Sustiva
These drugs are applied directly to the skin to alter the immune response.
ANTIRETROVIRALS NRTIs- abacavir Ziagen ; , didanosine ddI, Videx ; , lamivudine Epivir, 3TC ; , lamivudine zidovudine Combivir ; , stavudine d4T, Zerit ; , tenofovir Viread ; , zalcitabine ddC, HIVID ; , zidovudine AZT, Retrovir ; . PIs- amprenavir Agenerase ; , indinavir Crixivan ; , nelfinavir Viracept ; , ritonavir Norvir ; , saquinavir Fortovase, Invirase ; . NnRTIs- delavirdine Rescriptor ; , efavirenz Sus6iva ; , nevirapine Viramune ; . Other- hydroxyurea Hydrea ; . OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , azithromycin Zithromax ; , clarithromycin Biaxin ; , fluconazole Diflucan ; , foscarnet Foscavir ; , ganciclovir Cytovene ; , isoniazid, itraconazole Sporonox ; , leucovorin Wellcovorin ; , pyrazinamide Terbrazid ; , pyrimethamine Fansidar ; , rifampim Rifadin, Rifamate ; , sulfadiazine Microsulfon ; , TMP SMX Bactrim, Septra ; . Other OIs- amikacin Amikin ; , amphotericin B Fungizone ; , atovaquone Mepron ; , bleomycin Blenoxane ; , ciprofloxacin Cipro ; , clindamycin Cleocin ; , clofazimine Lamprene ; , clotrimazole Lotrimin, Mycelex ; , dapsone, doxorubicin Adriamycin ; , erythropoietin Epogen, Procrit ; , ethambutol Myambutol ; , filgrastim Neupogen ; , interferon n3, Beta, Gamma Alferon N, Betaseron, Actimmune ; , ketoconazole Nizoral ; , metronidazole Flagyl ; , nystatin, paromomycin Humatin ; , pentamidine Pentam ; , prednisone Deltasone ; , primaquine, rifabutin Mycobutin ; , streptomycin, terconazole Terazol ; , vinblastine Velban ; , vincristine Oncovin ; , valacyclovir Valtrex ; . Hepatitis C- interferon 2a, 2b Roferon A, Intron A ; . TREATMENTS FOR METABOLIC DISORDERS Hyperlipidemia- atorvastatin generic ; , simvastatin generic ; , fenofibrate Tricor ; . Wasting- dronabinol Marinol ; , megestrol acetate Megace ; . ALL OTHERS amoxicillin, amoxicillin clavulante Augmentin ; , bupropion Wellbutrin ; , carbamezapine Tegretol ; , cephalexin, cefprozil Procef, Prozef, Cefzil ; , doxycycline, famotidine Pepcid ; , fluoxetine Prozac ; , ibuprofen Motrin, Advil ; , lansoprazole Prevacid ; , levofloxacin Levaquin ; , morphin sulfate MS Contin Roxanol ; , norfloxacin Norflox ; , paroxetine Paxil ; , penicillin, phenytoin Dilantin ; , sertraline Zoloft ; , sulfacetamide, trifluridine Viroptic ; , valproic acid Depakene, Depakote ; . Secondary Forumulary all generics ; : acetaminophen combinations, alprazolam, amantadine, amitriptyline, amoxapine, aspirin combinations, birth control pills and injection, bronfenac, buspirone, chlorpromazine, choline magnesium trisalicylate, choline salicylate, citalopram, clozapine, clomipramine, codeine, desipramine, diazepam, diphenoxylate altropine generic ; , doxepin, etodolac, fenoprofen, fentanyl, fluphenazine, fluvoxamine, guafenisin, haloperidol, hydromorphone, hydroxyzine ibuprofen, imipramine, imiquimod cream generic ; , indomethacin, Kao-Pectate generic ; , ketoprofen, ketorolac, lidocaine viscus sol gel, lithium, loperamide generic ; , lorazepam, loxapine, maprolitine, meclofenamate, mefenamic, meperidine methadone, mirtazapine, morphine, nabumetone, naproxen, nefazodone, nortriptyline, olanzapine, omeprazole, oxaprozin, oxazepam, oxycodone, perphenazine, phenelzine, piroxicam, prochlorperazine, promazine, propoxyphene, protriptyline, psyllium, quetipine, relenza, rimatadine, risperidone, salsalate, sertindole, sulindac, tamiflu, thioridazine, thiothixene, tolmetin, topical corticosteroids, tranycypromine, trazodone, trifluoperazine, trimipramine, venlaxafine.
