Naturally Occurring Calanolides: Occurrence, Biosynthesis, And
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Truvada (Emtricitabine / Tenofovir Disoproxil)
Pre-exposure Prophylaxis (2.3) HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use Recommended dose in HIV-1 uninfected adults: One tablet TRUVADA safely and effectively. See full prescribing information (containing 200 mg/300 mg of emtricitabine and tenofovir for TRUVADA. disoproxil fumarate) once daily taken orally with or without food. (2.3) TRUVADA® (emtricitabine/tenofovir disoproxil fumarate) tablets, for oral use Recommended dose in renally impaired HIV-uninfected Initial U.S. Approval: 2004 individuals: Do not use TRUVADA in HIV-uninfected individuals if CrCl is below 60 mL/min. If a decrease in CrCl is observed in WARNING: LACTIC ACIDOSIS/SEVERE HEPATOMEGALY WITH uninfected individuals while using TRUVADA for PrEP, evaluate STEATOSIS, POST-TREATMENT ACUTE EXACERBATION OF potential causes and re-assess potential risks and benefits of HEPATITIS B, and RISK OF DRUG RESISTANCE WITH USE OF continued use. (2.4) TRUVADA FOR PrEP IN UNDIAGNOSED HIV-1 INFECTION -----------------------DOSAGE FORMS AND STRENGTHS------------------- See full prescribing information for complete boxed warning. Tablets: 200 mg/300 mg, 167 mg/250 mg, 133 mg/200 mg, and 100 Lactic acidosis and severe hepatomegaly with steatosis, mg/150 mg of emtricitabine and tenofovir disoproxil fumarate . (3) including fatal cases, have been reported with the use of nucleoside analogs, including VIREAD, a component of TRUVADA. (5.1) --------------------------------CONTRAINDICATIONS----------------------------- TRUVADA is not approved for the treatment of chronic Do not use TRUVADA for pre-exposure prophylaxis in individuals with hepatitis B virus (HBV) infection. Severe acute unknown or positive HIV-1 status. TRUVADA should be used in exacerbations of hepatitis B have been reported in patients HIV-infected patients only in combination with other antiretroviral coinfected with HIV-1 and HBV who have discontinued agents. -
Vegetation, Floristic Composition and Species Diversity in a Tropical Mountain Nature Reserve in Southern Yunnan, SW China, with Implications for Conservation
Mongabay.com Open Access Journal - Tropical Conservation Science Vol.8 (2): 528-546, 2015 Research Article Vegetation, floristic composition and species diversity in a tropical mountain nature reserve in southern Yunnan, SW China, with implications for conservation Hua Zhu*, Chai Yong, Shisun Zhou, Hong Wang and Lichun Yan Center for Integrative Conservation, Xishuangbanna Tropical Botanical Garden, Chinese Academy of Sciences, Xue-Fu Road 88, Kunming, Yunnan 650223, P. R. China Tel.: 0086-871-65171169; Fax: 0086-871-65160916 *Corresponding author: H. Zhu, e-mail [email protected]; Fax no.: 86-871-5160916 Abstract Complete floristic and vegetation surveys were done in a newly established nature reserve on a tropical mountain in southern Yunnan. Three vegetation types in three altitudinal zones were recognized: a tropical seasonal rain forest below 1,100 m; a lower montane evergreen broad- leaved forest at 1,100-1,600 m; and a montane rain forest above 1,600 m. A total of 1,657 species of seed plants in 758 genera and 146 families were recorded from the nature reserve. Tropical families (61%) and genera (81%) comprise the majority of the flora, and tropical Asian genera make up the highest percentage, showing the close affinity of the flora with the tropical Asian (Indo-Malaysia) flora, despite the high latitude (22N). Floristic changes with altitude are conspicuous. The transition from lowland tropical seasonal rain forest dominated by mixed tropical families to lower montane forest dominated by Fagaceae and Lauraceae occurs at 1,100-1,150 m. Although the middle montane forests above 1,600 m have ‘oak-laurel’ assemblage characteristics, the temperate families Magnoliaceae and Cornaceae become dominant. -
Download Article PDF/Slides
