antivirals Flashcards
oseltamivir
neuraminidase inhibitor (stops budding, translocation)
PO, renal
influenza A and B
nausea
zanamivir
neuraminidase inhibitor (stops budding, translocation)
inhale, renal
influenza A and B
bronchospasm in pts with asthma and COPD
amitidine
M2 channel blocker
PO, accumulates in lung, breast milk, Renal
influenza A
CNS disturbances
rimantidine
M2 channel blocker
PO, accumulates in lung, breast milk. Hepatic
influenza A
CNS, teratogenic
acyclovir
DNA pol inhibitor nucleoside analog. selective kinase activity
TOP, IV, renal, lower neonatal clearance
HSV, VZV
encephalopathy with IV
valacyclovir
DNA pol inhibitor nucleoside analog
PO, IV, renal
HSV, VZV,
penciclovir
DNA pol inhibitor nucleoside analog
TOP, renal
HSV VZV
famiciclovir
DNA pol inhibitor nucleoside analog
PO, renal
HSV, VZV
cidofovir
DNA pol inhibitor nucleoside analog
use for CMV
foscarnet
DNA pol inhibitor (doesn’t need activation)
IV, renal
CMV, and resistant HSV/VZV
nephrotoxic, hypocalcemia,
docosanol
prevent viral envelope mbrn fusion
TOP,
HSV
well tolerated
Gancyclovir
slows and stops viral DNA pol inhibitor
IV or intraocular, renal
CMV, HBV, opthalmic gel for HSV keratitis
less selective toxicity
valgancyclovir
slows and stops viral DNA pol inhibitor
IV or intraocular, renal
CMV, HBV, opthalmic gel for HSV keratitis
myelosuppression, neutropenia
influenza A
oseltamivir, zanamivir (resistant to amantadine and rimantadine
influenza B
oseltamivir, zanamivir