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18 Cards in this Set

  • Front
  • Back
What is the mechanism for Zanamivir and Oseltamivir?
Inhibits influenza neuraminidase, decreasing release of progeny virus
What are Zanamivir and Oseltamivir used to treat?
Prophylaxis of Influenza A
Influenza A and B
H5N1
H1N1
What is the mechanism for Ribavirin?
Inhibits synthesis of guanine neucleotides by competitively inhibiting IMP dehydrogenase
What is Ribavirin used to treat?
RSV (+ Interferon alpha)
Chronic Hepatitis C
What are the 2 toxicities of Ribavirin?
Hemolytic Anemia, teratogen
What is the mechanism for Acyclovir?
Monophosphorylated by HSV/VZV thymidine kinase
Inhibits viral DNA polymerase by chain termination
What are the uses for Acyclovir?
HSV 1+2
VZV
Weak against EBV
NO ACTIVITY AGAINST CMV
What do you use instead of Acyclovir for Herpes Zoster?
Famciclovir
What is the mechanism for Ganciclovir?
5' monophosphate formed by CMV viral kinase
Preferentially inhibits viral DNA polymerase
When do you use Ganciclovir?
CMV - especially immunocomprimised patients
What is a prodrug of Ganciclovir that has better oral bioavailability?
Valganciclovir
What are the toxicities of Ganciclovir?
Leukopenia, neutropenia, thrombocytopenia, renal toxicity
What is the mechanism of action for Foscarnet?
Viral DNA polymerase inhibitor
DOES NOT require activation by viral kinase
When do you use Foscarnet?
CMV retinitis in immunocompromised patients
Use when Gancyclovir fails
What is the toxicity of Foscarnet?
Nephrotoxicity
What is the mechanism for Cidofovir?
Inhibits viral DNA polymerase
When do you use Cidofovir?
CMV retinitis in immunocompromised patients, acyclovir resistant HSV
What is the toxicity of Cidofovir?
Nephrotoxicity