Antivirals Flashcards

1
Q

What do antivirals consist of

A
  • Nucleic acid
  • +/- lipid envelope
  • protein
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2
Q

RNA viruses

A

influenza
measles
mumps
Hep A

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3
Q

Chronic DNA viruses

A

Latent - HSV, CMV

Persistent - HIV, Hep B+C

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4
Q

When are antivirals used

A
  • Chronic infections
  • Immunocompromised
  • Acute infection with high risk of complication
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5
Q

Treatment of HSV

A
  • Aciclovir

- Treats oral and genital herpes

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6
Q

Treatment of chickenpox and shingles

A
  • Aciclovir
  • Treat all adults with chickenpox
  • Treat above 60 for shingles
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7
Q

Treatment of influenza

A
  • Neuraminidase inhibitors
  • Oseltamivir (oral) and Zanamivir (inhaled)
  • Treat high risk patients
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8
Q

Virus replication process

A
  • Attaches to cell via receptor
  • Cell entry and virus uncoats
  • Viral enzymes produced and replicate
  • Translation, proteins assembled and released
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9
Q

Nucleoside Reverse Transcription Inhibitors (NRTIs)

A
  • Inhibit reverse transcriptase
  • Pyrimidine analogues - Zidovudine + Lamivudine
  • Purine analogues - Abacavir + Tenofovir
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10
Q

Treatment of Hep B

A

Lamivudine inhibits reverse transcriptase in HBV

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11
Q

Herpesvirus polymerase Inhibitors

A
  • Aciclovir - HSV, shingles

- Ganciclovir - CMV, HSV

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12
Q

Treatment of Hep C virus

A

RNA polymerase inhibitor

- Sofosbuvir

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13
Q

Non-Nucleotide Reverse Transcription Inhibitors (NNRTIs)

A
  • Efavirenz
  • Nevirapine
  • Inhibit polymerase
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14
Q

Protease Inhibitors

A
  • Stop viral enzymes from carrying out toxic actions
  • HIV - Atazanavir, darunavir, ritonavir
  • Hep C - Paritaprevir, Grazoprevir
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15
Q

Entry inhibitor

A

Enfuviritide – fusion inhibitor

Maraviroc – chemokine receptor antagonist

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16
Q

Integrase inhibitors

A

Raltegravir, Dolutegravir

17
Q

HIV mutation

A
  • M184V mutation results in resistance to Lamivudine
18
Q

Treatment of Hep C

A
  • directly acting antivirals

- Combination therapy for 8-12 weeks