Antivirals - Hepatitis Flashcards
IFN MOA
Cytokines released from virus infected cells and activate other cells
Interleukins role with IFN?
Interleukins up-regulate IFN synthesis in infected cells
IFN-Alpha treats
Hepatitis B and V Hairy cell leukemia Malignant melanoma Kaposi sarcoma Condyloma accuminata Renal cell carcinoma
IFN-alpha adverse effects?
Flu-like syndrome
Tinnitus, retinopathy
Myelosuppression
Drug induced lupus
IFN-Beta treats
Multiple sclerosis
IFN-Gamma treats
Chronic granulomatous disease
What is important to determine before starting Hep C treatment?
HCV genotype
Need to assess liver fibrosis
Ribavirin MOA
Guanosine nucleoside analogue and inhibits RNA production
Ribavirin adverse effect?
Dose dependent Hemolytic anemia
Teratogenic
Sofosbuvir MOA
Nucleoside analogue that inhibits NS5B RNA production
Simeprevir MOA
Inhibits NS34A protease
Simeprevir adverse effects
CYP45 inhibitor
Photosensitivity and Rash