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Elsufavirine + 2 nucleoside reverse transcriptase inhibitors is a pharmaceutical combination regimen for the treatment of HIV-1 infection. Elsufavirine is a non-nucleoside reverse transcriptase inhibitor (NNRTI), while the nucleoside reverse transcriptase inhibitors (NRTIs), also called nucleoside analogues, act as chain terminators for HIV reverse transcriptase, preventing viral genome replication. This combination exerts a dual mechanism targeting the same viral enzyme (reverse transcriptase) at different sites, with the NNRTI binding allosterically and the NRTIs acting as competitive substrates for the natural nucleosides. This combination is used as part of standard antiretroviral therapy for HIV-1 infection.
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