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Anti- Virals
Nursing Pharm
27
Pharmacology
Undergraduate 2
03/24/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
binds to viral surface protein and locks it into conformation that is inactive in fusing with the host cell membrane
Definition
Enfuvirtide
Term
how do most viruses enter cells?
Definition
endocytosis
Term
how do anti-influenza drugs work?
Definition
by inhibition of viral uncoating
Term
these drugs prevent the viral acidification by blocking the viral M2 protein
Definition
anti-influenza agents mechanism of action
Term
these are specific for influenza A
Definition
amantadine
rimantadine
Term
How do anti-herpes virus agents (nucleoside analogs) work
Definition
inhibition of viral genome replication
Term
Used for Herpes Simplex Virus and Varicella-zoster virus by inhibiting viral replication
Definition
Acylovir
Valcyclovir
Term
this drug is actually a prodrug that is converted to acyclovir in this intestine. but may cause nephrotoxicity, diarrhea, headache
Definition
valcyclovir
Term
this nucleotide analog is selectiviely toxic for HSV infected cells because the viral thymidine kinase protein made in the infected cell is necessary to activate the drug
Definition
acyclovir
Term
viral thymidinie kinase can mutate rapidly to render this herpes drug ineffective
Definition
acyclovir
Term
this is used in acyclovir-resistant mucocutaneous HSV infections in patients with AIDS and is administered via an eye drop
Definition
Trifluridine
Term
this antiviral works by inhibiting viral dna polymerase, but also may inhibit hose cellular dna polymerases
Definition
trifluridine
Term
this drug is already phosphorylated, so it does not require TK or other kinases.
-Effective against mutant viruses
Definition
Cidofovir
Term
Side effect of cidofovir
Definition
nephrotoxicity
Term
how does HIV rplicate?
Definition
reverse transcriptase
Term
Anti- HIV nucleotide analogs:
Definition
nucleotide reverse transcriptase inhibitors
non nucleotide reverse transcriptase inhibitors
Term
Anti- HIV drug that inhibits the conversion of RNA genomes into DNA by preventing reverse transcriptase enzymes
Definition
Nucleoside and Nucleotide Reverse Transcriptase Inhibitors (NRTI) ex: AZT
Term
Foscarnet
Definition
non-nucleoside/nucleotide reverse transcriptase inhibitor
Term
inhibits viral DNA and RNA polymerases : HIV, HSV, CMV
-viral polymerases more sensitive
Definition
non nucleoside/nucleotide reverse transcriptase inhibitor (foscarnet)
Term
used for viruses resistant to nucleoside/nucleotide analogs
Definition
foscarnet
Term
these bind to viral proteases and inactivate them, therefore long viral polypeptides fail to be processed to functional proteins
Definition
protease inhibitors
Term
zanamivir (relenza)
oseltamivir (tamiflu)
Definition
ihbitors of viral release
Term
combination therapy for HIV:
Definition
RT+Protease inhibitors
Term
what is the advantage of HIV combination therapy?
Definition
more efficacious at lower doses
reduced toxicity
Term
1st choice of treatment for H1N1
Definition
neuraminidase inhibitor: zanamavir, oselotamivir
Term
choice of treatment for H1N1 if first choice is resistant
Definition
Amantadine and Ramantidne
Term
major side effect of tamiflu
Definition
interferon storm
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