Study Guide 1: Compare and Contrast Antiretroviral Agents PDF

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StimulativeDevotion

Uploaded by StimulativeDevotion

University of Houston College of Pharmacy

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antiretroviral agents combination therapy pharmacology medicine

Summary

This document is a study guide for comparing and contrasting antiretroviral agents. It includes instructions on identifying ARV classes and combinations, along with questions and answers related to the agents' targets and potential adverse effects.

Full Transcript

Page 1 of 2 Study guide 1: Compare and Contrast Antiretroviral Agents Due: Monday, November 13th at 8 AM via Blackboard Part A. Instructions: For each medication listed in a given combination, identify its ARV class. The ARV class abbreviations to use in your response: NRTI, NNRTI, PI, and/or INSTI...

Page 1 of 2 Study guide 1: Compare and Contrast Antiretroviral Agents Due: Monday, November 13th at 8 AM via Blackboard Part A. Instructions: For each medication listed in a given combination, identify its ARV class. The ARV class abbreviations to use in your response: NRTI, NNRTI, PI, and/or INSTI. If there is -/r or -/c, identify it as a PK enhancer. For example, atazanavir + cobicistat will be identified as PI + PK enhancer. Example: Combination 1 Agent 1 Rilpivirine Agent 2 Emtricitabine Agent 3 TDF Example: Response: NNRTI NRTI NRTI Combination 2 Elvitegravir Cobicistat Emtricitabine TAF Your response: INSTI -/c PK enhancer NRTIs NRTI 3. Combination 3 Your response: Dolutegravir INSTI Lamivudine NRTI 4. Combination 4 Your response: Dolutegravir INSTI Abacavir NRTI Lamivudine NRTI 5. Combination 5 Your response: Efavirenz NNRTI Lamivudine NRTI TDF NRTI 1 2. Agent 4 Part B. Instructions: Highlight/circle the option(s) that apply to the given clue Clue Option A Option B Option C Option D 1 ARV agent target(s) Protease 2 Chelates with polyvalent cations Darunavir Reverse transcriptase Cobicistat Topoisomerase Integrase IV Dolutegravir Raltegravir Page 2 of 2 3 4 5 6 7 8 Avoid PPIs while on this/these ARV(s) Concerns for many DDIs due to CYP450 3A involvement Need a PK enhancer Available as an IM formulation Is considered 2nd generation Has activity against Hepatitis B virus Rilpivirine Efavirenz TDF TAF Ritonavir Cobicistat Rilpivirine Emtricitabine Darunavir TDF TAF Abacavir Elvitegravir Cabotegravir Emtricitabine Cabotegravir/rilpivirine Bictegravir Dolutegravir Rilpivirine Efavirenz Abacavir TAF TDF Emtricitabine Part C. Instructions: Highlight/circle one or all drug(s) in which the listed adverse effect is likely to occur. Clue Option A Option B Option C Option D 1 Weight gain Emtricitabine Bictegravir TAF Dolutegravir 2 Exacerbation of psychiatric illness Nephrotoxicity Rilpivirine Lamivudine Efavirenz TAF TAF TDF Abacavir Ritonavir Elevated serum creatinine (without a decline in GFR) rilpivirine dolutegravir cobicistat bictegravir 3 4

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