REVERSE TRANSCRIPTASE INHIBITORS RTIs ; abacavir sulfate Ziagen ; didanosine ddI, dideoxyinosine, Videx, Videx EC ; emtricitabine Emtriva, FTC ; lamivudine 3TC, Epivir ; stavudine d4T, Zerit ; tenofovir DF Viread ; zidovudine AZT, azidothymidine, Retrovir ; * Combivir Epivir and Retrovir Combination ; * Truvada Emtriva and Viread combination ; * Epzicom Epivir and Ziagen Combination ; * Trizivir Epivir, Retrovir and Ziagen Combination ; * Atripla efavirenz emtricitabine tenofovir ; PROTEASE INHIBITORS PIs ; amprenavir Agenerase ; , solution only atazanavir Reyataz ; darunavir Prezista ; fosamprenavir calcium Lexiva ; indinavir Crixivan ; lopinavir ritonavir Kaletra ; nelfinavir mesylate Viracept ; ritonavir Norvir ; saquinavir mesylate Invirase ; NON-NUCLEOSIDE RTIs ; delavirdine Rescriptor ; efavirenz Sutsiva ; nevirapine Viramune ; CATEGORY II TREATMENT and PROPHYLAXIS of PCP atovaquone Mepron ; * clindamycin HCl Cleocin Hcl ; dapsone pentamidine isethionate NebuPent, Pentam 300 ; primaquine phosphate trimethoprim TMP, Proloprim, Trimpex ; sulfamethoxazole trimethoprim SMZ TMP, Bactrim, ; HEPATITIS-B TREATMENTS entecavir Baraclude ; adefovir Hepsera ; MYCOBACTERIAL INFECTIONS: * azithromycin dihydrate Zithromax ; ciprofloxacin Cipro ; * clarithromycin Biaxin ; ethambutol Myambutol ; isoniazid isonicotinic acid hydrazide, INH ; isoniazid pyrazinamide rifampin Rifater ; Levofloxacin Levaquin ; Pyrazinamide pyridoxine hydrochloride B6 ; rifabutin Mycobutin ; rifampin Rifadin, Rimactane ; CATEGORY III TREATMENT and PROPHYLAXIS of OIs ANTIBIOTICS * azithromycin dihydrate Zithromax ; amoxicillin Amoxil, Trimox, Wymox ; cefixime Suprax ; suspension cephalexin monohydrate Keflex ; chlorhexidine gluconate Peridex, PerioGard ; * clarithromycin Biaxin ; dicloxacillin sodium Dycill, Dynapen, Pathocil ; doxycycline hyclate Doryx, Vibramycin, Vibra-Tabs ; penicillin VK ANTI-FUNGALS: amphotericin B Fungizone ; I.V. only clotrimazole Mycelex, Lotrimin ; * fluconazole Diflucan ; itraconazole Sporanox ; ketoconazole Nizoral ; miconazole Monistat ; nystatin Mycostatin ; terconazole Terazol 3, Terazol 7 ; terbinafine Lamasil ; ANTI-VIRALS: acyclovir acycloguanosine, Zovirax ; cidofovir plus probenecid Vistide ; intravenous famciclovir Famvir ; valacyclovir hydrochloride Valtrex ; CRYPTOSPORIDIOSIS: paromomycin sulfate Humatin ; ANTI-DIARRHEA or WASTING SYNDROME dronabinol Marinol ; megestrol acetate Megace ; Lomotil Imodium TOXOPLASMOSIS: * azithromycin dihydrate Zithromax ; clindamycin phosphate Cleocin Phosphate ; clindamycin palmitate Cleocin pediatric granules ; leucovorin calcium folinic acid ; pyrimethamine Daraprim ; sulfamethoxazole Gantanol, Urobak ; sulfadiazine CATEGORY IV Other ; Aldara imiquimod cream ; interferon alfa-2b Intron A ; danazol Danocrine ; multivitamins-minerals metronidazole, oral tinidazole Tindamax ; clobetasol propionate cream podofilox Condylox ; testosterone enanthate, I.M only LIPID REGULATING ezetimibe Zetia ; atorvastatin Lipitor ; pravastatin Pravachol ; fenofibrate Tricor ; CATEGORY V - REQUIRING PRIOR APPROVAL Fuzeon enfurvirtide Valcyte valganciclovir hydrochloride ; oral only; requires an additional application; limited to a cap of 100 clients. Aptivus tipranavir requires an additional application limited to a cap of 35 clients concurrently. * Duplicate drug appears more than once. * Combivir is a two-drug combination and will be considered two drugs. * Trizivir and Atripla are a three-drug combination and will be considered three drugs. Prescriptions must adhere to the ADAP Prescribing Guidelines. Total 90 drugs.
