-
-
-
NRTI: Emtriva
Emtricitabine
-
NRTI: Viread
Tenofovir disoproxil
-
NRTI: Retrovir
Zidovudine
-
-
-
-
NNRTI: Rescriptor
Delavirdine
-
NNRTI: Viramune
Nevirapine
-
NNRTI: Intelence
Etravirine
-
NNRTI: Edurant
Rilpivirine
-
-
-
-
-
PI: Kaletra
Lopinavir + ritonavir
-
-
-
-
INSTI: Vitekta
Elvitegravir
-
INSTI: Tivicay
Dolutegravir
-
INSTI: Isentress
Raltegravir
-
CCR5 Antagonist: Selzentry
Maraviroc
-
Fusion Inhibitor: Fuzeon
Enfuvirtide
-
Combination: abacavir + lamivudine
Epzicom
-
Combination: emtricitabine + TDF
Truvada
-
Combination: emtricitabine + TAF
Descovy
-
Combination: lamivudine + zidovudine
Combivir
-
Combination: emtricitabine + TDF + efavirenz
Atripla
-
Combination: emtricitabine + TDF + rilpivirine
Complera
-
Combination: emtricitabine + TAF + rilpivirine
Odefsey
-
Combination: emtricitabine + TDF + elvitegravir + cobicistat
Stribild
-
Combination: emtricitabine + TAF + elvitegravir + cobicistat
Genvoya
-
Combination: lamivudine + abacavir + dolutegravir
Triumeq
-
Combination: atazanavir + cobicistat
Evotaz
-
Combination: darunavir + cobicistat
Prezcobix
-
Name the class:
Most require renal adjustment
No CYP interactions
Most have no regard to meal
BOX warning include: lactic acidosis and hepatomegaly with steatosis
NRTIs
-
Name the class:
No renal adjustment
Most are CYP inducers
Hepatotoxicity and rash
NNRTIs
-
Name the class:
No renal adjustment
Most are CYP inhibitors
Hepatotoxicity and rash
Metabolic abnormalities: hyperlipidemia, lipohypertrophy, hyperglycemia
CVD risk, ECG changes
Generally take with food
Protease Inhibitors (PIs)
-
Name the class:
No renal adjustment
No major CYP interaction; but interact with polyvalent cations (separate dose)
Elevated CPK
Headache, insomnia
Most have no regard to food
INSTIs
-
The only NRTI that does NOT require renal dose adjustment. C/I with HLA-B*5701 positive due to severe hypersensitivity reactions. Usual dose: 300mg BID or 600mg daily. No regard to food
Abacavir (Ziagen)
-
This NRTI has a lower dose regimen indicated for Hep-B. Common SE: N/V/D. Usual dose for HIV: 150mg BID or 300mg daily. No regard to food
Lamivudine (Epivir)
-
Avoid combining this NRTI with lamivudine (both are cytosine analogs). Common SE: N/V/D, dizziness, headache, insomnia, hyperpigmentation (palm/soles), rash. Usual dose: 200mg daily with capsule. Refrigerate solution, stable x 3 months at RT. No regard to food
Emtricitabine (Emtriva)
-
This NRTI carries warnings for renal toxicity +/- Fanconi syndrome, osteomalacia and decreased bone mineral density. Consider Vit.D+Ca supplementation. The powder should be mixed with soft food (applesauce/yogurt), NOT with liquid. Usual dose: 300mg daily
Tenofovir disoproxil fumarate (TDF)
-
This NRTI is a new form of another NRTI, developed to reduce renal and bone toxicity. Only available in combination product, and NOT approved for treatment of chronic Hep-B. Known SE: nausea.
Tenofovir alafenamide (TAF)
-
The only NRTI that also has IV formulation. BOX warning: hematologic toxicities and myopathy. Known to cause macrocytic anemia (monitor MCV) and elevated LFT. Avoid combining with stavudine (both are thymidine analogs). Usual PO dose: 300mg BID. No regard to food
Zidovudine (Retrovir)
-
This NRTI has BOX warning for pancreatitis. SE include peripheral neuropathy, elevated LFT, lipoatrophy and hyperbilirubinemia. Avoid combining with zidovudine and didanosine. Oral solution is stable x 30 days in refrigerator. Weight-based dose, Q12H. No regard to food
Stavudine (Zerit)
-
This NRTI has BOX warning for pancreatitis. C/I with allopurinol and ribavirin. SE include peripheral neuropathy, elevated amylase. Consider eye exam due to risk of optic neuritis. Avoid stavudine. Oral solution is stable x 30 days in refrigerator. Weight-based dose, daily. The only NRTI to be taken on EMPTY stomach
Didanosine (Videx)
-
These two NRTIs should not be combined due to risk of pancreatitis and peripheral neuropathy
- Didanosine (Videx) and
- Stavudine (Zerit)
|
|