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19 Cards in this Set

  • Front
  • Back
acyclovir

Zovirax
= herpes simplex virus treatment

indications: herpes zoster (shingles), genital herpes (HSV2), chicken pox (varicella)

ORAL

=nucleoside analog so inhibits DNA polymerase

side effects: well tolerated, commonly used in immunocompromised patients
cidofovir

Vistide
= herpes simplex virus treatment

indications: for CMV retinitis

ORAL

-targets viral DNA polymerase

side effects: nephrotoxicity when given IV
foscarnet sodium

Foscavir
= herpes simplex virus treatment

indications: CMV retinitis, acyclovir-resistant HSV infections
-NOT USED FOR HSV2 (genital)

ORAL

-targets viral DNA polymerase

side effects: nephrotoxicity, hypocalcemia, seizures
ganciclovir

Cytovene
= herpes simplex virus treatment

indications: SPECIFICALLY for CMV retinitis in immunocompromised patients, and CMV prevention in transplant patients

ORAL

toxicity: neutropenia, carcinogenic, TERATOGENIC
idoxuridine

Stoxil
= herpes simplex virus treatment

indications: only for topical tx of HSV keratitis

TOPICAL

-targets DNA polymerase (thymidine analogue)
trifluiridine

Denavir
= herpes simplex virus treatment

TOPICAL/DROPS

indications: ONLY for keratoconjunctivitis and recurrent epithelial keratitis (HSV1 only)
amantadine

Symmetrel
= influenza A treatment

ORAL

indications: for tx and prevention of Influenza A in pts > 1 y.o.

-blocks H+ migration through viral M2 channel to prevent uncoating

side effects: CNS toxicity

contraindication: is secreted, so beware renal insufficiency
rimantadine

Flumadine
= influenza A treatment

indications: prevent influenza A in pts > 1 y.o., treats in pts > 13 y.o.

ORAL

-blocks H+ migration through viral M2 channel to prevent uncoating

side effects: CNS side effects
zanamivir

Relenza
= influenza A & B treatment

indications: tx A&B in patients > 7 y.o., prevent in pts > 5 y.o.

INHALED

-blocks neuraminidase so no viral release from host cell
oseltamivir

Tamiflu
= influenza A & B treatment, H1N1 effective

indications: tx and prevent A&B > 1 y.o.

ORAL

-neuraminidase inhibitor so no viral release from host cell
adefovir

Hepsera
= viral hepatitis treatment

indications: HBV, Lamivudin-resistant HBV infections, against hepadnavirus

-nucleoside analog - blocks DNA polymerase and reverse transcriptase

side effects: nephrotoxicity
lamivudin

Epivir
= viral hepatitis treatment

indications: chronic HBV hepatitis

-nucleoside analog, so blocks DNA polymerase and reverse transcriptase

well-tolerated
ribavirin

Virazole, Rebetol
= viral hepatitis treatment

indications: chronic HCV hepatitis, aerosol for RSV

-inhibits DNA and RNA viral replication, blocks viral mRNA synthesis

side effects: aerosol may cause conjunctival irritation, rash, wheezing
pegylated interferon (IFN)
= viral hepatitis treatment

indications: chronic HCV and HBV infections, HPV (warts), Kaposi's sarcoma

-activates PKR which phosphorylates eIF-2 to inhibit mRNA translation
-activates GTPases to break down viral nucleocapsids
-activates RNAases to break down nucleic acids

"pegylated": bound to large molecule polyethelyne glycol; slows its absorption so levels remain high (dose x 1/week)

side effects: flu-like sx, immunosuppression, bone marrow suppression, reduces hepatic CYP-metabolism of some drugs
famciclovir

Famvir
= herpes simplex virus treatment

ORAL
penciclovir

Denavir
= herpes simplex virus treatment

T, IV
fomivirsen

Vitravene
= herpes simplex virus treatment

INTRAVITREAL
valacyclovir

Valtrex
= herpes simplex virus treatment

ORAL
valganciclovir

Valcyte
= herpes simplex virus treatment

ORAL