integrase strand transfer inhibitor-INSTI-Antiretrovirals (ARVs)

bictegravir (BIC; Biktarvy) dolutegravir (DTG; Tivicay) elvitegravir (EVG; Vitekta) raltegravir (RAL; Isentress) cabotegravir (CAB; Vocabria) Class: diarrhea; weight gain; ↑ CPK DTG/BIC ↑ metformin levels; monitor glc DTG a/w 0.003% risk of neural tube defects (NEJM 2019;381:827) CAB/RPV: injection site rxn