NNRTIs
What are NNRTIs?
Non-nucleoside reverse transcriptase inhibitors (NNRTIs) are antiviral agents that bind non-competitively to HIV-1’s reverse transcriptase and prevents viral RNA conversion to DNA. They are used to treat human immunodeficiency virus (HIV infection) and acquired immune deficiency syndrome (AIDS).
Four non-nucleoside reverse transcriptase inhibitors (NNRTIs)—doravirine (DOR), efavirenz (EFV), nevirapine (NVP), and rilpivirine (RPV)—are currently approved by the U.S. Food and Drug Administration (FDA) for the initial treatment of HIV when used in combination with other antiretroviral (ARV) drugs.
NNRTIs are not incorporated into the viral DNA like NRTIs, but instead inhibit the movement of protein domains of reverse transcriptase that are needed to carry out the process of DNA synthesis. NNRTIs are therefore classified as non-competitive inhibitors of reverse transcriptase.
Non-nucleoside reverse transcriptase inhibitors (NNRTIs) bind to and block HIV reverse transcriptase (an HIV enzyme). HIV uses reverse transcriptase to convert its RNA into DNA (reverse transcription). Blocking reverse transcriptase and reverse transcription prevents HIV from replicating.
Today, the most commonly used NRTIs are tenofovir and abacavir, both used in combination of emtricitabine or lamivudine.
List of NNRTIs
Olopatadine (nasal)
Oxymetazoline nasal
QNASL