New Antiretrovirals in Development: Reprinted from The PRN Notebook,™ june 2002. Dr. James F. Braun, Editor-in-Chief. Tim Horn, Executive Editor. Published in New York City by the Physicians’ Research Network, Inc.,® John Graham Brown, Executive Director. For further information and other articles The View in 2002 available online, visit http://www.PRN.org All rights reserved. © june 2002. Roy “Trip” Gulick, md, mph Associate Professor of Medicine, Weill Medical College of Cornell University Director, Cornell Clinical Trials Unit, New York, New York Summary by Tim Horn Edited by Scott Hammer, md espite the fact that 16 antiretro- tiviral activity of emtricitabine was estab- Preliminary results from two random- virals are approved for use in the lished, with total daily doses of 200 mg or ized studies—FTC-302 and FTC-303—were United States, there is an indis- more producing the greatest median viral reported by Dr. Charles van der Horst and putable need for new anti-hiv com- load suppression: 1.72-1.92 log. Based on his colleagues at the 8th croi, held in Feb- pounds that have potent and these data, a once-daily dose of 200 mg ruary 2001 in Chicago (van der Horst, durable efficacy profiles, unique re- was selected for further long-term clinical 2001). FTC-302 was a blinded comparison sistance patterns, patient-friendly dosing study. “This is what we’re looking forward of emtricitabine and lamivudine, both in schedules, and minimal toxicities. To pro- to with emtricitabine,” commented Dr. combination with stavudine (Zerit) and vide prn with a glimpse of drugs current- Gulick. -
Product Monograph for CELSENTRI
PRODUCT MONOGRAPH PrCELSENTRI maraviroc Tablets 150 and 300 mg CCR5 antagonist ViiV Healthcare ULC 245, boulevard Armand-Frappier Laval, Quebec H7V 4A7 Date of Revision: July 05, 2019 Submission Control No: 226222 © 2019 ViiV Healthcare group of companies or its licensor. Trademarks are owned by or licensed to the ViiV Healthcare group of companies. Page 1 of 60 Table of Contents PART I: HEALTH PROFESSIONAL INFORMATION.........................................................3 SUMMARY PRODUCT INFORMATION ........................................................................3 INDICATIONS AND CLINICAL USE..............................................................................3 CONTRAINDICATIONS ...................................................................................................3 WARNINGS AND PRECAUTIONS..................................................................................4 ADVERSE REACTIONS....................................................................................................9 DRUG INTERACTIONS ..................................................................................................19 DOSAGE AND ADMINISTRATION..............................................................................28 OVERDOSAGE ................................................................................................................31 ACTION AND CLINICAL PHARMACOLOGY ............................................................31 STORAGE AND STABILITY..........................................................................................36 -
Annex I Summary of Product Characteristics
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT VIRACEPT 250 mg film-coated tablets 2. QUALITATIVE AND QUANTITATIVE COMPOSITION VIRACEPT 250 mg film-coated tablets contain 292.25 mg of nelfinavir mesylate corresponding to 250 mg of nelfinavir (as free base). For excipients, see 6.1. 3. PHARMACEUTICAL FORM Film-coated tablets 4. CLINICAL PARTICULARS 4.1 Therapeutic indications VIRACEPT is indicated in antiretroviral combination treatment of human immunodeficiency virus (HIV-1) infected adults, adolescents and children of 3 years of age and older. In protease inhibitor experienced patients the choice of nelfinavir should be based on individual viral resistance testing and treatment history. Refer to Section 5.1 Pharmacodynamic properties. 4.2 Posology and method of administration VIRACEPT film-coated tablets are administered orally and should be ingested with food. Patients older than 13 years: the recommended dosage of VIRACEPT film-coated tablets is 1250 mg (five 250 mg tablets) twice a day (BID) or 750 mg (three 250 mg tablets) three times a day (TID) by mouth. The efficacy of the BID regimen has been evaluated versus the TID regimen primarily in patients naïve to protease inhibitors (see section 5.1, pharmacodynamic properties). Patients aged 3 to 13 years: for children, the recommended starting dose is 25 – 30 mg/kg body weight per dose given TID. For children unable to take tablets, VIRACEPT oral powder may be administered (see Summary of Product Characteristics for VIRACEPT oral powder). The recommended dose of VIRACEPT film-coated tablets to be administered TID to children aged 3 to 13 years is as follows: Body Weight Number of Viracept 250mg kg film-coated tablets* 18 to < 23 2 ≥ 23 3 * see Summary of Product Characteristics for VIRACEPT oral powder for patients with less than 18 kg body weight. -
