Anitiviral drugs


Classifications:         

[A]Drugs that directly impair virus replication:

Name of the drugs
M/A
Indication
1.Acyclovir
It inhibits the viral DNA polymerase→No viral nucleic acid is synthesized
Herpes simplex virus(Keratitis,labialis genital,encephlalitis disseminated
2.Gancyclovir
It inhibits the viral DNA polymerase→No viral nucleic acid is synthesized
Varicella zoster virus.
3.Amantadine
Rimantadine           
Interfere with the uncoating & release of viral genome into the host cell.
Influnza A virus.
4.Azidothymidine/Zidovudine/
Retrovir
The drug binds to reverse transcriptase enzyme & terminates the DNA chain synthesis
HIV.


[B]Drugs that modulate the host immune system:

Interferons:They are glycoproteins,produced by virus infected cells & act on the surrounding normal cells.
3 types:
a)      α INF: Induced by virus from WBC & fibroblast.
b)      β INF: Induced by virus from WBC & fibroblast.
c)      γ IFN: Induced by Ag from lymphocytes.

Mechanism of actions:They inhibit the translatoin of viral m-RNA without affecting the transaltion of cellular m-RNA.They act in the early phase of viral diseases to limit the sperad of virus they are produced within 4 to 48 hours of infection.

Indications:

1)      Hepatitis C virus infection-α INF.
2)      Chronic granulomatous disease-γ INF.
3)      Kaposi’s sarcoma in AIDS.
4)      Hairy cell leukemia.

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