Hepatitis Drugs Flashcards
What is SVR?
Sustained virologic response = cure
Undetectable RNA after 12 weeks of tx
Ribavirin MOA
Guanosine analog
Inhibits viral RNA dependent polymerase via competitive inhibition
AE of ribavirin
Not that efficacious
Hemolytic anemia
Teratogenic
Interferon MOA
Jolt to immune system that has antiviral, immunomodualtory, and antiproliferative actions
AE of interferons
BAD flu Iike sx
Simeprevir
HCV protease inhibitor
AE: rash, photosensitivity, drug intxns CYP3a4
Sofosbuvir
HCV polymerase inhibitor
Pangenotypic
Contra: severe renal
Ledipasvir
NS5A protein inhibitor, targets RNA replication assembly
HCV genotype 1
Only available in Harvoni
Good for HCV/HIV co-infection
Harvoni
Sofosbuvir
Ledipasvir
BBW for all direct acting HCV drugs
Can lead to HBV reactivation in a co-infection