

A

Skin Rash - Steven Johnson

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5
Q

Which NNRTI are 3A4 inducers

A

Nevirapine
Etravirine
Efavirenz

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6
Q

Which NNRTI is a 3A4 inhibitor

A

Delavirdine

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7
Q

Which NNRTI is a 2C9, 2C19 inhibitor

A

Etravirine

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8
Q

What metabolizes Nevirapine

A

3A4

2D6

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9
Q

What are the NNRTIs

A

Nevirapine
Etravirine
Efavirenz
Delavirdine

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10
Q

Main Nevirapine AE

A

Hepatotoxicity

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11
Q

When do you not give Nevirapine

A

Women CD4 > 250

Men CD4 > 400

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12
Q

How does Nevirapine/Delavirdine resistance arise

A

Mutation at target site

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13
Q

What does non-linear kinetics mean

A

t1/2 increases with dose

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14
Q

Which NNRTI has non-linear kinetics

A

Delavirdine

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15
Q

Where is Delavirdine excreted

A

Kidneys

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16
Q

Delavirdine contraindication

A

Pregnancy

17
Q

Delaviradine AE

A

HA, fever, depression

18
Q

Who do you give Etravirine to

A

Treatment-experienced patients

Strains resistant to 1st line NNRTIs

19
Q

What metabolizes Etravirine

A

3A4
2C9
2C19

20
Q

Etravirine AE

A
N/D
Elevated transaminases (esp in hep)
21
Q

What is the Preferred NNRTI

A

Efavirenz

22
Q

What is the most common Efavirenz AE

A

CNS effects

Vivid Dreams

23
Q

What happens with Efavirenz in pregnancy

A

Neural tube defects

24
Q

When can you give Efavirenz in pregnancy

A

After 1st trimester

25
Q

P450 effect of Efavirenz

A

Induction