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ID EXAM 5 DRUGS

DRUGMOAMORADRNOTES
Acyclovir (zovirax) competitive inhibitions of viral DNA pol by acyclovir triphosphate converted to phosphate form through thymine kinase stop sythesis of viral DNA disturbs 3'-5' phosphodiester bond reduction of tymidine kinase IV is dose limited by nephrotoxicity, crystalluria and neurotoxicity converted to monophosphate form through thymidine kinase
Valacyclovir (valtrex) same as acyclovir oral prodrug, better absorbtion from ester groups reduction of tymidine kinase nausea, vomit
Famiciclovir (prodrug of penciclovir) Famiciclovir is oral, due to two acetyl ester groups Penciclovir is topical for herpes labialis
Ganciclovir, valganciclovir MOA: similar to acyclovir but uses UL97 gene encoded phosphotransferase istead of thymine kinase IN CMV Valganciclovir is the prodrug of genciclovir Mutations in viral phosphotransferaase BOXED WARNING: hematologic toxicity, fetal toxicity, impairmetn of fertility, mutagenic and carcinogenic used for HCMV retinitis and prevention of HCMV after transplant
Cidofovir (only nucleotide) Does not require specific thymidine kinase BOXED WARNING: nephrotoxicty, neutropenia (prevent with saline) use against acyclovir resistant HSV and ganciclovir resistant HCMV
Foscarnate Inhibition of viral DNA pol electrolyte imbalances, neurotoxicity, phlebitis, N/V CMV renitis in AIDS pts acyclovir resistant HSV and VZV
Letermovir (prevymis) inhibits acivity of terminase complex pUL56 non-nucleoside so no cross resistance CYP3A4 cyclosporine increases BA
Created by: beezy41
 

 



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