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MICRO PHARM VIRAL/FUNGAL
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69
Bartending
Pre-School
04/22/2013

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Term
Monophosphorylated by viral thymidine kinase, guanisine analog, inhibits viral DNA POLYMERASE
Definition
Acyclovir
Term
HSV, VZV, EBV drugs
Definition
Acyclovir
Term
This drug does not have hemolytic properties
Definition
Acyclovir
Term
Virus changes viral thymidine kinase providing resistance to
Definition
Acyclovir
Term
This drug is a guanisine analogue, forms 5 monophsphate inhibiting DNA polymerase
Definition
Gancyclovir
Term
Drug used in CMV
Definition
Gancyclovir
Term
Gancyclovir resistant CMV or CMV retinitis
Definition
Foscarnet
Term
Herpes drug with Bone Marrow suppression and renal toxicity
Definition
Gancyclovir
Term
inhibits both RNA and DNA polymerases
Definition
Foscarnet
Term
Binds to pyrophosphate binding site and inhibits DNA
Definition
Foscarnet
Term
Herpes drug which is Nephrotoxic but is not hematotoxic, so good in patients with BM suppression
Definition
Foscarnet
Term
Blocks uncoating/penetration of influenza
Definition
Amantadine/Rimantadine
Term
Tx or prophylaxis for Flu A only
Definition
Amantidine/ Rimantadine
Term
MOA of Amantadine for Parkinsons
Definition
Anticholinergic (atropine like) allows for more dopamine release.
Term
Resistance to Amantadine by what
Definition
M2 protein (90% of all flu A)
Term
Inhibits neuraminidase decreasing release of Flu A or B from the cell
Definition
Zanamivir/Oseltamivir
Term
What are the side effects of zanamivir
Definition
cold symptoms
Term
What are the 6 NRTI's
Definition
Zidovudine
Didanosine
Stavudine
Lamivudine
Emtricitabine
Abacavir
Term
inhibit addition of nucleoside and terminates the DNA chain. Must be phophorylated to thymidine kinase
Definition
NRTI'S (nucleosides)
Term
NRTI used for Hep B
Definition
Lamivudine
Term
Drug used for prophylaxis for pregnancy in HIV
Definition
Zidovudine
Term
Sides of:
1. Zidovudine
2. Didanosine
3. Stavudine
Definition
1. Bone Marrow suppression, peripheral neuropathy, lactic acidosis, Megablastic anemia
2. Pancreatitis
3. Myelosuppression
Term
What is the MOA of NNRTIs and what are the 3 examples
Definition
Bind to reverse transcriptase and do not require phosphorylation

1. Efavirenz
2. Nevirapine
3. Delavirdine
Term
NRTI (nucleotide): what are 2 examples
Definition
Tenofovir/Adefovir

do not need to be phosphorylated
Term
What are NNRTIs synergistic with
Definition
NRTI's (nucleotides)
Term
Protease inhibitors inhibit the maturation of what HIV gene
Definition
pol
Term
What are the Protease inhibitors
Definition
Saquinavir
Ritinavir
Indinavir
Nelfanavir
Term
Resistance and sides of protease inhibitors
Definition
Pt mutation at pol gene

Inhibitors of P450, hyperglycemia, GI intolerance
Term
Inhibits integration into host cell chromosomes
Definition
Integrase inhibitors (Raltegravir)
Term
Inhibits Guanine nucleotide by competitively inhibiting IMP dehydrogenase
Definition
Ribaviran
Term
Ribaviran used for:
Definition
RSV, Chronic hep C
Term
Ribavirin toxicity
Definition
Hemolytic anemia and teratogenic
Term
Herpes drug which inhibits DNA polymerase and is used for acyclovir resistant HSV
Definition
Cidofovir
Term
INF alpha used for
Definition
HBV, HCV, Kaposi's, CMV
Term
INF beta used for
Definition
MS
Term
INF gama used for
Definition
Granulomatous disease
Term
Fusion inhibitor of the gp41 binding protein on HIV
Definition
Enfurvitide
Term
Drugs which effect RNA polymerase
Definition
Ribivarin/Foscarnet
Term
MOA of Polynes
Definition
Binds ergosterol, forms pores that allow leakage of electrolytes
Term
How is Nystatin used
Definition
Topical due to toxicity
Term
Major toxicity of Amphotericin B
Definition
Nephrotoxic
Also anemia, arrhythmia, IV phlebitis,
Term
How is Amphotericin B used for meningitis
Definition
Itrathecal
Term
Amphotericin B can be used for what microbes
Definition
Cryptococcus
Blastomyces
Coccidioides
Aspergillus
Histoplasma
Candida
Mucor
N. Fowleri
Term
Nystatin used for
Definition
Swish/swallow for oral candidas,diaper rash, vaginal
Term
MOA of azoles
Definition
Inhibit fungal sterol synthesis converting lanosterol to ergosterol
Term
What azole can cross the BBB
Definition
Fluconazole
Term
Flucytosine is used to treat _____with what other drug
Definition
Cryptococcal meningitis and Amphotericin B
Term
Sides of azoles
Definition
Gycocomastia, P-450 inhibitors, liver dsfxn, decreased absorption with antacids
Term
What is the resistance to azoles
Definition
pumps
Term
flucytosine MOA
Definition
Inhibits DNA synthesis by conversion to 5-flourouracil by cytosine deaminase
Term
Major complication of Flucytosine
Definition
Bone Marrow suppression
Term
Cacpofungin MOA and use
Definition
Inhibits cell wall synthesis by inhibiting synthesis of B-glucan

Invasive Aspergillosis and Candida
Term
Terbinafine inhibits what and is used against what microbes
Definition
squalene epoxidase/Dermatophytes
Term
Griseofulvin MOA
Definition
Microtubule fxn, disrupts mitosis
Term
Where does Griseofulvin deposi
Definition
In the keratin of tissue
Term
Griseofulvin used against what
Definition
Dermatophytes (ringworm)
Term
Griseofulvin is a P450___________
Definition
inhibitor and is teratogenic and carcinogenic
Term
Use for Taxoplasmosis
Definition
Pyrimethamine/sulfadiazine
Term
Used for T. cruzi
Definition
Nifurtimox
Term
Used for T. Brucei
1. blood
2. CNS
Definition
1. Suramin
2. Melarsoprol
Term
tx for plasmodium
Definition
chloroquine
Term
tx for Leishmaniasis
Definition
sodium stiboglucomate
Term
tx for Plasmodium ovale and vivax
Definition
Primavirine
Term
tx for resistant plasomdium
Definition
Mefloquine/Quinone
Term
Nematodes tx
Definition
Bendazoles
Term
Cestodes and trematodes tx
Definition
Praziquantel except echinococcus (bendazoles)
Term
Onchocerea volvulus tx
Definition
Ivermectin
Term
Loa Loa, wicheria bancrofti, and toxacara canis tx
Definition
Diethylcarbamazine
Term
Dracunculus medinensis tx
Definition
Nitridazole
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