Sustiva market share
Mately 23% ; , nausea, asthenia, and headache Kessler, 2000 ; . With respect to laboratory values, 12 patients experienced eleGeneric Name: Lopinavir vations in their liver function tests. TriglycBrand Name: Kaletra eride and cholesterol levels increased, on Sponsor: Abbott Pharmaceuticals average, by 150 mg dL and 30 mg dL, respectively. Three patients discontinued this Dosing: Lopinavir ritonavir coformulation 400 mg 100 mg twice daily study because of adverse events; 12 70 three capsules bid. 17% ; discontinued the regimen altogether. Preliminary results from a lopinavir Development Phase: Under fda review; study enrolling patients with a history of Phase III ongoing; expanded access program 1-888-711-7193 ; multiple pi failures were also presented at the 13th International aids Conference Resistance Profile: Active against vari Clumek, 2000 ; . A total of 57 patients were ants with mutation at position V82 asenrolled in the study, all of whom were sociated with ritonavir and indinavir resistance selects for M46I L and I84V naive to nnrti therapy and had been treatmutations in hiv protease; favorable pk ed, on average, with three pis in the past and IC50 against pi-resistant variants. 68% had a greater than fourfold decrease in susceptibility to three or more pis ; . InSafety Profile: Diarrhea, nausea, terestingly, in vitro data presented showed headache, elevated lfts and lipids Kessler, 2000 ; . that most patients enrolling in this study harbored variants with high-level resistance to lopinavir Kempf, 2000 ; . however, that all single-pi-experienced paAll patients were treated with one of tients entering this study were naive to two offered doses of lopinavir: 400 mg with nnrti therapy. Dr. Eron asserted that, "even 100 mg ritonavir ; or 533 mg with 133 mg for patients with a single pi failure, these reritonavir ; . Lopinavir was combined with sults were quite good when compared to efavirenz Sustivs ; and two nrtis. After 24 many of the other studies that we've seen. A plausible explanation for the results we're weeks of therapy, approximately 80% of seeing can be attributed to the pharmacopatients receiving the lower-dose lopinavir kinetic properties of ABT-378 being comregimen and 96% receiving the higher-dose lopinavir regimen had hiv-rna levels below bined with ritonavir. Concentrations of ABT400 copies mL. Despite the fact that all pa378 in vivo are significantly higher than tients were nnrti-naive and likely benefitthose needed to suppress wild-type and ed from the addition of efavirenz, it's imdrug-resistant variants in vitro by 50%, portant to note that many patients had 90%, or even 99%." baseline resistance to three or more of the As for the 72-week safety data, reported currently available nrtis. In other words, in a separate presentation at the Durban conference, the most common adverse without the benefit of lopinavir, efavirenz events in M97-765 were diarrhea approxiwould have offered nothing more than a short-lived monotherapy advantage. figure 1: Lopinavir in Tx-Experienced Patients: Responses to therTime to Virologic Failure and 72-Week Data apy in patients with multiple pi experi1.0 ence appear to be associated with base0.8 line phenotypic profiles. According to an 65% 0.6 analysis presented at Undetectable hiv-rna Levels 72-week follow up ; the 4th International Analysis hiv-rna Variable Proportion of Pts. 0.4 400 copies mL 51 58 88% ; Resistance WorkOn-Treatment 50 copies mL 40 58 69% ; shop, variants con 400 copies mL 51 70 73% ; 0.2 Intent-to-Treat ferring a less than missing failure ; 50 copies mL 40 70 57% ; tenfold decrease to 0.0 lopinavir at baseline 0 12 24 were still likely to be week pushed to undeSource: 13th International aids Conference Thompson, 2000 ; tectable levels 400 Chemical Name: ABT-378 r and vaseretic.
