Abacavir Pharmacology
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist
4.9 • 773 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.
I discuss important drug interactions on the podcast, be sure to check out my latest project which is a 200+ page book on managing drug interactions in primary care.
Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!
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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