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Spring Exam #2 - Antivirals II - HIV Infection
n/a
16
Pharmacology
Graduate
04/17/2010

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Cards

Term
NucleoSide Reverse Transcriptase Inhibitors (NRTIs)
Definition
zidovidine (Retrovir);
didanosine (Videx);
stavudine (Zerit);
lamivudine (Epivir);
abacavir (Ziagen);
Term
NucleoTide Reverse Transcriptase Inhibitor
Definition
tenofovir (Viread)
Term
Non-NucleoSide Reverse Trascriptase Inhibitors (NNRTIs)
Definition
nevirapine (Viramune);
efavirenz (Sustiva);
Term
Protease Inhibitors (PIs)
Definition
saquinavir (Invirase, Fortovase);
ritonavir (Novir);
indinavir sulfate (Crixivan);
nelfinavir mesylate (Viracept);
Term
zidovudine (Retrovir)
Definition
NRTI; - pyrimidine nucleoSide;
MoA: viral reverse transcriptase inhibitor;
Good CSF penetration, 36% protein bound;
Excreted via kidneys;
Toxicities:
- bone marrow toxicity;
- GI intolerance - N/V, diarrhea, hepatitis;
- CNS - HA;
Used alone started at 14-34 wks of gestation & continued in infant for 1st 6 wks of life, reduced HIV transmission from 26% to 8%;
Term
didanosine (Videx)
Definition
NRTI; - purine nucleoSide;
MoA: viral reverse transcriptase inhibitor;
Toxicities:
- peripheral neuropathy;
- pancreatitis;
- GI intolerance;
Term
stavudine (Zerit)
Definition
NRTI; - pyrimidine nucleoSide;
MoA: viral reverse transcriptase inhibitor;
Toxicties:
- peripheral neuropathy;
- lactic acidosis;
Term
lamivudine (Epivir)
Definition
NRTI; - pyrimidine nucleoSide;
MoA: viral reverse transcriptase inhibitor;
Indications:
- HIV & HEPATITIS B;
Toxicity:
- minimal toxicity, nasal congestion;
- nausea, malaise, fatigue;
- flare of HEPATITIS B;
Term
abacavir (Ziagen)
Definition
NRTI; - nucleoSide ANALOGUE;
MoA: viral reverse transcriptase inhibitor;
Toxicity:
- SEVERE HYPERSENSITIVITY rxn;
Term
tenofovir (Viread)
Definition
NNRTI; - nucleoTide;
MoA: viral reverse transcriptase inhibitor;
Toxicities:
- GI disturbances - N/V, diarrhea;
- renal toxicity;
Term
nevirapine (Viramune)
Definition
NNRTI; - non-nucleoside;
MoA: viral reverse transcriptase inhibitor, P450 metabolism;
Toxicitiy:
- hepatotoxicity;
- fever, nausea, HA;
- rash;
Term
efavirenz (Sustiva)
Definition
NNRTI; - non-nucleoside;
MoA: viral reverse transcriptase inhibitor, P450 metabolism;
Toxicities:
- rash;
- dizziness, HA, insomnia;
- neural tube defects;
Term
saquinavir (Invirase)
Definition
PI; modified peptide;
MoA: viral protease inhibition, P450 metabolism;
Toxicities:
- GI disturbance;
- abnormal fat distribution;
- aminotransferases increase;
Term
ritonavir (Norvir)
Definition
PI; modified peptide;
MoA: viral protease inhibitor, P450 metabolism;
Toxicities:
- GI disturbance;
- circumoral & peripheral paresthesia;
- aminotransferase increase;
Term
indinavir (Crixivan)
Definition
PI; modified peptide;
MoA: viral protease inhibition, P450 metabolism;
Toxicities:
- GI disturbance;
- nephrolithiasis;
- hyperbilirubinemia;
- dermatological changes;
Term
nelfinavir (Viracept)
Definition
PI; synthetic non-peptide;
MoA: viral protease inhibitor, P450 metabolism;
Toxicities:
- GI disturbance
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