Antiviral Therapy

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VIRUCIDAL VS VIROSTATIC Cidal •Disinfectants and detergents – used on surfaces and equipment •Destruction of host tissue Cryotherapy Laser therapy Trichloracetic acid Podophyllin Static •<strong>Antiviral</strong> drugs
PROBLEMS WITH ANTIVIRALS •Static •Cannot extirpate latency (ineffective against non-replicating virus •Limited spectrum •Resistance -mutation -emergence of resistant subpopulation -primarily in immunocompromised host (except influenza) •Toxicity
Page 1 and 2: Antiviral Therapy David Andes, M.D.
Page 3 and 4: VIRUS CHARACTERISTICS • Consist o
Page 5: Immunoglobulin POTENTIAL DRUG TARGE
Page 9: DRUGS AVAILABLE FOR •Respiratory
Page 12 and 13: Pharmacokinetics FAMCICLOVIR Diacet
Page 14: ACYCLOVIR - FAMCICLOVIR - VALACYCLO
Page 17 and 18: ACYCLOVIR - FAMCICLOVIR - VALACYCLO
Page 19 and 20: Indications for IV Acyclovir • Se
Page 21 and 22: Mechanism of Action Triphosphorylat
Page 23 and 24: GANCICLOVIR Toxicity • Bone marro
Page 25 and 26: FOSCARNET Trisodium phosphonoformat
Page 27 and 28: FOSCARNET Mechanism of Resistance
Page 29 and 30: Toxicity COMMON FOSCARNET • Renal
Page 31 and 32: Mechanism of Action CIDOFOVIR • C
Page 33 and 34: RIBAVIRIN • Guanosine (nucleoside
Page 35 and 36: Spectrum of Activity RIBAVIRIN •
Page 37 and 38: AMANTIDINE - RIMANTIDINE Tricyclic
Page 39 and 40: AMANTIDINE - RIMANTIDINE Spectrum o
Page 41 and 42: OSELTAMAVIR - ZAMINAVIR Sialic acid
Page 43 and 44: OSELTAMAVIR - ZAMINAVIR Mechanism o
Page 45 and 46: INTERFERON Glycoproteins = Cytokine
Page 47 and 48: INTERFERON Toxicity •Expected (oc
Page 49 and 50: LAMIVUDINE Pyrimidine nucleoside =
Page 51 and 52: Pharmacokinetics • Dose form - Or
Page 53 and 54: Clinical Cases
Page 55 and 56: Hepatitis B Virus
Page 57 and 58:
Hepatocellular Carcinoma
Page 59 and 60:
Management of Exposures to Hepatiti
Page 61 and 62:
Clear Virus in Bloodstream • Pref
Page 63:
Case Two: A 42 year old man is foun
Page 66 and 67:
Therapy for Hepatitis B Infection
Page 68 and 69:
Case Three (continued) The best cho
Page 70:
Case Four A 19 year old man present
Page 73 and 74:
Case Four (continued) As you write
Page 75:
Case Five: A 72 year old man has re
Page 78 and 79:
Case Five (continued): A nasopharyn
Page 80 and 81:
Drugs for Influenza • Amantadine
Page 82 and 83:
Drugs for Influenza • Zanamavir -
Page 84 and 85:
Influenza: Rimantadine Prophylaxis
Page 86 and 87:
Electron Micrograph of Herpes Simpl
Page 88 and 89:
Case Six (continued) You tell her t
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Case Seven A 22 year old man presen
Page 93 and 94:
Case Seven (continued) Which of the
Page 95 and 96:
Case Seven (continued) The young ma
Page 97 and 98:
Recurrent Genital Herpes • Recurr
Page 100 and 101:
Case Eight (continued) You are conc
Page 102:
Case Nine: A 65 year old white woma
Page 105 and 106:
Case Nine (continued): For treatmen
Page 107:
Case Ten: A 32 year old man with po
Page 110 and 111:
Case Eleven: Same 32 year old man w
Page 112 and 113:
Drugs to Treat Herpes Virus Infecti
Page 114 and 115:
Bar Entry into Host Cell • Rimant
Page 116 and 117:
Impede Gene Replication • Cidofov
Page 118 and 119:
Stop Release of Viral Progeny • O
Page 120:
CMV lacks viral TK so acyclovir is
Page 127 and 128:
Clear Virus in Bloodstream Bar Entr
Page 129 and 130:
Clear Virus in Bloodstream Bar Entr
Page 131:
POTENTIAL DRUG TARGETS Clear virus
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Antiviral Therapy

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