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129 Cards in this Set
- Front
- Back
Primaquine
|
anti-malarial (tissue schizonticide)
works against hypnozoites (liver) P.vivax, P.ovale can cause acute hemolytic anemia (G6PD) |
|
Chloroquine
|
anti-malarial (blood schizonticide)
effective, inexpensive, but.... high resistance prevents polymerization to hemezoin pruritis, AHA |
|
Mefloquine
|
anti-malarial (blood schizonticide)
treatment AND prophylaxis MENTAL effects (M=M) CV effects |
|
Quinine
|
anti-malarial (blood schizonticide)
ORAL- uncomplicated Pfalciparum more toxic effects- "cinchonism" neuromuscular, CV, oxytocic, hypoglycemia, Blackwater fever |
|
Quinidine
|
anti-malarial (blood schizonticide)
IV - severe, complicated Pfalciparum more toxic effects-"cinchonism" neuromuscular, CV, oxytocic, hypoglycemia, Blackwater fever |
|
Pyrimethamine /
Sulfadoxine |
anti-malarial (blood schizonticide)
slow-acting Tx and presumptive self-treatment FOLATE chain inhibitors, 1- blocks DHFR, 2- blocks DHPS AHA, sulfa allergies |
|
Atovaquone /
ProGuanil (Malarone) |
anti-malarial (tissue & blood schizonticide) slow-acting
Tx and presumptive self-treatment 1- blocks mitochondrial electron transport, 2- blocks DHFR AHA, sulfa allergies |
|
Doxycycline
(in children- clindamycin) |
anti-malarial
Tx and prophylaxis adlunctive with quinine NO children, pregnant |
|
warfarin
|
anti-coagulant
blocks vitamin K metabolism of 2,7,9,10,C,S ORAL, monitor via PT NARROW THERAPUTIC INDEX, needs frequent monitoring TERATOGENIC |
|
heparin
(UFH) (un-fractionated heparin) |
anti-coagulant
interacts with AT3 to inhibit 2a, 10a IV- unpredictable response hospital dosing, monitor via aPTT 1-4% risk of HITT |
|
enoxaparin
|
anti-coagulant
LMWH- low molecular weight heparin interacts with AT3 to inhibit 10a only SubQ- predictable effect, less need to monitor home dosing, more expensive, but not clinically delivered 1 - 4% risk of HITT |
|
dalteparin
|
anti-coagulant
LMWH- low molecular weight heparin interacts with AT3 to inhibit 10a only SubQ- predictable effect, less need to monitor home dosing, more expensive, but not clinically delivered 1 - 4% risk of HITT |
|
ardeparin
|
anti-coagulant
LMWH- low molecular weight heparin interacts with AT3 to inhibit 10a only SubQ- predictable effect, less need to monitor home dosing, more expensive, but not clinically delivered 1 - 4% risk of HITT |
|
tinzeparin
|
anti-coagulant
LMWH- low molecular weight heparin interacts with AT3 to inhibit 10a only SubQ- predictable effect, less need to monitor home dosing, more expensive, but not clinically delivered 1 - 4% risk of HITT |
|
fondaparinux
|
anti-coagulant
5-sugar selective factor Xa inhibitor SubQ, longer half-life, no monitoring DVT, PE, UA, STEMI, NSTEMI |
|
hirudin
|
anticoagulant
Direct Thrombin inhibitor leech saliva dissolves soluble/fibrin-bound thrombin |
|
lepirudin
|
anticoagulant
Direct Thrombin inhibitor Recombinant derivative of hirudin, but allergy risk dissolves soluble/fibrin-bound thrombin alternative in HITT cases |
|
bivalirudin
|
anticoagulant
Direct Thrombin inhibitor Bivalent analog of hirudin dissolves soluble/fibrin-bound thrombin for PCI during HITT |
|
argotraban
|
anticoagulant
Direct Thrombin inhibitor Bivalent analog of hirudin dissolves soluble/fibrin-bound thrombin alternative in HITT cases |
|
ASA- acetylsalicylic acid
(low dose) |
anti-platelet
IRreversibly blocks COX-1 (in low dose), synthesis of TxA2 (thromoxane A2) vaso-dilator, anti-aggregator for thrombus, PCI, UA, STEMI, NSTEMI |
|
clopidogrel
|
anti-platelet
