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Nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs)

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Pharmacology for Nurses

Definition

Nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) are a class of antiretroviral drugs used to treat HIV. They work by inhibiting the reverse transcriptase enzyme, preventing the virus from replicating.

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5 Must Know Facts For Your Next Test

  1. NRTIs function by mimicking the natural nucleotides, causing premature DNA chain termination during viral replication.
  2. Common NRTIs include zidovudine (AZT), lamivudine (3TC), and tenofovir (TDF).
  3. They are often used in combination with other antiretroviral drugs to enhance efficacy and reduce resistance.
  4. Side effects can include mitochondrial toxicity, lactic acidosis, and hepatic steatosis.
  5. NRTIs require phosphorylation to become active within cells.

Review Questions

  • What is the primary mechanism of action for NRTIs?
  • Name three common nucleoside/nucleotide reverse transcriptase inhibitors used in HIV treatment.
  • What are some potential side effects associated with NRTIs?

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