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8 Cards in this Set

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Antiviral drugs

1. oseltamivir


2. acyclovir


3. ribavirin


4. interferon alpha

Oseltamivir

antiviral


influenza A and B - inhibits release


must give within 36-48 hours of illness onset -- shortens duration of symptoms


used to prevent flu in high risk pts


side effects: nausea and vomiting

Acyclovir

Antiviral


nucleosides are phosphorylated within host cells -- inhibit DNA polymerase and viral replication


genital/oral herpes infections, herpes encephalitis


varicella zoster in children, adults


well tolerated when given orally


renal toxicity when given at high IV dose

Ribavirin

Antiviral


interferes with viral replication by inhibiting synthesis of viral mRNA


used orally w/ interferon alpha for hepatitis C


used alone by inhalation for RSV pneumonia in children


adverse rxn: oral -- hemolytic anemia; inhalation -- respiratory deterioration

Interferon alpha

Antiviral


endogenous proteins synthesized by virus-infected cells -- secreted and bind to non-infected cells -- non infected cells then express antiviral proteins that resist viral infection


injections (IM, IV, SC) for viral infections, certain cancers, MS


used with RIBAVIRIN for hep C


adverse rxns: flu like symptoms, can cause behavioral effects (depression)

Antiretroviral drugs

1. reverse transcriptase inhibitors


2. protease inhibitors


3. fusion inhibitors


4. integrase inhibitors

Nucleoside Reverse Transcriptase Inhibitors (NRTIs)

Antiretroviral


prevent HIV RNA from being transcribed to DNA


require phosphorylation by host enzymes to become active


adverse rxns: bone marrow suppression, myopathy, lactic acidosis, metabolic disturbances

Non-nucleoside Reverse Transcriptase Inhibitors (NNRTIs)

Antiretroviral


unlike NRTIs -- does not require phosphorylation


commonly used w/ 2 NRTIs in a single tablet take 1x/day


adverse rxns: dizziness, vivid dreams, skin rash