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HIV
HIV Pharmacotherapy
| Brand | Generic | Side Effects |
|---|---|---|
| Biktarvy | Bictegravir + Emtricitabine + TAF | Lipid abnormalities, weight gain, increase SCr, hyperpigmentation, HBV exacerbation, polyvalent ions with food, lactic acidosis, increase LFTs |
| Triumeq | Dolutegravir + Abacavir + Lamivudine | Organ dysfunction, increase CPK, myalgias, increase MI risk, HLA-B*5701 testing, HBV exacerbation, polyvalent ions with food, lactic acidosis, increase LFTs |
| Tivicay + Descovy | Dolutegravir + Emtricitabine + TAF | Organ dysfunction, increase CPK, myalgias, Lipid abnormalities, weight gain, hyperpigmentation, HBV exacerbation, polyvalent ions with food, lactic acidosis, increase LFTs |
| Tivicay + Truvada | Dolutegravir + Emtricitabine + TDF | Organ dysfunction, increase CPK, myalgias, AKI, Fanconi syndrome, bone demineralization, hyperpigmentation, HBV exacerbation, polyvalent ions with food, lactic acidosis, increase LFTs |
| Dovato | Dolutegravir + Lamivudine | Organ dysfunction, increase CPK, myalgias, HBV exacerbation, polyvalent ions with food |
| Symtuza (PI) | Darunavir + Cobicistat + Emtricitabine + TAF | Lipid abnormalities, hyperglycemia, DLP, increase LFTs, lactic acid, CYP3A4 inhibitor, hyperpigmentation, HBV exacerbation, caution w/ sulfa allergy, no anticoagulants, statins, or steroids (except Rosuvastatin, Atorvastatin, Beclomethasone, Warfarin) |
| Genvoya | Elvitegravir + Cobicistat + Emtricitabine + TAF (lactic acidosis, increase LFTs) | Proteinuria, AKI, Fanconi syndrome, bone demineralization, CYP3A4 inhibitor, hyperpigmentation, HBV exacerbation, no anticoagulants, statins, or steroids (except Ros/Ator, Beclomethasone, Warfarin), DDI: Ag, Ca, Mg, Fe (2 hr before or 6 hr after) |
| Stribild | Elvitegravir + Cobicistat + Emtricitabine + TDF (lactic acidosis, increase LFTs) | Proteinuria, insomnia, AKI, Fanconi, bone demineralization, CYP3A4 inhibitor, hyperpigmentation, HBV exacerbation, no anticoagulants, statins, or steroids (except Ros/Ato, Beclomethasone, Warfarin), DDI: Ag, Ca, Mg, Fe (2 hr before or 6 hr after) |
| Odefsey | Rilpivirine + Emtricitabine + TAF (lactic acidosis, increase LFTs) | Depression, do not use with PPIs, take with food, increase SCr, Lipid abnormalities, hyperpigmentation, HBV exacerbation, SJS/TEN, hepatotoxic, do not use if VL > 100k and/or CD4 < 200 |
| Complera | Rilpivirine + Emtricitabine + TDF (lactic acidosis, increase LFTs) | Depression, do not take with PPIs, take with food, SJS/TEN, hepatotoxic, increase SCr, AKI, Fanconi syndrome, bone demineralization, hyperpigmentation, HBV exacerbation, do not use if VL > 100k and/or CD4 < 200 |
| Atripla | Efavirenz + Emtricitabine + TDF (lactic acidosis, increase LFTs) | Depression, SJS/TEN, suicidal ideation, abnormal dreams, increases cholesterol & TG, AKI, Fanconi, bone demineralization, hepatotoxic, hyperpigmentation, HBV exacerbation, take on empty stomach to decrease ADR |
| Delstrigo | Doravirine + Lamivudine + TDF (lactic acidosis, increase LFTs) | SJS/TEN, hepatotoxic, AKI, Fanconi syndrome, bone demineralization, HBV exacerbation |