Antivirals II Flashcards

1
Q

List the five non-nucleoside reverse transcriptase inhibitors

A
Nevapirine
Delavirdine
Efavirenx
Etrovirine
Rilpivirine
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2
Q

Important things to know about Adenosine arabinoside

A

Severe effects
Only used with potentially lethal diseases
Deaminated in blood to less effective form

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3
Q

Important things to know about Foscarnet (phosphonoformic acid)

A

Competitive Inhibitor of DNA polymerase
Binds to Pyrophosphate sites
Inhibitor of RNA Pol and Reverse Transcriptase

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4
Q

Foscarnet is an especially effective inhibitor of…

A

Herpes DNA pol

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5
Q

How to administer Foscarnet?

A

IV only

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6
Q

Recommendations for when to give Foscarnet?

A

CMV retinitis

Synergistic with gancyclovir

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7
Q

Protease inhibitors for HIV target

A

The active site of aspartyl protease

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8
Q

First protease inhibitor licensed for HIV therapy

A

Saquinavir

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9
Q

Ritonavir is used as…

A

Supplementary booster treatment

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10
Q

Darunavir mechanism of action

A

Protease Inhibitor

Resists bacterial resistance development

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11
Q

When do you give Tipranavir?

A

Given with ritonavir as a salvage option for treatment-experienced patients with resistance to one or more protease inhibitors

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12
Q

Protease inhibitors used in Hepatitis C infection

A

Telapreir (+Interferon +Ribaviron)

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13
Q

Drug that acts by inhibiting the viral terminase complex

A

Letermovir in CMV (In Clinical Trials)

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14
Q

Significance of iSAVE therapeutics?

A

Peptides from C-terminal heptad repeat 2 region of the HIV-1 gp41 env glycoprotein. Made as secreted peptides by genetically modified T cells to protect nearby unmodified cells.

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15
Q

What do alpha and beta interferons do?

A
  • Enhance MHC I and II expression

- Warn all local cells to shred any potential viruses around before its too late

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16
Q

Who secretes alpha and beta interferons?

A

Virus infected cells

17
Q

Side effects of interferons?

A

Fever, Weight Loss

18
Q

Who secretes gamma interferon?

A

T lymphocytes secreted only by T lymphocytes in respnse to antigens

19
Q

Actions of gamma interferon?

A
  • Enhance specific immune response (more MHCI)

- Activation of endonuclease, inhibition of mRNA synthesis and protein synthesis

20
Q

Interferon method of administration?

A

IV or IM

21
Q

Side effects of interferons?

A

Fever, Myalgia, Marrow suppression, neurotoxicity

22
Q

Example of HIV prophylaxis

A

Truvada + Safe Sex

23
Q

Most popular influenza drugs?

A

Zanamivir and Oseltamivir

24
Q

Zanamivir and Oseltamivir may help influenza symptoms if used in what time frame?

A

The first two days

25
Q

Popular name of Oseltamivir

A

Tamiflu