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Infection drugs

Antiviral, Antitubercular, Antifungal Drugs

QuestionAnswer
How do antiviral drugs work? Block the activity of the polymerase enzyme, which is used to replicate the virus and spread.
What do antiviral drugs treat? Non-HIV viral infections - VZV, HSV, influenza viruses, CMV, Hepatitis A, B, C
Acyclovir Treats HSV 1, HSV 2, VZV Available in PO, IV, and topical form **** Nephrotoxic***
Oseltamivir phosphate "Tamiflu" Treats type A&B influenza PO only
Side effects of Oseltamivir phosphate Nausea and Vomiting
Zanamivir "Relenza" Treats type A&B influenza Inhalation drug
Side effects of Zanamivir Nausea Vomiting Sinusitis
When should Influenza treatment drugs begin? Within 2 days of influenza symptom onset
Ribavirin "Virazole" Treatment of Hep. C PO or nasal *inhalation also used for infants with respirator syncytial virus infections.
Antitubercular Drugs Given for 6-12 months 2-4 antibiotics used ***Asses liver function***
What are the first line antitubercular drugs? Rifampin Isoniazid Prazinamide Ethambutol hydrochloride
What are the second-line antitubercular drugs? Amikacin Sulfate Levofloxacin Hemihydrate Moxifloxacin hydrochloride
Isoniazid "Isotamine" Drug of choice Side effect of hyperglycemia - from the continuous breakdown of the stored glucose
What are the side effects of isoniazid? Hyperglycemia - from the continuous breakdown of the stored glucose Optic neuritis Hepatotoxicity
Ethambutol hydrochloride Bacteriostatic ***concern for renal impairment***
Side effects of Ethambutol hydrochloride Optic neuritis Blindness
Pyrazinamide Bacteriostatic or bactericidal Po
Contraindications for Pyrazinamide Liver disease Gout - Uric acid level Pregnancy
Rifampin Most potent and broad Bactericidal
Side effects of Rifampin Hepatitis Liquids become orange/red Causes oral contraceptives to become ineffective
Bacille calmette-guerin (BCG) Inactive strand Reduces active TB
What are the major categories of antifungal drugs? Imidazoles Triazoles Echinocandins Polyenes
Imidazoles and triazoles Inhibit fungal cell cytochrome P450 enzymes
Echinocandins Prevent glucans - needed for funcal cell walls
Polyenes Bind to sterols in fungal cell membrane
Amphotericin B Broad spectrum antifungal Choice for systemic mycoses Prophylactically for immunosupressed IV only
Side effects Cardiac dysrhythmias Neurotoxicity Kidney toxicity Pulmonary infiltrates
Contraindications of antifungal drugs Liver failure Kidney failure Prophyria
Created by: ahgecas25
 

 



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