艾滋病抗病毒治疗新药绥美凯好用吗
Are the new antiviral drugs for HIV effective? Suimeike is a three-in-one compound drug for the treatment of human immunodeficiency virus (HIV) infection. It can not only be used for adult patients, but also has good therapeutic effects on adolescents over 12 years old (weighing more than 40kg).
Trimax contains three ingredients in one preparation: abacavir, lamivudine and dolutegravir. One tablet is a complete treatment plan. Dolutegravir inhibits HIV integrase by binding to the integrase active site and blocking the strand transfer step of reverse transcription deoxyribonucleic acid (DNA) integration (a key step in the HIV replication cycle). Abacavir is a carbocyclic synthetic nucleoside analogue. Abacavir is converted into the active metabolite carbavir triphosphate (CBV-TP), a deoxyguanosine-5'-triphosphate (dGTP) analogue, under the action of intracellular enzymes. CBV-TP inhibits the activity of HIV-1 reverse transcriptase (RT) by competing with the natural substrate dGTP and inserting into viral DNA. Lamivudine is a synthetic nucleoside analogue. Lamivudine is phosphorylated in cells to generate the active 5-triphosphate metabolite, lamivudine triphosphate (3TC-TP). The main mode of action of 3T-CTP is to terminate DNA chain synthesis by inserting nucleotide analogs, thereby inhibiting RT activity.
Dosage is the same for adults and adolescents, with the recommended dose being one tablet once daily. Regardless of whether they are adults or adolescent patients, if their weight is less than 40kg, they should not take Trimax, because Trimax is a fixed-dose tablet and the dose cannot be reduced, and patients cannot take the medicine at will. Individual formulations of dolutegravir, abacavir, or lamivudine may be used if discontinuation or dose adjustment of one of the active ingredients is necessary and, in these circumstances, physicians should refer to the respective product information for these medicines.
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