ADP receptor blocker (irreversible) prevents platelet aggregation ORAL for thrombus, PCI, UA, STEMI, NSTEMI |
|
prasugrel
|
anti-platelet
ADP receptor blocker (irreversible) prevents platelet aggregation ORAL for thrombus, PCI, UA, STEMI, NSTEMI |
|
ticlopidine
|
anti-platelet
ADP receptor blocker (irreversible) prevents platelet aggregation ORAL for thrombus, PCI, UA, STEMI, NSTEMI |
|
abciximab
|
anti-platelet
glycoprotein IIb/IIIa receptor blocker prevents platelet aggregation “tight’ binding to GP IIb/IIIa receptor, 36 hrs |
|
eftifibitide
|
anti-platelet
glycoprotein IIb/IIIa receptor blocker prevents platelet aggregation “loose" binding to GP IIb/IIIa receptor, 4 hrs |
|
tibrofan
|
anti-platelet
glycoprotein IIb/IIIa receptor blocker prevents platelet aggregation “loose" binding to GP IIb/IIIa receptor, 4 hrs |
|
streptokinase
|
THROMBOLYTIC
derived from B-strep Catalyze plasminogen to plasmin, degrades fibrin risk of allergic rxn STEMI, DVT, PE, stroke |
|
urokinase
|
THROMBOLYTIC
derived from kidney Catalyze plasminogen to plasmin, degrades fibrin STEMI, DVT, PE, stroke |
|
anistreplase
|
THROMBOLYTIC
complex of bacterial & plasminogen Catalyze plasminogen to plasmin, degrades fibrin STEMI, DVT, PE, stroke |
|
reteplase
|
THROMBOLYTIC
recombinant tPA Catalyze plasminogen to plasmin, degrades fibrin STEMI, DVT, PE, stroke |
|
alteplase
|
THROMBOLYTIC
recombinant tPA Catalyze plasminogen to plasmin, degrades fibrin STEMI, DVT, PE, stroke |
|
tenecteplase
|
THROMBOLYTIC
recombinant tPA Catalyze plasminogen to plasmin, degrades fibrin STEMI, DVT, PE, stroke |
|
ferrous fumerate
|
iron supplement, ORAL
25% absorption causes GI irritation, toxic, corrosive acute iron toxicity |
|
ferrous sulfate
|
iron supplement, ORAL
25% absorption causes GI irritation, toxic, corrosive acute iron toxicity |
|
ferrous gluconate
|
iron supplement, ORAL
25% absorption causes GI irritation, toxic, corrosive acute iron toxicity |
|
iron dextran
|
iron supplement, parental (one dose)
for malabsorption, intolerance causes skin discoloration, pain poss hypersensitivity rxns (I or IV) |
|
iron sucrose
|
iron supplement, parental (one dose)
for malabsorption, intolerance causes skin discoloration, pain poss hypersensitivity rxns (I or IV) |
|
sodium ferric gluconate complex in sucrose
|
iron supplement, parental (one dose)
for malabsorption, intolerance causes skin discoloration, pain poss hypersensitivity rxns (I or IV) |
|
vitamin B12
|
deficiency causes macrocytic anemia & demyelination
can take years to manifest diet, drugs, GI disease, lack of intrinsic factor given subQ |
|
folic acid
|
deficiency causes macrocytic anemia
a few weeks to manifest diet, drugs, malabsorption, pregnancy given ORALLY |
|
epoetin alfa
|
Hematopoietic Growth Factor
stimulates RBC production |
|
darbepoetin alfa
|
Hematopoietic Growth Factor
longer half-life stimulates RBC production |
|
sargramostim
|
GM-CSF
stimulates netrophil, macrophage production |
|
filgastim
|
G-CSF
stimulates neutrophil, production |
|
peg-filgastim
|
G-CSF
stimulates neutrophil, production longer half-life |
|
oprelvekin
|
IL-11
stimulates platelet production |
|
Nystatin
|
anti-fungal, topical or oral use only
acts on fungal cell membrane, binds to ergosterol |
|
Amphotericin B
|
anti-fungal, IV
acts on fungal cell membrane, binds to ergosterol DOC for many severe, invasive fungal infections severe renal toxocity, "cytokine storm" |
|
Flucytosine
|
anti-fungal, ORAL
pro-drug of 5-fluorouracil, an anti-metabolite always used in combination with Amphotericin B NVD, BMD (bone marrow depression) |
