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29 Cards in this Set
- Front
- Back
Abacavir
|
ABC
NRTI, Guanosine analog test for HLA-B*5701 --> hypersensitivity rxn 2nd line as drug #2/3 (in combo with lamivudine) |
|
Tenofovir
|
TDF (supplied as Tenofovir Disoproxil Fumarate)
NRTI, Adenosine analog 1st line as drug #2/3 (in combo with emtricitabine) renal impairment, decrease bone density (give Ca and Vit.D) |
|
Emtricitabine
|
FTC (FluoroThioCytidine)
NRTI, Cytidine analog 1st line with tenofovir as drug #2/3 |
|
Lamivudine
|
3TC (3'-ThiaCytidine)
NRTI, Cytidine analog 2nd line as drug #2/3 in combo with zidovudine |
|
Didanosine
|
ddI
NRTI, Adenosine analog 30min before/2hr after meal not used much (toxicities) GI intolerance, pancreatitis, peripheral neuropathy |
|
Raltegravir
|
RAL
Integrase Inhibitor 1st line as drug #1 |
|
Ritonavir
|
RTV
Protease Inhibitor but only used to boost other PI's. Most potent CYP3A4 inhibitor ever GI intolerance, hepatitis |
|
Atazanavir
|
ATV
PI increased bilirubin, kidney stones, kidney dysfxn first line as drug #1 (+ritonavir) |
|
Darunavir
|
DRV
PI take with food caution: SJS first line as drug #1 (+ritonavir) |
|
Efavirenz
|
EFV
NNRTI 1st line as drug #1 CNS SEs--> take without food |
|
Zidovudine
|
AZT (AZidoThymidine)
NRTI Thymidine analog 2nd line as drug #2/3 (in combo with lamuvidine) HA, GI intolerance, bone marrow suppression, myopathy |
|
Etravirine
|
ETR
NNRTI second line disperse in water |
|
Lopinavir
|
LPV
PI (preferred PI in pregnant women) GI intolerance, kidney 2nd line as drug #1 (+ ritonavir) |
|
Nevirapine
|
NVP
NNRTI 2nd line as drug #1 hepatotoxicity (may be severe/life-threatening), rash including SJS |
|
Nelfinavir
|
PI
diarrhea |
|
Maraviroc
|
MVC
CCR5 receptor antagonist; entry inhibitor CYP 3A4 substrate 2nd line as drug #1 |
|
Enfurvitide
|
T20
Fusion inhibitor injection site rxns, hypersensitivity not used much |
|
RIlpivirine
|
NNRTI
1 of 3 drugs in Complera take with full meal (>500 cal) do not take with acid suppression therapy QT prolongation |
|
Truvada
(components) |
emtricitabine 200mg + tenofovir 300mg
2 x NRTI |
|
Atripla
(components) |
efavirenz 600mg + emtricitabine 200mg + tenofovir 300mg
EFV + Truvada NNRTI + (2x NRTI) |
|
Complera
(components) |
rilpivirine + tenofovir + emtricitabine
(rilpivirine + Truvada) NNRTI + (2 x NRTI) |
|
ART associated ADRs?
|
lactic acidosis
hepatic steatosis fat maldistribution hyperlipidemia osteonecrosis/penia/porosis rash |
|
NRTIs
|
abacavir
tenofovir didanosine zidovudine emtricitabine lamivudine |
|
NNRTIs
|
efavirenz
etravirine nevirapine rilpiverine |
|
PIs
|
atazanavir
lopinavir nelfinavir ritonavir darunavir |
|
fusion inhibitors
|
enfuvirtide
|
|
CCR5 antagonist
|
maraviroc
|
|
integrase inhibitors
|
raltegravir
|
|
Prophylacyic Regimens
|
Bacterial:
-pneumococcal: prevnar 13 -MAC: azithromycin 1200 mg once weekly if CD4 <50 Fungal: Candida, PCP - septra ss 1 tab daily (CD4 <200) Parasitic: toxoplas - septra ss 1 tab daily (CD4 <100) Viral: hep A/B vaccine if sero-ve |