Efavirenz: Difference between revisions

>Kenan
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>Unity
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{{SummarySheet}}
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'''Efavirenz''' (also known by the brand name '''Sustiva''') is a non-nucleotide reverse transcriptase inhibitor used in the treatment and prevention of human immunodeficiency virus infections type 1 (HIV-1). Efavirenz is notable for having a strange array of effects, many resembling [[psychedelic]] substance, as well as an extremely novel pharmacological profile and chemical structure.
| ''[[Efavirenz/Summary|Summary sheet: Efavirenz]]''
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'''Efavirenz''' (also known by the brand name '''Sustiva''') is a non-nucleotide reverse transcriptase inhibitor used in the treatment and prevention of human immunodeficiency virus infections type 1 (HIV-1). Efavirenz is notable for having a strange array of effects, many resembling [[psychedelics]], as well as an extremely unique pharmacological profile and structure.


==Chemistry==
==Chemistry==
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*'''[[Effect::Auditory distortion|Distortions]]'''
*'''[[Effect::Auditory distortion|Distortions]]'''
*'''[[Effect::Auditory hallucinations|Hallucinations]]'''
*'''[[Effect::Auditory hallucinations|Hallucinations]]'''
==Potentially dangerous interactions==
As efavirenz may cause hepatoxicity at high doses or after chronic use, it is not recommended to take this substance concurrently with other substances that may cause hepatoxicity. Efavirenz is an inducer of the CYP2B6 and CYP3A4 enzymes of the cytochrome P450 system, and as a result may change the metabolism of drugs metabolized by them.  Consuming garlic may decrease serum levels of efavirenz.
====[[Serotonin syndrome]] risk====
Efavirenz is a weak serotonin reuptake inhibitor, so it is possible that combining heavy doses of efavirenz and the substances listed below may result in serotonin syndrome.
{{DangerousInteractions/SerotoninSyndrome}}


==Toxicity and harm potential==
==Toxicity and harm potential==
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Efavirenz is [[Addiction potential::not known to be habit-forming]]. While developing a tolerance to efavirenz is extremely rare, abusing efavirenz may cause HIV to become resistant to the drug and increase the viral load in patients with HIV.
Efavirenz is [[Addiction potential::not known to be habit-forming]]. While developing a tolerance to efavirenz is extremely rare, abusing efavirenz may cause HIV to become resistant to the drug and increase the viral load in patients with HIV.


===Dangerous interactions===
As efavirenz may cause hepatoxicity at high doses or after chronic use, it is not recommended to take this substance concurrently with other substances that may cause hepatoxicity. Efavirenz is an inducer of the CYP2B6 and CYP3A4 enzymes of the cytochrome P450 system, and as a result may change the metabolism of drugs metabolized by them.  Consuming garlic may decrease serum levels of efavirenz.
====[[Serotonin syndrome]] risk====
Efavirenz is a weak serotonin reuptake inhibitor, so it is possible that combining heavy doses of efavirenz and the substances listed below may result in serotonin syndrome.
{{DangerousInteractions/SerotoninSyndrome}}


==Legal issues==
==Legal issues==