PMC III EXAM 2: DR. ESPOSITO ANTIVIRALS PART 3
What are the drugs that are independent of viral enzymes - Answers :-Docosanol
(Abreva)
-Trifluridine (Trifluorothymidine)
-Foscarnet
-Cidofovir
-Letermovir
What is the MOA of Docosanol - Answers :-prevents HSV1 viral envelope fusion
What are the uses of Docosanol - Answers :-reduces healing time for orolabial herpes
by ~18h
-use within the first 12h of symptom onset
What are the uses of Trifluridine - Answers :-HSV1
-HSV2
-CMV
What is the MOA of trifluridine - Answers :inhibits the incorporation of thymidine
triphosphate into viral DNA, creates defective DNA strand
What is Trifluridine phosphorylated by - Answers :host enzymes (not viral thymidine
kinase like the others)
Trifluridine is used for: - Answers :-topical treatment of epithelial keratitis cause by HSV
What is Foscarnet used for - Answers :-HSV
-VZV (HHV3)
-CMV retinitis
What is the MOA of Foscarnet - Answers :inhibits viral DNA/RNA polymerase and HIV
reverse transcriptase without requiring activation by phosphorylation
When is Foscarnet avoided - Answers :-avoid taking it with drugs that have nephrotoxic
potential
-Foscarnet causes renal toxicity (Ca/K/Mg/PO)
What in combination with Ganciclovir has a synergistic effect against CMV - Answers
:foscarnet
Why isnt Foscarnet used orally - Answers :deposits in bone
What is Cidofovir (IV) used for - Answers :-HSV
-VZV (HHV3)
What are the drugs that are independent of viral enzymes - Answers :-Docosanol
(Abreva)
-Trifluridine (Trifluorothymidine)
-Foscarnet
-Cidofovir
-Letermovir
What is the MOA of Docosanol - Answers :-prevents HSV1 viral envelope fusion
What are the uses of Docosanol - Answers :-reduces healing time for orolabial herpes
by ~18h
-use within the first 12h of symptom onset
What are the uses of Trifluridine - Answers :-HSV1
-HSV2
-CMV
What is the MOA of trifluridine - Answers :inhibits the incorporation of thymidine
triphosphate into viral DNA, creates defective DNA strand
What is Trifluridine phosphorylated by - Answers :host enzymes (not viral thymidine
kinase like the others)
Trifluridine is used for: - Answers :-topical treatment of epithelial keratitis cause by HSV
What is Foscarnet used for - Answers :-HSV
-VZV (HHV3)
-CMV retinitis
What is the MOA of Foscarnet - Answers :inhibits viral DNA/RNA polymerase and HIV
reverse transcriptase without requiring activation by phosphorylation
When is Foscarnet avoided - Answers :-avoid taking it with drugs that have nephrotoxic
potential
-Foscarnet causes renal toxicity (Ca/K/Mg/PO)
What in combination with Ganciclovir has a synergistic effect against CMV - Answers
:foscarnet
Why isnt Foscarnet used orally - Answers :deposits in bone
What is Cidofovir (IV) used for - Answers :-HSV
-VZV (HHV3)