Antivirals Flashcards

1
Q

What is the mechanism of zanamivir/oseltamivir

A

Inhibit influenza neuraminidase

Decrease release of progeny virus

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2
Q

What is zanamivir/oseltamivir used for

A

Influenza A/B

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3
Q

What is the mechanism of ribavirin

A

Inhibits IMP dehydrogenase –> inhibits synthesis of guanine nucleotides

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4
Q

What is ribavirin used for

A

RSV

Chronic Hep C

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5
Q

What are toxicities to ribavirin

A

Hemolytic anemia

Severe teratogen

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6
Q

What is the mechanism of acyclovir

A

Guanosine analog

Inhibits viral DNA polymerase by chain termination

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7
Q

What is acyclovir used for

A

HSV

VZV

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8
Q

What is the mechanism of gangciclovir

A

Guanosine analog

Inhibits viral DNA polymerase

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9
Q

What is gangciclovir used for

A

CMV

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10
Q

What are toxicities to gangciclovir

A

Leukopenia
Neutropenia
Thrombocytopenia
Renal toxicity

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11
Q

What is the mechanism of foscarnet

A

Binds to the pyrophosphate binding site of the enzyme

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12
Q

What is foscarnet used for

A

CMV retinitis when gangciclovir fails

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13
Q

What are toxicities to foscarnet

A

Nephrotoxicity

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14
Q

What is the mechanism of cidofovir

A

Inhibits viral DNA polymerase

Does not require phosphorylation by viral kinase

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15
Q

What is cidofovir used for

A

CMV retinitis

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16
Q

What are toxicities to cidofovir

A

Nephrotoxicity