Check List of Wild Angiosperms of Bhagwan Mahavir (Molem
Check List 9(2): 186–207, 2013 © 2013 Check List and Authors Chec List ISSN 1809-127X (available at www.checklist.org.br) Journal of species lists and distribution Check List of Wild Angiosperms of Bhagwan Mahavir PECIES S OF Mandar Nilkanth Datar 1* and P. Lakshminarasimhan 2 ISTS L (Molem) National Park, Goa, India *1 CorrespondingAgharkar Research author Institute, E-mail: G. [email protected] G. Agarkar Road, Pune - 411 004. Maharashtra, India. 2 Central National Herbarium, Botanical Survey of India, P. O. Botanic Garden, Howrah - 711 103. West Bengal, India. Abstract: Bhagwan Mahavir (Molem) National Park, the only National park in Goa, was evaluated for it’s diversity of Angiosperms. A total number of 721 wild species belonging to 119 families were documented from this protected area of which 126 are endemics. A checklist of these species is provided here. Introduction in the National Park are Laterite and Deccan trap Basalt Protected areas are most important in many ways for (Naik, 1995). Soil in most places of the National Park area conservation of biodiversity. Worldwide there are 102,102 is laterite of high and low level type formed by natural Protected Areas covering 18.8 million km2 metamorphosis and degradation of undulation rocks. network of 660 Protected Areas including 99 National Minerals like bauxite, iron and manganese are obtained Parks, 514 Wildlife Sanctuaries, 43 Conservation. India Reserves has a from these soils. The general climate of the area is tropical and 4 Community Reserves covering a total of 158,373 km2 with high percentage of humidity throughout the year. -
Selected Properties of Maraviroc
Selected Properties of Maraviroc Other names UK-427,857, MVC, Celsentri , Selzentry (US) Manufacturer ViiV Healthcare ULC Pharmacology/Mechanism of Maraviroc is a selective, slowly reversible, small molecule Action antagonist of the interaction between human CCR5 and HIV-1 gp120. Blocking this interaction prevents CCR5-tropic HIV-1 entry into cells . CCR5 antagonists target a discrete step in the viral entry pathway. The mechanism of HIV entry into the host CD4 T cells involves a sequence of molecular interactions between the virion envelope glycoprotein (Env) and host cell surface receptors. Normally, the gp120 Env subunit binds to CD4, and subsequent binding of HIV to the host cell’s coreceptors (CCR5 or CXCR4) causes a conformational change leading to membrane fusion into the host cell. Allosteric binding of a CCR5 antagonist results in a receptor conformation that the virus cannot bind to, thus interfering with the fusion process. NB: Use of maraviroc is not recommended in patients with dual/mixed or CXCR4-tropic HIV-1 as efficacy was not demonstrated in a phase 2 study of this patient group. The mean EC value (50% effective concentration) for Activity 50 maraviroc against HIV-1 group M isolates (clades A to J) and group O isolates ranged from 0.1 to 1.25 nM (0.05 to 0.64 ng/mL) in cell culture. Mean potency against a range of CCR5- tropic clinical primary isolates: IC 90 2.03 nM (1.04 ng/mL). In 973 treatment-experienced HIV-1-infected subjects in studies A4001027 and A4001028, the C , baseline viral load, baseline min CD4, cell count and overall sensitivity score (OSS) were found to be important predictors of virologic success (defined as viral load < 400 copies/mL at 24 weeks). -
Page: Treatment-Drugs
