Antivirals Flashcards
Antiviral agents
acyclovir (Zovirax), valacyclovir (Valtrex), famciclovir (Famvir), Ganciclovir (Cytovene), valganciclovir (Valcyte), foscarnet (Foscavir), amantadine (Symmetrel),Oseltamivir (Tamiflu)
Spectrum of activity of acyclovir
herpes simplex 1/2, varicela zoster, HSV1> HSV2> VZV
ADRs of acyclovir
N/V, nephrotoxic, neurotoxic, lethargy confusion, disorientation, hallucination
Kinetics of acyclovir
IV/PO, well distributed, renally eliminated
Valacyclovir (Valtrex) MOA
prodrug of acyclovir
Spectrum of activity of valacyclovir
herpes simplex 1/2, varicella zoster
Kinetics of valacyclovir
Po only, rapidly converted in intestinal tract to acyclovir, 3-5x higher bioavailability than acyclovir
ADRs of valacyclovir
N/V
MOA of famiclovir (Famvir)
prodrug, converted to active form by liver, works by inhibition of viral replication
Spectrum of activity of famciclovir
herpes simplex virus 1/2, varicella zoster virus
Niche of famiclovir
best tolerated, but $$$
Ganciclovir (Cytovene) MOA
inhibits viral DNA polymerase
Spectrum of activity of ganciclovir
HSV-1/2, VZV, cytomegalovirus
Kinetics of ganiclovir
IV/PO, penetrates well into aqueous humor of eye and subretinal fluid, and CSF
ADRs of ganiclovir
Bone marrow suppression, neutropenia, thrombocytopenia, related to dose accumulation over time