Nucleoside/Nucleotide Reverse TranscriptaseInhibitors (NRTIs)

Description

AntiHIVs
Javier Viñas
Mind Map by Javier Viñas, updated more than 1 year ago
Javier Viñas
Created by Javier Viñas over 1 year ago
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Resource summary

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