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