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HIV Antivirals
Drug, class, & MOA cards for the HIV Antivirals for Buhler
18
Pathology
Graduate
04/11/2011

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Cards

Term
Enfuvirtide (Fuzeon)
Definition
Fusion Inhibitor: Binds & blocks GP41
Term
Maraviroc (Selzentry)
Definition
Entry inhibitors = CCR5 antagonists
*Need trophic assay*
Term
Abacavir (Ziagen)
Definition
NRTI: Nucleoside/nucleotide analogue Reverse Transcriptase Inhibitors
*fatal allergic rxn (HLA test)*
*SE: Mitochondrial toxicity*
Term
Lamivudine (Epivir)
Definition
NRTI: Nucleoside/nucleotide analogue Reverse Transcriptase Inhibitors
*SE: Mitochondrial toxicity*
Term
Tenofovir (Viread)
Definition
NRTI: Nucleoside/nucleotide analogue Reverse Transcriptase Inhibitors
*SE: Mitochondrial toxicity*
Term
Emtricitabine (Emtriva)
Definition
NRTI: Nucleoside/nucleotide analogue Reverse Transcriptase Inhibitors
*SE: Mitochondrial toxicity*
Term
Epzicom
Definition
abacavir + lamivudine
NRTI: Nucleoside/nucleotide analogue Reverse Transcriptase Inhibitors
*SE: Mitochondrial toxicity*
Term
Truvada=
Definition
emtritabine + tenofovir
NRTI: Nucleoside/nucleotide analogue Reverse Transcriptase Inhibitors
*SE: Mitochondrial toxicity*
Term
Efavirenz (Sustiva)
Definition
NNRTI: bind allosterically and block action of RT
*Major CYP3A4 Inducers*
Term
Etravirine (Intelence)
Definition
NNRTI: bind allosterically and block action of RT
*Major CYP3A4 Inducers*
Term
Raltegravir (Isentress)
Definition
Integrase inhibitor: Blocks enzyme (integrase) that introduces viral DNA into the genome
Term
Atazanavir (Reyataz)
Definition
Protease inhibitor: Inhibits the viral protease which cuts the viral proteins into usable sizes
*CYP3A4 Inhibitors*
Term
Ritonavir (Norvir)
Definition
Protease inhibitor: Inhibits the viral protease which cuts the viral proteins into usable sizes
*CYP3A4 Inhibitors*
Term
Fosamprenavir (Lexiva)
Definition
Protease inhibitor: Inhibits the viral protease which cuts the viral proteins into usable sizes
*CYP3A4 Inhibitors*
Term
Darunavir (Prezista)
Definition
Protease inhibitor: Inhibits the viral protease which cuts the viral proteins into usable sizes
*CYP3A4 Inhibitors*
Term
Kaletra
Definition
“boosted lopinavir”= lopinavir + ritonavir
Protease inhibitor: Inhibits the viral protease which cuts the viral proteins into usable sizes
*CYP3A4 Inhibitors*
Term
Atripla
Definition
Triple Combo: efavirenz + emtricitabine + tenofovir
Term
What are the side effects for all HIV antivirals?
Definition

Metabolic syndrome:

o Lipodystrophy (changes in fat distribution) buffalo hump & paunch

o Glucose intolerance/diabetes

o CV disease (↑MI rish by 2x)

Bone problems:

o Osteonecrosis (bone cell death)

o Osteoporosis (brittle bones)

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