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20 Cards in this Set

  • Front
  • Back

Zidovudine

AKA AZT


Nucleoside reverse transcriptase inhibitor


Thymidine analogue


C/I with stavudine



Side Effects of Zidovudine

Headache


Nausea


Anaemia -- monitor, stop if severe


Granulocytopaenia -- stop if severe


Myopathy -- stop if severe


Nail discoloration



Stavudine

AKA d4T


NRTI


Thymidine analogue


C/I with zidovudine and didanosine

Side Effects of Stavudine

Peripheral neuropathy -- dicontinue if severe


Pancreatitis -- discontinue if confirmed


Macrocytosis


Lipoatrophy

Didanosine

AKA ddi


NRTI


Adenosine analogue


C/I with stavudine -- causes lactic acidosis



Didanosine Side Effects

Pancreatitis -- discontinue if confirmed and severe


Peripheral neuropathy -- discontinue if severe


Abdominal cramps -- evaluate for pancreatitis

Zalcitabine

ddC


NRTI


Cytidine analogue



Lamivudine

3TC


NRTI


Cytidine analogue


Used in PEP along with tenofivir and emtricitabine and a protease inhibitor or raltegravir.

Lamivudine Side Effects

Abdominal pain -- evaluate for pancreatitis


Nausea


Vomiting

Abacavir

ABC


NRTI


Guanidine analogue

Abacavir Side Effects

Hypersensitivity -- STOP therapy, reactions are progressive, never re-challenge after hypersensitivity.

Nevirapine

NVP


Non-nucleoside reverse transcriptase inhibitor


Susceptible to resistance developing as only a single point mutation causes complete resistance and there is crossover resistance within the NNRTI

Nevirapine Side Effects

Rash -- monitor, proceed with caution


Stevens Johnson Syndrome -- discontinue of severe


Fulminant hepatotoxicity -- monitor, first 6 weeks discontinue.

Efavirenz

EFZ, EFV


NNRTI


Same susceptibility to resistance as nevirapine

Efavirenz Side Effects

CNS: Anxiety, depression, dysphoria, nightmares -- normally resolve withing 2-3 weeks


Rash -- less common than NVP


Hepatitis

Idinavir Side Effects

IDV, PI


Nephrolithiasis


Crystalluria -- evaluate flank pain


Haematuria, intersitial nephritis -- increase water intake


Nausea, GIT problems


Insomnia, dizziness


Rash


Metallic taste


Thrombocytopaenia



Ritonavir

RTV, PI


Low dose used to increase bio-availability of other PIs.


No longer used as a sole PI in a regimen.

Nelfinavir Side Effects

NFV, PI


Diarrhoea


GIT disturbance

Lopinavir/ritonavir Side Effects

LPV/r, PI


Diarrhoea


Skin rash


Headache


Weakness



Saquinavir Side Effects

SQV, PI


Diarrhoea


Headache -- increase ritonavir dose