|
Griseofulvin
|
anti-fungal
anti-mitotic, ORAL Tinea infections, but 2nd-line drug Hepato-toxicity, p450 INducer |
|
Terbinafine
|
anti-fungal
DOC for skin, nail infections inhibits squalene metabolism liver tox, neutropenia, CYP2D6 blocker faster, more effective than azoles |
|
Ketoconazole
|
anti-fungal, ORAL, topical
blocks ergosterol metabolism, and human p450 Tineas, steroid dysfunctions older drug with more problems May see hormonal deficiency side effects oral absorption very acid-dependent |
|
Fluconazole
|
anti-fungal, ORAL, IV
blocks ergosterol metabolism DOC for several systemic and CNS fungal infections kidney elimination |
|
Itraconazole
|
anti-fungal, ORAL, IV
blocks ergosterol metabolism first-line for systemic fungal infections |
|
Voriconazole
|
anti-fungal, ORAL, IV
blocks ergosterol metabolism systemic fungal infections esp. ASPERGILLOSIS visual disturbances |
|
Caspofungin
|
anti-fungal, IV
impairs cell wall, by glucan monomers Salvage therapy for Candida, Aspergillus |
|
Clotrimazole
|
anti-fungal, topical, oral, OTC
Tinea, thrush, vaginal yeast infections |
|
Micanazole
|
anti-fungal, topical, oral, OTC
Tinea, thrush, vaginal yeast infections |
|
Amifostine
|
rescue drug- cancer chemo
during chemotherapy, for cis-Platin, alkylating agents reduces nephrotoxicity |
|
Mesna
|
rescue drug- cancer chemo
during chemotherapy, for alkylating agents reacts with acrolein reduces bladder toxicity |
|
N-acetyl cysteine
(MucoMyst) |
rescue drug- cancer chemo
during chemotherapy, for alkylating agents reacts with acrolein reduces bladder toxicity |
|
Cyclophosphamide
|
anti-cancer, alkylating agent, nitrogen mustard
DNA cross-linking most types of cancer - commonly used pro-drug, needs liver metabolism BMD, bloody bladder (use mesna, NAC) |
|
Carmustine
|
anti-cancer, alkylating agent, nitroso-urea
DNA cross-linking, alkylator brain cancer (crosses BBB) profound BMD, 4 other tox= kidney, liver, CNS, lung |
|
Lomustine
|
anti-cancer, alkylating agent, nitroso-urea
DNA cross-linking, alkylator brain cancer (crosses BBB) profound BMD, 4 other tox= kidney, liver, CNS, lung |
|
cis-Platin
|
anti-cancer, alkylating agent, platinum complex
DNA cross-linking tesicles, ovary, bladder, head/neck severe NVD, anaphylaxis Neuro, renal tox (use amifostine) |
|
Leucovorin
|
Rescue drug- cancer chemo
used with methotrexate to reduce damage to bone marrow, GI tract |
|
Allopurinol
(used during chemotherapy) |
rescue drug during chemo
inhibits xanthine oxidase in purine metabolism prevents urate overload when treating blood cancers NOTE: need to reduce dose of 6-MP, 6-TP when using allopurinol |
|
Methotrexate
|
anti-cancer, anti-folate, anti-purine
inhibits DHFR, blocks DNA synthesis Leukemias, lymphomas, breast ca also- for psoriasis, rheumatoid arthritis resistance by change in DHFR, decreased uptake BMD, ulcers in GI, ulcers in oral |
|
5-fluorouracil
(5-FU) |
anti-cancer, anti-pyrimadine
blocks DNA synthesis by blocking thymine synth. breast, colo-rectal, basal cell carcinoma resistance by change in enzymes BMD, GI mucositis NOTE: leucovorin INCREASES tox |
|
Capecitabine
|
anti-cancer, anti-pyrimadine
oral version of 5-fluorouracil breast, colo-rectal, basal cell carcinoma BMD, GI mucositis NOTE: leucovorin INCREASES tox |
|
Gemcitabine
|
anticancer, anti pyrimadine
inhibits DNA poly, chain termination Breast, NSCLC, pancreatic, ovary causes neutropenia |
|
Cytarabine
|
anticancer, anti pyrimadine
inhibits DNA poly, chain termination ALL, non-HL causes BMD, ataxia |
|
6-mercaptopurine
(6-MP) |
