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Pharm-antivirals
pharm
23
Veterinary Medicine
Undergraduate 3
05/25/2012

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Cards

Term
amatidine antiviral txs
Definition
influenza
Term
name two antivirals that tx herpes infections
Definition
idoxuridine
acyclovir
Term
Azidothymidine txs
Definition
retroviridae
Term
TI of all antivirals =
Definition
low :(
Term
targets of antiviral drugs =
Definition
attachment
replication
Term
mech of amantidine =
Definition
inhibit penetration and uncoating of influenza A virus in man.

Does this by blocking fusion of viral N2 protein that makes ion channel and causes acidification of virus endosome
Term
oral bioavaliablilty of amatadine =
Definition
gd
Term
plasma half life of amantadine =
Definition
4hrs
Term
what anitiviral drugs target attachment?
Definition
amantadine (most effective prevention step in antiviral therapy)
Term
what antiviral drugs target virus replication?
Definition
idoxuridine
acyclovir
azidothymidine (AZT)
Term
idoxuridine used in tx of...
Definition
...cats and horses with herpetic keratitis (corneal infections of herpes virus)
Term
mech of idoxuridine =
Definition
inhibit replication of DNA viruses - mainly herpes
Term
why is idoxuridine only admin topically and not systemically?
Definition
as effects euk DNA replication as well - too toxic admin systemically (=BM supression)
Term
mech of acyclovir
Definition
inhibit DNA pol
Term
how does acyclovir-prodrug become activtaed
Definition
phosphorylated once by viral kinases and then twice by host cell kinases = active drug
Term
2 points of selective toxicity of acyclovir =
Definition
viral kinase needed to mak eprodrug active

inhibit viral DNA pol 10-30x more than euk DNA pol
Term
clinical use of acyclovir =
Definition
tx of feline and equine herpes 1 virus eye infections - othalmic ointment
Term
at sp is acyclovir most effective in?
Definition
horses
Term
mech of AZT =
Definition
reverse transcriptase inhibitor

(reverse transcriptase is req for retrovirus replication)
Term
2 points of viral selectivity with AZT
Definition
1. need viral kinases to phosphorylate prodrug (like acyclovir - same mech-need host cell kinases too)

2. HIV viral reverse transcriptase 100x more sensitive to AZT than euk DNA pol
Term
AZT been used to tx...
Definition
...FIV
incr survival time and alleviate symptoms temporarily = improve quality of life

no effect on viraemia :(

(less effective against FeLV)
Term
toxic side effects of AZT =
Definition
severe anaemia as targets rapidly dividing cells = severe BM supression = anaemia

and liver toxicity problems
Term
how many days of AZT tx until start seeing clinical improvement?
Definition
10-14days
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