viral drugs I keep missing Flashcards
the one drug used to treat pox virus family? hint: one of the ones with diff MOA
cidofovir
3 drugs used to treat varicella zoster? FAV
acyclovir, valacyclovir, famciclovir
2 drugs used to treat varicella chicken pox?
acyclovir, valacyclovir
4 drugs used to treat HHV-6? 2 weird ones + 2 related ones
cidofovir, foscarnet, ganciclovir, valganciclovir
one drug used to treat HHV-7?
cidofovir
4 drugs used to treat HHV-8?
cidofovir, famciclovir, ganciclovir, valacyclovir
2 drugs used to treat HHV-8 infection
ganciclovir and valganciclovir
two antiviral drugs that do not require intracellular kinase-dependent phosphorylation for activity. they retain efficacy vs. kinase-deficient strains
cidofovir and forscarnet
MOA for acyclovir, famciclovir, ganciclovir, valacyclovir, valganciclovir,
competitively inhibit viral DNA polymerase; competes with deoxyguanosine triphosphate for incorporation into viral DNA
MOA for cidofovir
competitively inhibit viral DNA polymerase; compestes with deoxycytosine triphosphate for incorporation into viral DNA
MOA for foscarnet
selectively inhibits the viral-specific DNA polymerases and reverse transcriptase at pyrophosphate binding site; blocks chain elongation
ADE for acyclovir
neurotoxicity including seizures
ADE for cidofovir
nephrotoxicity - monitor; creatinine and urinary protein; probenecid hypersensitivity
ADE for famciclovir
NO significant issues!!
ADE for foscarnet
electrolyte imbalance; chelates Ca2+ ions
ADE for ganciclovir. think PANT LT
anemia, luekopenia, neutropenia, pancytopenia, and thrombocytopenia; teratogen
ADE for valacyclovir
as for acyclovir (neurotoxicity including seizures)
ADE for valganciclovir
as for ganciclovir (anemia, leukopenia, neutropenia, panyctopenia, and thrombocytopenia, teratogen)
this drug is metabolized to penciclovir
famciclovir
these two drugs are prodrugs
valacyclovir and valganciclovir
why do patients receive oral probenecid while taking cidofovir
to minimize potential for renal toxicity, patients receive oral probenecid and hydration with normal saline concurrently