anticancer, anti purine
needs to be activated by HGPRT ALL, AML, CML resisted by lowering HGPRT causes BMD, hyperuricemia allopurinol reduces metabolism (lower the dose) |
|
6-thioguanine
(6-TG) |
anticancer, anti purine
needs to be activated by HGPRT ALL, AML, CML resisted by lowering HGPRT causes BMD, hyperuricemia allopurinol reduces metabolism (lower the dose) |
|
Prednisone
(chemotherapy) |
anti-cancer, glucocorticoid (hormone)
suppresses lymphocyte production, induces apoptosis for ALL, acute lymphomas causes "Steroid Man" effects |
|
Tamoxifen
|
anti-cancer, hormone blocker
competitively blocks estrogen receptor good for ER+ Breast cancer can be outcompeted by endogenous estrogen mild side effects, can raise risk of uterine cancer |
|
Anastrozole
|
anti-cancer, hormone synthesis blocker
blocks estrogen synthesis good for ER+ Breast cancer SALVAGE therapy beyond tamoxifen |
|
Bortezomib
|
anti-cancer, signal pathway blocker
blocks NF-kappa-B, inhibits 26s proteosome (stops cell cycle) for multiple myeloma causes BMD |
|
Hydroxyurea
|
anti-cancer, (anti ribonucleotide reductase)
blocks ribose to deoxyribose sugar synthesis for melanoma, CML, ovarian cancer causes myelosuppression (low RBCs, platelets, PMNs) |
|
Imatinib
|
anti-cancer, (aka Gleevac)
monoclonal antibody blocks signaling pathway of bcr-abl tyrosine kinase for CML (philadelphia chromosome) |
|
Trastuzumab
|
anti-cancer, (aka Herceptin)
monoclonal antibody blocks signaling pathway at HER2 receptor (EGFR) for aggressive ER- Breast cancers some cardiotox |
|
Bevacizumab
|
anti-cancer, monoclonal antibody
binds VEGF, prevents receptor activation blocks angiogenesis, prevents tumor expansion thru increased blood supply for metastatic colo-rectal cancer causes GI tox - ulcers & perforations |
|
vinCristine
|
anti-cancer / "natural"
anti-mitotic - binds to G-tubulin for Leukemias, Non-Hodgkins lymphomas resistance by p-glycoprotein causes neurotoxicity- sensory, autonomic, muscular FATAL if given intrathecally |
|
vinBlastine
|
anti-cancer / "natural"
anti-mitotic - binds to G-tubulin for Leukemias, all lymphomas, breast, testicles resistance by p-glycoprotein causes myelosuppression (remember B =B, vinBlastine, Blood, Bone) |
|
Paclitaxel
|
anti-cancer / "natural"
anti-mitotic - hyperstabilizes tubulin for breast, ovarian cancers causes BMD, neuropathy (sensory) |
|
Docetaxel
|
anti-cancer / "natural"
anti-mitotic - hyperstabilizes tubulin for breast, prostate, NonSCLC causes BMD, neurotox (sensory & motor), and fluid retention |
|
Etoposide
("e-TOPO-side") |
anti-cancer / "natural"
inhibits TOPO 2- causes DNA strand breaks resistance by p-glycoprotein, other mechanisms for testicular, SCLC (small cell) causes BMD |
|
Irinotecan
|
anti-cancer / "natural"
inhibits TOPO 1- causes DNA strand breaks for metastatic COLON cancer causes BMD, diarrhea (poss FATAL!) |
|
Topotecan
"TOPO-tecan" |
anti-cancer / "natural"
inhibits TOPO 1- causes DNA strand breaks for ovarian, SCLC (small cell) causes BMD |
|
Dactinomycin
|
anti-cancer / "natural"
intercalates into DNA, stops polymerase resistance by p-glycoprotein for pediatric tumors (Wilms, Ewings, etc), germcell tumors causes BMD, stomatitis, proctitis (inflammation at both ends) |
|
Doxorubicin
-rubicin = ruby red = blood, heart |
anti-cancer / "natural"
intercalates into DNA, stops TOPO 2 forms damaging free radicals resistance by p-glycoprotein broad-spectrum chemo (incl blood) causes CARDIO-TOX, BMD, and is a tissue vesicant |
|
Daunorubicin
-rubicin = ruby red = blood, heart |
anti-cancer / "natural"
