Antivirals Flashcards
Interferons
immunomodulatory cytokine released from virus infected cells –> infection unregulated interferon synthesis
What is interferon alpha used to treat?
hepatitis B & C hairy cell leukaemia malignant melanoma Kaposi sarcoma condyloma acuminata renal cell carcinoma
What are the side effects of interferon alpha ?
Flue like syndrome ( fatigue, tinnitus, retinopathy, confusion)
myelosuppression
SLE
What does interferon beta treat?
relapsing multiple sclerosis
What does interferon gamma treat?
CGD
by bursting macrophages
What does SVR depict in HCV?
HCV RNA not detected by PCR for 6 moths after stopping treatment –> negative activity
Ribavarin
guanine , nucleoside
gets phosphorylated 3 times
tx: HCV & RSV
What are the side effect of ribavirin
hemolytic anemia
teratogenic
Sofosbuvir
nucleoside analog
inhibit NS5B RNA dependent RNA polymerase –> decreased RNA production
SImepravir
NS3/4A protease inhibitor
inhibit cap 450
SE: photosensitivity & rash