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Antiviral Drugs
Antiviral Drugs
18
Medical
Graduate
01/24/2007

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Term
Amantadine
Definition
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)
Term
Zanamivir
Definition
Neuraminidase inhibitor, inhibits release of assembled viral particles
Inhibits both influenza A and B (inhalation)
Term
Oseltamivir
Definition
Neuraminidase inhibitor, inhibits release of assembled viral particles
Inhibits both influenza A and B (oral)
Term
Ribavirin
Definition
Ribavirin monophosphate inhibits guanine nucleotide synthesis (viral RNA replication)
Ribavirin triphosphate inhibits viral mRNA capping (translation of viral RNA)
For RNA viruses like influenza
Term
Acyclovir
Definition
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
Term
Ganciclovir
Definition
Same mechanism as acyclovir. Significant adverse effects
Serious hematological adverse effects associated with bone marrow suppression: leukopenia, thrombocytopenia, anemia
Term
Zidovudine
Definition
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
Term
Tenofovir
Definition
Chain-terminating inhibitor of RT
Term
Didanosine
Definition
Chain-terminating inhibitor of RT.
Resistance develops slower than AZT
Term
Nevirapine
Definition
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
Term
Tenofovir
Definition
Chain-terminating inhibitor of RT
Term
Emtricitabine
Definition
Chain-terminating inhibitor of RT
Term
Efavirenz
Definition
Non-nucleoside RT inhibitor
Term
“Atripla”
Definition
Tenofovir
and Emtricitabine
and Efavirenz
Term
Indinavir
Definition
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
Term
Lopinavir
Definition
Protease inhibitor
Term
Ritonavir
Definition
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)
Term
Enfuvirtide
Definition
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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