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Binds to M2 protein of influenza A to prevent uncoating. Adverse Reactions Dizziness, nervousness, confusion, hallucinations CNS: triggers dopamine release and/or acts as dopamine agonist (sometimes used in Parkinson’s) |
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Neuraminidase inhibitor, inhibits release of assembled viral particles Inhibits both influenza A and B (inhalation) |
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Neuraminidase inhibitor, inhibits release of assembled viral particles Inhibits both influenza A and B (oral) |
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Ribavirin monophosphate inhibits guanine nucleotide synthesis (viral RNA replication) Ribavirin triphosphate inhibits viral mRNA capping (translation of viral RNA) For RNA viruses like influenza |
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Activated by viral thymidine kinase (TK) AcycloGTP inhibits viral DNA polymerase (for HSV) Significant adverse effects Intravenous: local irritation, phlebitis, nephrotoxicity, CNS toxicity Oral: nausea & vomiting |
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Same mechanism as acyclovir. Significant adverse effects Serious hematological adverse effects associated with bone marrow suppression: leukopenia, thrombocytopenia, anemia |
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Chain-terminating inhibitor of reverse transcriptase. Significant adverse effects Anemia and bone marrow suppression (possible inhibition of mitochondrial DNA pol gamma) Viral mutation to drug resistance |
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Chain-terminating inhibitor of RT |
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Chain-terminating inhibitor of RT. Resistance develops slower than AZT |
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Non-nucleoside inhibitor of reverse transcriptase. Significant adverse effects Viral mutations to drug resistance give cross-resistance to other NNRTI’s but not to NRTIs. Resistance frequently observed after single dose administration to mothers Liver damage (high risk) Skin rash, sometimes severe Affects levels of other co-administered drugs |
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Chain-terminating inhibitor of RT |
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Chain-terminating inhibitor of RT |
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Non-nucleoside RT inhibitor |
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Tenofovir and Emtricitabine and Efavirenz |
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Protease inhibitor. Significant adverse effects Requires precise dosing every 8 hours Poor compliance increases rate of emergence of resistance mutants Resistant viruses frequently cross-resistant to other protease inhibitors |
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Protease inhibitor family member Administered at subclinical dose for protease inhibition Mode of action: Inhibits liver enzyme that degrades other protease inhibitors (e.g. lopinavir) |
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HIV fusion inhibitor Novel drug class: Biomimetic peptide Binds to viral protein GP41, and inhibits GP41 association with GP120, the host CD4+ cell receptor |
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