5 • 716 Ratings
🗓️ 13 August 2020
⏱️ 12 minutes
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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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