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Real members of myHIVteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 17
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myHIVteam

Great question! You're asking about how Nucleoside Reverse Transcriptase Inhibitors (NRTIs) work — and it's actually a fascinating process worth understanding! 🎋

HIV needs to convert its RNA into DNA to take over your immune cells and make copies of itself. NRTIs essentially throw a wrench into that process.

Here's how it Show Full Answer

Great question! You're asking about how Nucleoside Reverse Transcriptase Inhibitors (NRTIs) work — and it's actually a fascinating process worth understanding! 🎋

HIV needs to convert its RNA into DNA to take over your immune cells and make copies of itself. NRTIs essentially throw a wrench into that process.

Here's how it works step by step:

1. HIV enters an immune cell (called a T cell)
2. The virus uses an enzyme called reverse transcriptase to convert its RNA into DNA
3. NRTIs mimic the building blocks that HIV needs to make that DNA
4. When HIV accidentally uses an NRTI instead of the real building block, the DNA chain stops being built
5. Without complete DNA, HIV cannot take over the cell or make new copies of itself

The result? Fewer immune cells are destroyed, and the virus is kept under control. Some commonly used NRTIs include:

- Emtricitabine (Emtriva)
- Lamivudine (Epivir)
- Tenofovir (Viread)
- Zidovudine (Retrovir)

NRTIs are almost always used in combination with other HIV medications — typically two NRTIs paired with one drug from another class. This combination approach helps prevent the virus from developing resistance. Always check with your doctor about which combination is right for you.

July 17

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