© National HIV Curriculum PDF created September 27, 2021, 11:42 pm Saquinavir (Invirase) Table of Contents Saquinavir Invirase Summary Drug Summary Key Clinical Trials Resistance Key Drug Interactions Drug Summary Saquinavir, the first protease inhibitor approved by the FDA (in 1995), played a central part in the initial roll out of highly active combination antiretroviral therapy in the mid-1990’s. Three formulations of saquinavir have been approved, including the initial hard-gel capsule, a soft-gel capsule (now discontinued), and, more recently, a tablet. In the early years of combination antiretroviral therapy, unboosted saquinavir was used in combination with two nucleoside reverse transcriptase inhibitors (NRTIs). Subsequently, saquinavir has been used in combination with low-dose ritonavir boosting. Over time, multiple better-tolerated and more convenient antiretroviral agents have become available and have replaced saquinavir. At this time, saquinavir is no longer recommended for use in antiretroviral therapy regimens and patients taking this agent should switch to a currently recommended option. Key Clinical Trials Early trials demonstrated that saquinavir plus two NRTI’s (zidovudine and zalcitabine) led to greater reductions in HIV RNA and increases in CD4 count as compared to dual therapy with zidovudine plus saquinavir or zidovudine plus zalcitabine [ACTG 229]. Subsequently, saquinavir was compared to other protease inhibitors, each given with two NRTIs. One study demonstrated similar antiviral potency between saquinavir boosted with ritonavir and lopinavir-ritonavir, each given with tenofovir DF-emtricitabine [GEMINI], whereas a similar trial demonstrated higher rates of treatment failure and discontinuation in the saquinavir plus ritonavir arm and concluded that lopinavir-ritonavir has superior antiviral efficacy, largely driven by tolerability and patient preference [MaxCmin2]. -
This Project Has Been Supported with Unrestriced Grants from Abbvie Gilead Sciences HEXAL Janssen-Cilag MSD Viiv Healthcare By
This project has been supported with unrestriced grants from AbbVie Gilead Sciences HEXAL Janssen-Cilag MSD ViiV Healthcare By Marcus Altfeld, Hamburg/Boston (USA) Achim Barmeyer, Dortmund Georg Behrens, Hannover Dirk Berzow, Hamburg Christoph Boesecke, Bonn Patrick Braun, Aachen Thomas Buhk, Hamburg Rob Camp, Barcelona (Spain/USA) Rika Draenert, Munich Christian Eggers, Linz (Austria) Stefan Esser, Essen Gerd Fätkenheuer, Cologne Gunar Günther, Windhoek (Namibia) Thomas Harrer, Erlangen Christian Herzmann, Borstel Christian Hoffmann, Hamburg Heinz-August Horst, Kiel Martin Hower, Dortmund Christoph Lange, Borstel Thore Lorenzen, Hamburg Tim Niehues, Krefeld Christian Noah, Hamburg Ramona Pauli, Munich Ansgar Rieke, Koblenz Jürgen Kurt Rockstroh, Bonn Thorsten Rosenkranz, Hamburg Bernhard Schaaf, Dortmund Ulrike Sonnenberg-Schwan, Munich Christoph D. Spinner, Munich Thomas Splettstoesser (Figures), Berlin Matthias Stoll, Hannover Hendrik Streeck, Essen/Boston (USA) Jan Thoden, Freiburg Markus Unnewehr, Dortmund Mechthild Vocks-Hauck, Berlin Jan-Christian Wasmuth, Bonn Michael Weigel, Schweinfurt Thomas Weitzel, Santiago (Chile) Eva Wolf, Munich HIV 2015/16 www.hivbook.com Edited by Christian Hoffmann and Jürgen K. Rockstroh Medizin Fokus Verlag IV Christian Hoffmann, M.D., Ph.D. ICH Stadtmitte (Infektionsmedizinisches Centrum Hamburg) Glockengiesserwall 1 20095 Hamburg, Germany Phone: + 49 40 2800 4200 Fax: + 49 40 2800 42020 [email protected] Jürgen K. Rockstroh, M.D., Ph.D. Department of Medicine I University of Bonn Sigmund-Freud-Strasse 25 53105 Bonn, Germany Phone: + 49 228 287 6558 Fax: + 49 228 287 5034 [email protected] HIV Medicine is an ever-changing field. The editors and authors of HIV 2015/16 have made every effort to provide information that is accurate and complete as of the date of publication. -
SYMTUZA™ (Darunavir, Cobicistat, Emtricitabine, Tenofovir Alafenamide) Oral
PHARMACY COVERAGE GUIDELINES ORIGINAL EFFECTIVE DATE: 9/20/2018 SECTION: DRUGS LAST REVIEW DATE: 8/19/2021 LAST CRITERIA REVISION DATE: 8/19/2021 ARCHIVE DATE: SYMTUZA™ (darunavir, cobicistat, emtricitabine, tenofovir alafenamide) oral Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy Coverage Guideline must be read in its entirety to determine coverage eligibility, if any. This Pharmacy Coverage Guideline provides information related to coverage determinations only and does not imply that a service or treatment is clinically appropriate or inappropriate. The provider and the member are responsible for all decisions regarding the appropriateness