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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Abacavir Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 13 August 2020

⏱️ 12 minutes

🧾️ Download transcript

Summary

Abacavir is a nucleoside reverse transcriptase inhibitor used in the management of HIV.



In patients who have the HLA-B*5701 allele, they are at much greater risk for hypersensitivity reactions.



Lactic acidosis and hepatomegaly are potential complications with the use of abacavir.



While abacavir is not known for a large number of drug interactions, I discuss a few that you have a chance to run into.

Transcript

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0:00.0

Hey all, welcome back to the Real Life Pharmacology podcast. I am your host, pharmacist Eric Christensen.

0:06.3

Thank you so much for listening today. As always, go check out Real Life Pharmacology.com.

0:13.8

Snag your top 200 study guide, where I lay out important clinical pearls, adverse effects, and really some of the most

0:21.8

highly testable clinical pearls with regards to medications in the top 200 list. So kind of a

0:29.3

unique resource for everybody. Something you can get simply by subscribing to the blog there

0:36.5

at real life pharmacology.com.

0:39.5

All right, so today's drug is going to be a back of ear.

0:44.8

Brand name of this medication is zyogen, also abbreviated ABC.

0:51.5

And this drug is used in HIV management. It does also come in many pill combinations. So you may

1:02.0

see various drug names where it actually is in a combination of pills, which is important in HIV therapy because it helps reduce pill burden

1:14.7

and improves compliance, which helps reduce resistance and all sorts of different good stuff

1:23.3

in the management of HIV there.

1:26.2

It is classified as an antiretroviral agent,

1:30.7

a nucleoside reverse transcriptase inhibitor.

1:35.6

And if you remember how some of these drugs work,

1:40.7

mechanistically remember that it is a guanocene analog,

1:44.5

and it gets phosphorylated in the body and actually competes with natural substrates to inhibit reverse transcriptase.

1:56.2

Now, also, if you remember, HIV gets into CD4 cells and it uses its own reverse transcriptase

2:06.3

to change its own RNA into DNA.

2:10.7

That's why it's called reverse because it goes from RNA to DNA, which typically we go from

2:16.1

DNA to RNA in many normal biological processes.

2:22.1

But this virus is different in that it uses this reverse transcriptase enzyme.

...

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