Non-Nucleoside Reverse Transcriptase Inhibitors

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delavirdine (Rescriptor ®) efavirenz (Sustiva ® )
nevirapine (Viramune ®)  

delavirdine (Rescriptor ®)  top of page icon

 Mechanism of Action
Delavirdine binds directly to reverse transcriptase, blocking RNA-dependent and DNA-dependent DNA polymerase activities

Dosing (Adult): Oral: 400 mg 3 times/day

Administration
Patients with achlorhydria should take the drug with an acidic beverage; antacids and delavirdine should be separated by 1 hour

Supplied: 100, 200mg tablets. Warn of rash.

efavirenz (Sustiva ® ) top of page icon

Mechanism of Action
As a non-nucleoside reverse transcriptase inhibitor, efavirenz has activity against HIV-1 by binding to reverse transcriptase. It consequently blocks the RNA-dependent and DNA-dependent DNA polymerase activities including HIV-1 replication. It does not require intracellular phosphorylation for antiviral activity.

Warn of CNS toxicity that is usually self-limited to the first three weeks of treatment. May need to avoid driving or work during this period.

Dosing (Adult): > 40kg: 600 mg orally at bedtime.   Administer on an empty stomach.

Supplied:
Capsule: 50 mg, 100 mg, 200 mg
Tablet: 600 mg

nevirapine (Viramune ®)  top of page icon

Dosing (Adult): Initially, 200mg orally once a day for 14 days, then 200mg orally twice daily (may reduce risk of rash).

Supplied: [200mg tablet; 50mg/5 ml oral suspension]. Warn of hepatotoxicity with need to monitor liver function tests, especially during the first 12 weeks.

Disclaimer   top of page icon

Listed dosages are for - Adult patients ONLY. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. GlobalRPH does not directly or indirectly practice medicine or provide medical services and therefore assumes no liability whatsoever of any kind for the information and data accessed through the Service or for any diagnosis or treatment made in reliance thereon.

David F. McAuley, Pharm.D., R.Ph.  GlobalRPh Inc.