Psychological difficulties aggravate dermatological disorders by decreasing the immune response and consequently, the psychopathologic experience is intensified Linsteadt, 2002 ; . A study by Stake et al. 1995 ; shows that, when self-esteem is low, the meaning of negative self-relevant information is more likely to be generalised to non-relevant aspects of the self and to the self as a whole. When experienced as a negative event, skin disorders may serve to reinforce and maintain this downward spiral in psychological health. Unfortunately, many psychological factors are overlooked, particularly if the skin problem is not regarded as serious or life threatening MacGregor as cited in Papadopoulos, et al., 1999.
But muting atripla's impact for bristol and gilead would be its competition with the more established drugs, ssutiva and truvada and ethambutol.
San Francisco The New York City Department of Health and Mental Hygiene, in collaboration with the Aaron Diamond AIDS Research Center, released a press statement today reporting on a finding of man newly infected with a multi-drug resistant strain of HIV. The report described the man as being resistant to three classes of anti-HIV drugs and as having a particularly virulent strain of HIV. Although the transmission of drug-resistant HIV is a serious concern, Project Inform believes that the current reports may be unnecessarily alarming to the public. There is currently too little information available, and doctors have followed the patient for too short a time, to draw any conclusions about the significance of this situation. However, several aspects of the story being reported warrant further explanation. First, there is nothing new about people becoming infected with resistant strains of HIV, including multi-drug resistant strains. Such cases have been reported at scientific conferences for the last several years. In a study reported in the Journal AIDS : Volume 18 10 ; 2 July 2004, author Douglas Richman reports that ". Resistance to all three drug classes was detected in an estimated 13.1% of 17, 300 patients ; ." If triple class drug resistance is as common in the U.S. as Dr. Richman reports, it is likely that we will continue to see some portion of newly infected patients present with this level of resistance. The advisory and press statement from New York City suggests that the patient is virtually untreatable, but this statement seems contradicted by other claims in the same report. The article says that the patient is responsive to the drug Fuzeon and may be responsive to Sustiva. If responsive to Sustiva, he is not "resistant to 3 classes of HIV medication" as claimed in the headline. Another aspect of the reported case which is troubling is that the patient has a low CD4 + count. This was being interpreted as a sign of very rapid disease progression. However, it is common for people newly infected with HIV to have a period of low CD4 + counts and high viral load often lasting as long as 6 months after initial infection. Since the researchers involved suspect that the patient was infected in December 2004, it is not possible to determine at this time whether.
Helsinki is defined as regularly before sust8va add an treaties and myambutol.
All in all, sustiva is my drug of choice and famciclovir.
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