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Virus Drugs
Virus Drugs
54
Pharmacology
Professional
03/24/2013

Additional Pharmacology Flashcards

 


 

Cards

Term
This drug can cause Crystalline Nephropathy. Rare cases can cause delirium, tremors and seizures
Definition
Acyclovir
Term
High doses of this drug you can see confusion, hallucinations and seizures
Definition
Valacyclovir
Term
In HIV patients can see Thrombotic thrombocytopenic purpura and hemolytic uremia
Definition
Valacyclovir
Term
This drug can cause mammary adenocarcinoma in females
Definition
Famicyclovir (Fam- No families due to adenocarcinoma in females)
Term
Drug is ONLY used topically because it can NOT tell the difference between host and virus.
Definition
Trifluridine
Term
Used in acyclovir resistant HSV infection
Definition
Trifluridine
Term
This drug requires activation by triphosphorylation before inhibiting DNA polymerase. The Initial phosphorylation is catalyzed by viral UL97 (CMV protein kinase)
Definition
Ganciclovir
Term
Enzyme Inhibitors
Definition
Efavirenz
Probenecid
Trimethoprim
Ganciclovir
Maraviroc (Inhibits CCR5 causing DECREASED immune surveillance)
Delaviridine
Protease Inhibitors
Azoles
Clarithromycin
Term
Enzyme Inducers
Definition
Efavirenz (Self-Inducer)
Etravirine
Rifampin
Carbamazepine
Phenytoin
St. Johns Wort
Term
Drug is sued in Kidney, Heart and Pancreas transplant patients for CMV
Definition
Valganciclovir (pro-drug of ganciclovir)
Term
This drug is effective against CMV and HSV drug resistant strains
Definition
Foscarnet
Term
Does NOT rqeuire Phosphorylation and blocks pyrophosphate binding. Inhibits cleavage of pyrophosphate with deoxynucleoside triphosphate
Definition
Foscarnet
Term
Can Cause SIGNIFICANT Renal impairments and complete electrolyte imbalance

Hypocalcemia due to Calcium chelation
Genital Ulceration
CNS Toxicity : Hallucination, HA, Seizures
Definition
Foscarnet
Term
Potent Chain terminator and DNA synthesis inhibitor, Acts as alternative substrate for viral DNA polymerase
Definition
Cidofovir
Term
Cidovir and Acyclovir resistant strains can have cross-resistance for this drug
Definition
Ganciclovir
Term
Can see Adenocarcinoma, Mutagenic, Embryotoxic and Renal toxicity with this drug
Definition
Cidofovir
Term
Cytosine Nucleotide analog
Definition
Cidofovir AND Lamivudine
Term
Synthetic 36 AA peptide fusion inhibitor. (Gp41 Antagonist)
Definition
Enfuvirtide (Sounds like infusion [Enfu])
Term
Binds to GP41 subunit of viral glycoprotein preventing onformation change that prevents host cell membrane fusion with virla membrane.
Definition
Enfuvirtide
Term
CCR5 Antagonist, blocks interactions between CCR5 and gp120. Binds selectively and specifically to chemokine receptorCCR5 needed for entry of HIV into CD4
Definition
Maraviroc
Term
Only used when adults with CCR5-tropic HIV-1 infection is expressing virologic failure due to resistance to other antiretroviral
Definition
Maraviroc
Term
Adverse effects of this drug can cause:
Postural Hypotension
Cough
Eosinophilia or Elevated IgE
MI and Infarction
Definition
Maraviroc
Term
NRTI Drugs
Definition
Abacavir
Didanosine
Zidovudine
Emitricitabine
Tenofovir
Stravudine
(AT ZEDS - Mnemonic)
Term
Drug class works by Competitively inhibiting HIV reverse transcriptase. It is incorporated into the growing viral DNA to cause premature chain termination by inhibition of binding with incoming nucelotides
Definition
Nucleoside reverse transcriptase Inhibitors (NRTI)
Term
NRTI That is a Guanosine Analog
Definition
Abacavir
Term
NRTI that is a Deoxyadenosine Analog
Definition
Didanosine (in the name)
Term
Usually given with a buffer formulation to prevent inactivation for the drug
Definition
Didanosine
Term
Effective in AZT resistant patients
Definition
Didanosine
Term
Can Cause :
Dose-dependent Pancreatitis
Cardiomyopathy
Asymptomatic Hyperuricemia and cause gout attacks
Definition
Didanosine
Term
Tetracyclines and FQs should be given at LEAST 2 hours before or after which NRTI?
Definition
Didanosine
Term
NRTI that is a Deoxythymidine analog
Definition
Zidovudine
Term
This drug should NEVER be administered alone for treatment of HIV due to quick generation of resistant HIV strains
Definition
Zidovudine
Term
Can cause:
Myelosuppression resulting in macrocytic anemia

Orneutropenia

Lipoatrophy
Definition
Zidovudine
Term
Known to cause hyperpigmentation of palms or soles, especially in black people
Definition
Emitricitabine
Term
Drug is formulated with lactose so it can cause lactose intolerance
Definition
Tenofovir
Term
Causes proximal renal tubulopathy, excessive renal phosphate and calcium losses and 1-hydroxylation defects of vitamin D
Definition
Tenofovir
Term
Dose related Peripheral sensory neuropathy
Elevation in aminotransferases
Lactic Acidosis with hepatic steatosis and lipodystrophy
Definition
Stravudine
Term
Used against Zidovudine sensitive and resistant HIV-1 strain.
Used synergistically with zidovudine and Stavudine
Definition
Lamivudine
Term
Inconvenient NRTI due to its three times daily dosing and serious adverse effects
Definition
Zalcitabine
Term
Can cause Fluminant, Life-threatening hepatitis

Rash with a maculopapular eruption normally
Definition
Nevirapine
Term
Bioavailability is reduced by H2 blockers or antacids
Definition
Delavirdine and Atazanavir (PTI) and Indinavir
Mnemonic (AID) - Don't take with any aids
Term
This PI does NOT cause dyslipidemia, fat redistribution or metabolic syndrome like the other PI's
Definition
Atazanavir
Term
If given with a CB can cause AV block and AT prolongation.

Can also cause Nephrolithiasis
Definition
Atazanavir

Infinavir can cause Nephrolithiasis
Term
Should monitor theophylline and digoxin when given with this drug
Definition
Ritonavir
Term
Protease inhibitor drugs
Definition
Atazanavir
Ritonavir
Saquinavir
Indinavir
Nelfinavir
Fosamprenavir
Lopinavir
Darunavir

Mnemonic (Lard Fins)
Term
Contraindicated with Saquinavir due to QT prolongation
Definition
Ritonavir
Term
This is the LEAST effective PI due to its poor bioavailability
Definition
Saquinavir
Term
PI that can cause depression
Definition
Fosamprenavir
Term
Formulated with Ritonavir to increaes serum concentrations
Definition
Lopinavir
Term
Drug that MUST be given with Ritonavir in patients resistant to other PI's
Definition
Darunavir
Term
Should NOT be used in sulfonamide allergies
Definition
Darunavir
Term
Inhibits integrase and replication of HIV-1/2.
Definition
Raltegravir
Term
Normally only used when HIV patient is resistant to other drugs such as NRTI, NNRTI and Protease inhibitors
Definition
Raltegravir
Term
NNRTI drugs
Definition
Efavirenz
Nevirapine
Delavirdine

Mnemonic (NED) (Zed's brother [NRTI] Ned)
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