intercalates into DNA, stops TOPO 2 forms damaging free radicals resistance by p-glycoprotein blood cancers- ALL, non-lymphocytic leukemias causes CARDIO-TOX, BMD, and is a tissue vesicant |
|
Bleomycin
|
anti-cancer / "natural"
causes DNA strand breaks by chelating Fe, free radicals for lymphomas, squamous cell, testicular, head/neck ca. causes lung fibrosis, skin toxicity LOW BMD! |
|
L-asparaginase
|
anti-cancer / "natural"
enzyme, hydrolyzes circulating L-asparagine, blocks tumor cells of amino acid for lymphocytic leukemias, ALL resistance by increased asparagine synthesis ACUTE cause = anaphylaxis causes- clotting problems (+/-), glucose intolerance, CNS, pancreatitis |
|
Prednisone
|
immunosuppressant- glucocorticoid
used in prevention AND treatment of transplants and autoimmune inhibits some T-cell populations inhibits IL-2 production (macs & PMNs) causes "Steroid Man" effects- skin, lipids, eyes, GI tract, osteoporosis, infections |
|
Cyclosporine
|
immunosuppressant- calcineurin inhibitor
used in prevention only in transplants and autoimmune binds to 'cyclophilin', inhibits IL-2 gene transcription causes renal tox, liver tox, BP increase, hyperkalemia ZEBRAS- gingival hyperplasia, hirsuitism |
|
Tacrolimus
|
immunosuppressant- calcineurin inhibitor
used in prevention only in transplants and autoimmune binds to 'FKBP', inhibits IL-2 gene transcription causes renal tox, diabetes |
|
Sirolimus
|
immunosuppressant- anti-proliferative agent
used in prevention only in transplants and autoimmune inhibits signal downstream of IL-2 - mTOR causes hyperlipidemia, myelodepression, NO renal tox |
|
Azathioprine
|
immunosuppressant- anti-proliferative
pro-drug- metabolized to 6-MP (6-mercatopurine) blocks DNA synthesis in stimulated T-cells used in prevention, maintenance only in transplants and autoimmune Depresses both cell mediated and antibody mediated reactions ** INACTIVATED by xanthine oxidase- must reduce dose when using with allopurinol ** BMD, GI tox, mutagenic |
|
Mycophenolate mofetil
|
immunosuppressant- anti-proliferative
Selective, noncompetitive inhibitor of IMPDH blocks B & T-cell proliferation used in prevention, maintenance only in transplants and autoimmune Depresses both cell mediated and antibody mediated reactions less tox than other anti-metabolites = BMD, GI tox |
|
ALG
(anti-lymphocyte globulin) |
immunosuppressant- anti-bodies
Used as ‘adjuvants’ to ↓ # circulating T-cells, leaves humoral fxn ANTISERA produced by large animals Primarily used in kidney transplants Used to treat steroid resistant rejections AE- mainly allergic effects- rash, local pain |
|
ATG
(anti-thymocyte glogulin) |
immunosuppressant- anti-bodies
Used as ‘adjuvants’ to ↓ # circulating T-cells, leaves humoral fxn ANTISERA produced by large animals Used during acute rejection episodes Used to treat steroid resistant rejections AE- mainly allergic effects- rash, local pain |
|
Muromonab-CD3
(OKT3) |
immunosuppressant- anti-bodies
Used as ‘adjuvants’ to ↓ # circulating T-cells, leaves humoral fxn T-cell specific murine monoclonal Ab Used during acute rejection episodes Shuts down activation of T-cell proliferation and impairs cytotoxic T-cell function AE- fairly toxic, allergic effects- "cytokine storm" |
|
Daclizumab
|
immunosuppressant- anti-bodies
Monoclonal antibodies to part of IL-2 receptor (CD25) Probably prevents IL-2 from binding to activated lymphocytes for prophylaxis against acute rejection of renal transplants causes infections & allergic type symptoms |
|
Acyclovir
|
anti-viral, against DNA viruses
