pharmacology of influenza Flashcards

1
Q

amantadine MOA and anti-viral spectrum

A

blocks viral M2 ion (H+) channel, prevents uncoating

-influenza A only

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2
Q

what are the neuraminidase inhibitors

A

mavir and mivir

oseltamivir
zanamavir

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3
Q

oseltamivir and zanamavir treat

A

influenza A and B

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4
Q

which neuroaminadase inhibitor is oral and which is inhaled

A
oral = oseltamivir
inhaled = zanamavir (not recommended with lung problems)
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5
Q

which NA Inhibitor is approved for 1 year and older

A

oseltamivir

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6
Q

which NA inhibtitor is used to treat 7 year olds and above and prevent flu in 5 year olds and older

A

zanamivir

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7
Q

NAI need to be admiistered within ___ hours of symptoms appearing

A

less than 48

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8
Q

amantadine not recommended for

A

antiviral treatment of chemoprophylazis of currently circulating influenza A virus strains

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9
Q

enzyme for first step in nucleoside phosphorylation in HSV and by cell or virus, next enzyme

A

thymidine kinase, virus

GMP kinase, host cell

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10
Q

what is the black box warning for NRTIs and what enzyme is inhibited

A

lactic acidosis syndrome

mDNA polymerase y

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11
Q

rank order of inhibition of mt DNA pol y with NRTIs

A

didanosine> stavudine> zidovudine

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12
Q

which NRTI causes pancreatitis

A

stavudine

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13
Q

which NRTIs cause neuropathy

A

stavudine and didanosine

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14
Q

which NRTIs cause lipoatrophy and lipodystrophy

A

all of them

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15
Q

which NRTIs cause lactic acidosis and hepatic steatosis

A

didanosine, stavudine, zidovudine

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16
Q

which of the NRTIs is a nucleotide and what is its main AE, what pts should not use, what alternative

A

tenofovir

nephrotoxicity, pts with renal insufficiency should not use this, use abacavir instead

17
Q

which NRTI has a hypersensitivity based on a genetic HLA and what is the HLA

A

abacavir

HLA-B-5701