ANTIVIRAL CHEMOTHERAPY AND PROPHYLAXIS Flashcards
Activated by viral thymidine kinase (TK) to forms that inhibit viral DNA polymerase
Acyclovir
Used in HSV-1, HSV-2, and VZV
Acyclovir
Inhibits fusion between the HSV envelope and plasma membranes
Docosanol
An investigational drug which acts as an inhibitor of viral DNA polymerase for shingles and EBV
Valomaciclovir
Prodrug that is converted to Acyclovir
Valacyclovir
Inhibits viral DNA polymerase, causing chain termination
Ganciclovir
Cidofovir
CMV
Ganciclovir
Cidofovir
Foscarnet inhibits these enzymes (3):
RNA polymerase
DNA polymerase
Reverse transcriptase
HSV infection in patients with AIDS
Foscarnet
Non-nucleoside Reverse Transcriptase Inhibitor (NNRTI)
Never EvEr Deliver nucleoside
Nevirapine
Efavirenz
Etravirine
Delavirdine
Inhibits HIV reverse transcriptase after phosphorylation by cellular enzymes
Nucleoside Reverse Transcriptase inhibitors (NRTIs)
Zidovudine
Abacavir
Didanosine
Emtricitabine
Lamivudine
Stavudine
Tenofovir
Zlcitabine
Used for prevention of maternal-fetal HIV transmission
Nucleoside Reverse Transcriptase Inhibitor
NRTIs safe for pregnancy
LATE
L - Lamivudine
A - Abacavir
T - Tenofovir
E - Emtricitabine
Nucleoside Reverse Transcriptase Inhibitor (NRTIs) side effects
Lactic acidosis with hepatic steatosis
Zidovudine: BM supression
Abacavir: Hypersensitivity
Didanosine: Pancreatitis
Stavudine, Zalcitabine: Peripheral neuropathy
Inhibit HIV reverse transcriptase. NO PHOSPHORYLATION REQUIRED
Non-nucleoside RT inhibitors
Never EvER Deliver nucleoside
N - Nevirapine
E - Efavirenz
E - Etravirine
R - Rilpivirine
D - Delavirdine
Side effects of NNRTIs
No BM suppression because not incorporated in DNA
Delavirdine: Rash, elevated AST/ALT
Efavirenz: Teratogenicity
Etravirine: Increased cholesterol, TAG