Anti-Viral Drugs II Flashcards
Synthetic adenosine analog with a phosphate. Technically a nucleotide RT inhibitor
Tenofovir
Tenofovir’s protective groups are stripped in plasma before transport into
Cells
Drug acts by competing with dATP for binding HIV RT and then chain terminates
Tenofovir
Resistance to tenofovir develops slowly. The drug retains activity even with resistance to other
NRTIs
Deprotected in hepatocytes (as well as lymphocytes). Therefore, it can be used at lower doses with fewer side effects than disoproxil derivative
Tenofovir alafenamide
An adenosine monophosphate that is converted to a triphosphate
Adefovir (Hepsera)
What are the three second-line drugs for HBV?
Adefovir, Lamivudine, and Telbivudine
Effective even after the appearance of lamivudine resistance and entecavir cross resistance
Adefovir
A cytosine derivative that is converted to triphosphate. Chain terminator
Lamivudine
Synthetic thymidine analog active against HBV but not other viruses (HIV)
Telbivudine
Lamivudine resistant strains are cross-resistant to
Telbivudine