Antivirals Flashcards
Inhibits viral RNA polymerase, DNA polymerase and HIV reverse transcriptase
Foscarnet
Activated by viral thymidine kinase to forms that inhibit viral DNA polymerase
Acyclovir
Acyclovir has no activity against strains of HSV with absent _
Thymidine kinase activity
For HSV infection in patients with AIDS
Foscarnet
Anti-HSV that inhibits fusuon between HSV envelope and plasma membranes
Docosanol
Uses of acyclovir
HSV 1 and 2
VZV
Binds to pyrophosphate binding site
Foscarnet
Causes nephrotoxicity (cystalluria)
Acyclovir
Inhibits viral DNA polymerase. Do not need thymidine kinase.
Ganciclovir
Cifodovir
Uses of ganciclovir
HSV 1 and 2
VZV
CMV
SE of cifoduvir
Nephrotoxicity
Causes leukopenia, trombocytopenia and neutropenia
Ganciclovir
For CMV retinitis
Cifodovir
Foscarnet
Causes electrolyte abnormality
Foscarnet (hypocalcemia)
Inhibit HIV reverse transcriptase after phosphorylation by cellular enzymes
Zidovudine (NRTI)
Inhibit HIV reverse transcriptase without requiing phosphorylation
Delavirdine (NNRTI)
For prevention of maternal-fetal HIV transmission
Zidovudine (NRTI)
Give to mother prior and during delivery
Give to baby after delivery
Causes lactic acidosis with hepatic steotosis
NRTI
NRTI that causes bone marrow suppression
Zidovudine
NRTI that causes hypersensitivity
Abacavir
NRTI that causes pancreatitis
Didanosine
NRTI that causes peripheral neuropathy
Stavudine
Zalcitabine
NNRTI that causes rash, inc AST/ALT
Delavirdine
Nevirapine
NNRTI with teratogenicity
Efavirenz
NNRTI with inc cholesterol and triglycerides
Etravirine
Noncompetitive inhibitors of reverse teanscriptase
NNRTI