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30 Cards in this Set
- Front
- Back
Define Virus
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an obligate intracellular parasite
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why is viral therapy difficult?
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bc the sxs appear late when virus particles have replicated and only a few groups respond to antiviral drugs
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Viral RTI for which txs exist include: influenza types __________.
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A, B, & RSV
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_________ are employed when pts are allergic to vaccine or if outbreak is due to immunologic variant
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antiviral agents
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What are the 3 types of antivirals for RVI?
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neuramindase inhibitors
viral uncoating inhibitors ribavirin |
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amantidine and rimantidine do what?
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viral uncoating inhibitors (antivirals for RVI)
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oseltamivir and zanamivir (tamiflu, relenza) do?
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neuramindase inhbitors (NI) (antivirals for RVI) (are against type a and type b influenza)
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This drug is used for severe RSV?
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ribavirin
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this drug can also be used for the tx of hep c if used with Interferon-alpa-2b
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ribavirin
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_________and __________prevents ~80% infection if tx begun at time or prior to exposure to virus (its good for high risk pts that don't get vaccinated and during epidemics)
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amantidine & rimantidine
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which of the hepatitises (two of them) are there drugs for which its chronic hepatitis
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hep B/C
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tx for hep b?
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interferon alpha (AI)
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tx for hep c
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interferon alpha (IA) and ribavirin
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is hep a chronic?
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no
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interferes with the ability of virus to infect cells
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MOA of interferon
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The tx for herpes MOA is during the ________ phase viral infection (inhibit DNA snythesis) but not during the ______ phase
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during acute phase
not during latent phase |
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this is the tx for hsv 1 & 3 & varicella zoster virus & HSV encephalitis & genital herpes (can also be used prophylitically)
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acyclovir
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this drug has greater availability than acyclovir; it is good as an IV-acyclovir
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valacyclovir (valtrex)
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this is an analog to acyclovir but is 20xs better against cmv
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ganaclovir
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good for cmv retinitis if have aids
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cidofovir
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for cmv retinitis
for acyclovir resistant hsv and herpes zoster infection |
foscarnet
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what does HAART stand for and is the tx for ??
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for HIV; highly active anti-retroviral therapy (a multi-drug regmine)
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what are 3 classes of antiretrovirals?
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NRTIs
NNRTIS PI |
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what is the current reccomended therapy for HIV?
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2 NRTI'S w/ PI or NNRTI
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this anti-retro viral decreases viral load and increases the number of CD4+ cells
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NRTI
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this anti-retroviral is negative bc its fatal liver toxicities
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NRTI
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this anti-retroviral lacks effect on host blood forming elements and lacks cross-resistant with NRTIs
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NNRTI
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this anti-retro viral has a high incidence of hypersensitivity rxns (ie: rashes)
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NNRTI
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this anti-retroviral decreases plasma viral load to undetectable levels
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PI
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this anti-retroviral is often used for anti-retroviral naive pts
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PI
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