of care. Providers should provide BCBSAZ complete medical rationale when requesting any exceptions to these guidelines. The section identified as “Description” defines or describes a service, procedure, medical device or drug and is in no way intended as a statement of medical necessity and/or coverage. The section identified as “Criteria” defines criteria to determine whether a service, procedure, medical device or drug is considered medically necessary or experimental or investigational. State or federal mandates, e.g., FEP program, may dictate that any drug, device or biological product approved by the U.S. Food and Drug Administration (FDA) may not be considered experimental or investigational and thus the drug, device or biological product may be assessed only on the basis of medical necessity. Pharmacy Coverage Guidelines are subject to change as new information becomes available. For purposes of this Pharmacy Coverage Guideline, the terms "experimental" and "investigational" are considered to be interchangeable. -
Tree Species Diversity and Distribution Patterns in Tropical Forests of Garo Hills
RESEARCH ARTICLES Tree species diversity and distribution patterns in tropical forests of Garo Hills Ashish Kumar1,2,*, Bruce G. Marcot3 and Ajai Saxena1,4 1Wildlife Institute of India, Post Box 18, Chandrabani, Dehradun 248 001, India 2 Present Address: National Tiger Conservation Authority, Bikaner House, Annexe 5, Shahjahan Road, New Delhi 110 011, India 3USDA Forest Service, Pacific Northwest Research Station, 620 S.W. Main Street, Portland, OR 97205, USA 4Present address: Department of Ocean Development, Block 12, C.G.O. Complex, Lodhi Road, New Delhi 110 003, India pressure, particularly shifting cultivation (locally known We analysed phytosociological characteristics and diver- 1 sity patterns of tropical forest tree species in Garo as jhum) . Nevertheless, pristine PFs of Garo Hills still occur Hills, western Meghalaya, Northeast India. The main as remnant patches in remote localities mainly in the inte- vegetation of the region included primary forests rior hills. SF growth originates from many years of prac- (PFs), secondary forests (SFs), and sal (Shorea ro- tising jhum, resulting in patches of various forest ages busta) plantations, with 162, 132, and 87 tree species dispersed across the area. Many recent studies4–7 have des- respectively. The Shannon–Wiener diversity index of cribed vegetation characteristics and diversity of the tropical trees in PF was 4.27 (n = 21 one-ha belt-transects), forests of India and other parts of the world. Meghalaya, which is comparable to the world’s richest tropical however, has remained, largely unstudied, except for our forests. Statistical results revealed that primary for- work and another landscape level assessment1,2,8. -
Design, Chemical Synthesis and Biological Evaluation of Potential New Antiviral Agents
International Doctoral School in Biomolecular Sciences XXV Cycle Design, Chemical Synthesis and Biological Evaluation of Potential New Antiviral Agents Tutor Prof. Ines MANCINI University of Trento, Italy Ph.D. Thesis of Andrea DEFANT University of Trento, Italy 1 2 to my parents 3 4 Contents List of Abbreviations v List of Figures ix List of Schemes xii List of Tables xv Abstract 1 1. INTRODUCTION 3 1.1. Structure of HIV virion 4 1.2. HIV life cycle 6 1.3. Possible targets for anti-HIV agents and clinically used therapeutic agents 7 1.4. Reverse transcriptase enzyme 17 1.5. HIV-1 Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) 19 1.6. Drug design of new potential NNRTI molecules 25 2. MATERIAL AND METHODS 37 2.1. Computational approach 37 2.2. Chemistry 37 2.2.1 General 38 2.2.2 Instruments 38 2.2.3 Chemical procedures of synthesis 2.3. Biological assays 39 2.3.1. ELISA enzymatic assay 39 2.3.2. In vitro anti-HIV activity 39 2.3.3. In vitro antiviral activity 39 2.3.4. Antibacterial activity 40 3. RESULTS 43 3.1. Drug design 43 3.1.1. Docking calculation 45 3.1.1.1. Proteins preparation 45 3.1.1.2. Preparation of ligands 46 3.1.1.3. Molecular docking 47 3.1.1.4 ADME and drug-like properties prediction 50 i 3.2. Chemical synthesis and structural characterization of the new molecules 55 3.2.1. Precursors 29, 30 and 35 58 3.2.2. Tosylate precursors 59 3.2.2.1.