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40099876
Nucleoside/Nucleotide Reverse TranscriptaseInhibitors (NRTIs)
Description
AntiHIVs
Mind Map by
Javier Viñas
, updated more than 1 year ago
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Created by
Javier Viñas
over 1 year ago
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Resource summary
Nucleoside/Nucleotide Reverse TranscriptaseInhibitors (NRTIs)
Mechanism
Competitive inhibition of HIV-Reverse transcriptase
Need phosphorylation to be activated
Produce viral protein but premature chain termination (absent 3' oh) → Inhibition of 3' to 5' phosphodiester bond formation.
Suffix (-Dine)
Lamivudine
Can cause Peripheral neuropathy
Can also treat Hepatitis B
Discontinuations can cause a flare up of hepatitis B
General Adverse Effects
Mitochondrial Toxicity
Lactic Acidosis
Zidovudine
Used in pregnancy and breastfeeding
Multiple Adverse Effects
Myelosuppression
Anemia
Granulocytopenia
lipodystrophy (central obese but thin legs)
Stavudine
Peripheral neuropathy
Lipodystrophy (central obese but thin legs)
Tenofovir
Nucleotide not phosphorylate to be activate
Treats Hep B
Didanosine
Can dose dependent pancreatitis
Peripheral neuropathy
Abacavir
Hypersensitivity associated with HLA-B 57:01 Allele
Type 4 hypersensitivity
Delay rash
Emtricitabine
Hyperpigmentation in palms and soles
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