a guanosine analog activity against: HSV-1, HSV-2, VZV MOA = Phosphorylated by viral thymidine kinase, inhibits viral DNA synthesis AE- oral=few, IV= acute renal failure, neuro tox |
|
Ganciclovir
|
anti-viral, against DNA viruses
a guanosine analog activity against: CMV MOA = Phosphorylated by CMV phosphotransferase , inhibits viral DNA synthesis AE- BMD, neuro tox |
|
Foscarnet
|
anti-viral, against DNA viruses
A pyrophosphate analog Serious HSV and CMV infections MOA = Inhibits viral DNA polymerase AE- renal, hypocalcemia, electrolyte problems |
|
Zanamivir
|
anti-viral, Neuraminidase Inhibitor
inhaled Effective against both influenza A & B MOA = prevents the release of progeny virions AE- bronchospasm |
|
Oseltamivir
|
anti-viral, Neuraminidase Inhibitor
ORAL Effective against both influenza A & B MOA = prevents the release of progeny virions AE- NV, rare neuropsychiatric events in children |
|
Amantidine
|
anti-viral, Viral Uncoating Inhibitor
Treatment of Influenza A MOA = prophylaxis, if given BEFORE exposure, Pre-emptive treatment AE- enters CNS, causes skittishness, GI problems |
|
Rimantidine
|
anti-viral, Viral Uncoating Inhibitor
blocks M2 proton channel Treatment of Influenza A only MOA = prophylaxis, if given BEFORE exposure, Pre-emptive treatment AE- GI problems, less CNS |
|
Ribavarin
|
anti-viral, guanosine analog
treats Respiratory Syncytial Virus (RSV), hepatitis C MOA = Interferes with cellular GTP production AE = anemia, pulmonary deterioration Pregnancy category X |
|
Interferon-alfa
|
anti-viral, transcription factor
treats Chronic hepatitis B, C viral infections MOA = Turn on gene expression of proteins with antiviral effects AE = many toxicities, incl. myelosuppression, Flu-like symptoms, Marked CNS effects |
|
Lamivudine
|
anti-viral, Nucleoside analog
treats Chronic hepatitis B viral infections MOA = Antimetabolite, causes viral DNA chain termination AE = Lactic acidosis with hepatic steatosis (rare but potentially fatal) |
|
Lamivudine
|
anti-viral, Nucleoside analog
NRTIs (nuke) anti-HIV |
|
Zidovudine
|
anti-viral, Nucleoside analog
NRTIs (nuke) anti-HIV |
|
Stavudine
|
anti-viral, Nucleoside analog
NRTIs (nuke) anti-HIV |
|
Didanosine
|
anti-viral, Nucleoside analog
NRTIs (nuke) anti-HIV |
|
Zalcitabine
|
anti-viral, Nucleoside analog
NRTIs (nuke) anti-HIV |
|
Ritonavir (RTV)
co-drug |
anti-viral, Protease inhibitor
anti-HIV used mainly for pharmacologic enhancement of Protease Inhibitors. prevents immature virions from becoming mature, infectious viruses |
|
Indinavir
|
anti-viral,
Protease inhibitor anti-HIV prevents immature virions from becoming mature, infectious viruses |
|
Amprenavir
|
anti-viral,
Protease inhibitor anti-HIV prevents immature virions from becoming mature, infectious viruses |
|
Nelfinavir
|
anti-viral,
Protease inhibitor anti-HIV prevents immature virions from becoming mature, infectious viruses |
|
Saquinavir
|
anti-viral,
Protease inhibitor anti-HIV prevents immature virions from becoming mature, infectious viruses |
|
Efavirenz
|
anti-viral, (NNRTIs or non-nuke)
Nonnucleoside reverse transcriptase inhibitor anti-HIV Have potent antiviral activity |
|
Nevirapine
|
anti-viral, (NNRTIs or non-nuke)
Nonnucleoside reverse transcriptase inhibitor anti-HIV Have potent antiviral activity |
|
Enfuvirtide
|
anti-viral, Fusion inhibitor
anti-HIV Blocks the entry of HIV-1 into CD4+ cells by inhibiting the fusion of viral and cellular components |
|
Maraviroc
|
anti-viral, Entry Inhibitor
anti-HIV CCR5 co-receptor antagonist |
|
Raltegravir
|
anti-viral,
Integrase inhibitor anti-HIV |