HSV,CMV,VZV,H.Flu
Acyclovir Valcyclovir is prodrug of Gancyclovir Gancyclovir can cause bone marrow suppression Cidofovir- inhib. viral DNA pol. HSV! Foscarnet- same. 2nd line CMV Oseltamivir Palivizumab Ribavirin
Acyclovir MOA
Monophosph. by viral Thymidine Kinase
Incorp into DNA
Lack 3’ -OH
Gancyclovir MOA
UL96 Kinase
CMV!
Cidofovir MOA
SE
Cytidine analog
Nephrotoxic- give with probenecid
Antiretroviral
NRTI's: Ziduvodine Lamivudine- Least potent, Also for Hep. B Emtricitabine Abacavir- Guanosine analog Tenofovir- nucleotide. Also for Hep C
NNRTI’s:
Etravirine. אתרע מזלו
Resistamce to NRTI
Mutation to pol gene
Which NRTI can cause Fanconi’s syndrome?
Tenofovir
Protease inhib.
Ritonavie
Darunavir
Lopinavir
ריטה דרה בלופט
Which drug can inhibit CYP450?
Ritonavir
ריטה גדולה מהחיים
Integrase inhib
Fusion inhib
Elvitegravir
Maraviroc
Ribavirin SE
Hemolytic anemia
Agents against hepatitis
INF-a- JAK STAT. Flu like symp.
Entecavir inhibits DNA pol
Tenofovir is nucleotide analog
Direct acting antivirals: Paritaprevir Grazoprevir Sofosbuvir Dasabuvir Velpatasvir Elbasvir