Antivirals Flashcards

1
Q

Antiherpetic and Anti-CMV

A
Idoxuridine
Vidarabine
Trifluridine
-Clovirs
Cidofovir
Fomivirsen
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2
Q

Influenza + RSV

A
Infl:
Amantadine
Rimanatadine
Oseltamivir
Peramivir
Baloxair Marboxil

RSV:
Ribavirin
Palivizumab

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3
Q

Nonspecific Antivirals

A
IF-a + IFN-B
Intron A
Roofer on A
Alferon
Wellferon 
Betaseron
Rebetron
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4
Q

Process of activation of antivirals

A

Phosphorylation

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5
Q

NRTIs

A

Very Ugly Dinosaur Been (-BINE) Seen (-Sin) Dining (-DINE) in A Cave (Abacavir) with a Ten Of Spades (Tenofovir)

Zidovudine
Zalcitabine
Didanosine
Stavudine
Abacavir
Lamivudine
Adefovir
Emtricitabine
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6
Q

NNRTIs

A

VIRtually few NNRTIs

Nevirapine
Delavirdine
Efavirenz
Etravirine
Rilpivirine
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7
Q

HIV protease Inhibitor

A

Indinavir
Ritonavir
I PREVIR to NAVIR fight Proteus

Saquinavir 
Lopinavir
Amprenavir
Atazanavir
Fosamprenavir
Tipranavir
Bocepravir
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8
Q

Enfuvirtide

A

Binds GP41 prevents binding/fusion

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9
Q

Maraviroc

A

CCR5 co-receptor binding prevents entry of virus in host

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10
Q

Integrate inhibitors

A

Prevent provirus integration

Gravity integrates us with the ground

Raltegravir
Dolutegravir
Elvitegravir

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11
Q

HBV

A
Telbivudine
Lamivudine
Entecavir
Adefovir
Vidarabine
Tenofovir
IFNs
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12
Q

HPV

A

Imiquimod

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13
Q

HCV

A

Hep C PREVIRS to SEE (C) a DO

Boceprevir
Telaprevir
Simerevir

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14
Q

Acyclovir

A
  • nucleoside analog; inhibits Viral DNA PM
  • HSV1 + 2; VarZ; CMV
  • Topical, oral, and IV
  • AE: Renal dysfunction
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15
Q

Idoxuridine/Trifluridine

A
  • Various mechanisms including block DNA synthesis
  • HSV I
  • AE: PArenteral marrow toxicity; Pain, pruritic,edema, and inflammation
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16
Q

Vidarabine

A
  • Adenosine analog; inhibits DNA PM
  • IV: HSV encephalitis
  • Oral: HSV keratitis
  • AE: GI Toxic, anorexia, Hepatic toxicity
17
Q

Ganciclovir

A
  • Inhibits DNA polymerase; CMV suppression, HSV

- AE: Leuopenia; TCPenia, CNS side affects

18
Q

Foscarnet

A
  • Inorganic pyrophohate which inhibits viral RNA OM
  • HCV and CMV retinitis
  • AE: Nephrotoxicity; electrolyte disturbance
19
Q

Ribavirin

A
  • Purine nucleoside analogue which prevents capping of viral mRNA
  • HSV, INF A/B, RSV + Pneum
  • AE: Myelosuppression, conjunctival irritation
20
Q

Cidofovir

A
  • Nucleotide analog inhibit viral DNA PM

- HSV + CMV retinitis

21
Q

fomivirsen

A
  • Inhibits CMV via antisense mechanism
22
Q

PI Contras

A

Rifampin

23
Q

Influenza A/B primary drugs

A

Amantadine + Rimantadine:

  • Inhibit Replication
  • Amantadine also indicated in Parkinsonism

Zanamivir + Oseltamivir (Tamiflu):

  • Zabamivir intranasal
  • Tamiflu prodrug;

Baloxavir Maboxil: Cap-dependents endonuclease inhibitor in RNA transcription
- >12 YO

24
Q

Harvoni

A

Sofosbuvir + Ledipasvir:

  • HCV
  • NS5a inhibitor
  • Expensive, but it shows cure
25
Q

Palivizumab

A
  • RSV
  • Human Mnoclonal Ab against F glycoprotein in RSV surface
  • AE: Elevation of aminotranferase enzymes
26
Q

Interferons

A
  • Most viral replication stages
  • HepB, HepC, Kaposi’s sarcoma (HIV), Pappillomatosis + Topical genital warts
  • AE: Neutropenia, GI, fatigue, myalgia, cardiomyopathy, CNS disturbance
27
Q

Fusion Attachment inhibitor

A

Maraviroc

28
Q

Fusion penetration inhibitor

A

Enfuvirtide

29
Q

Integrate inhibitor

A

Raltegravir

30
Q

Protease inhibitors

A

“Navir”

  • Lopinavir
  • Atazanavir
  • Indinavir
31
Q

Viral Uncoating drugs

A

Amantadine

Rimantadine

32
Q

Neuroaminidase inhibitor

A

“Mivir”

Zanamivir
Oseltamivir

33
Q

Nucleic Acid inhibitors

A

Guanine: Ribovirin

Viral DNA PM: Foscarnet + Cidofovir

Guanisine Analogs: Acyclovir + Ganciclovir