HIV ARV therapy
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Zidovudine | NRTI
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Abacavir | NRTI
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Lamivudine | NRTI
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Emtricitabine | NRTI
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Didanosine | NRTI
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Stavudine | NRTI
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Tenofovir | NRTI (nucleoTide)
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Class toxicities: lactic acidosis, hepatomegaly | NRTI
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AE: mostly myelosuppression; anemia, neutropenia, HA, malaise | ZIdovudine (AZT)
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BBW: non-cirrhotic portal HTN; AE: pancreatitis, CD4 toxicity with Tenofovir (TDF) | Didanosine (ddI)
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AE: peripheral neuropathy, mitochondrial toxicities, lipoatrophy | Stavudine (d4T)
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benign drugs with little toxicities; HA, N/V/D | Lamivudine (3TC)
Emtricitabine (FTC)
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hypersensitivity--check allele; doesn't work viral load >100,00, penetrates CNS well | Abacavir (ABC)
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renal dysfunction--Fanconi's syndrome | Tenofovir (TDF)
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drugs with activity against HBV | Tenofovir
Lamivudine
Emtricitabine
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Efavirenz | NNRTI
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Nevirapine | NNRTI
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Delavirdine | NNRTI
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Etravirine | NNRTI
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Rilpivirine | NNRTI
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class toxicites: hepatotoxicity, rash | NNRTIs
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K103 mutations is responsible for resistance in these ARVs | Efavirenz
Nevirapine
Delavirdine
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Contraindicated with PPIs | Rilpivirine
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Atazanavir | PI
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Darunavir | PI
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Nelfinavir | PI
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Saquinavir | PI
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Ritonavir | PI
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Indinavir | PI
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Lopinavir | PI
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Tipranavir | PI
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Fosamprenavir | PI
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AE: Jaundice, scleral icterus, cholelithiasis, nephrolithiasis, requires acidic pH | Atazanavir
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AE: N/V/D; take with food to increase bioavail | Darunavir
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rarely used; really bad diarrhea | Nelfinavir
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rarely used; prolong QT interval | Saquinavir
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not an active PI anymore; pharmaco-enhancer | Ritonavir
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not used often; nephrolithiasis | Indinavir
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has Ritonavir in formulation; good pregnancy data | Lopinavir
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salvage drug--higher dose; AE: intracranial bleed | Tipranavir
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Raltegravir | Intergrase inhibitor
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AE: severe rash, CPK | Raltegravir
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Maraviroc | Entry inhibitor
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must be CCR5 dominant | Maraviroc
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BBW: hepatotoxicity | Maraviroc
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Fusion inhibitor; last line therapy; no DDI because it's a very large peptide | Fuzeon
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Sulfa allergy caution use of: | Darunavir
Fosamprenavir
Tipranavir
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AE: depression (Psychiatric disorders), insomnia, HA, rash | Rilpivirine
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