antivirus
DESCRIPTION
dhtTRANSCRIPT
Antivirus
Pendahuluan
Kemampuan untuk mengobati infeksi virus sangat terbatas karena:-Replikasi virus terjadi dalam sel-Sulit menekan replikasi virus tanpa tidak membahayakan host
Antivirus SistemikAntivirus Lokal
Asiklovir=varicella, herpesZidovudine=HIV tipe1 &2Didanosine=HIV tipe 1 &2Zalcitabine=HIV tipe 1 &2Gangciclovir=CMV(citomegalovirus)AIDSFoscarnet=CMV,HSV(herpes simlex virus),VZVRibavirin=RSV, hepatitis CVidarabin=Amantadine=influenza A & parkinsonRimantadine=influenza A & parkinsonInterferon Alfa=HBV,HCV,HIV,sclerosis, malignansi
Trifluridine=HSVVidarabine=Idoxuridine=HSV
Drug of choice infeksi virus
Herpes Simplex Virus-Genetalis-Encephalitis
Obat - asiklovir•Foskarnet•Idoksuridin•Trifluridin•interferon
Varicella-Zoster Virus-Varicella-Herpes Zoster
Obat - asiklovir
Human Immunodeficiency Virus-AIDS
Obat- Zidovudine-Didanosine•Gansklovir•Foskarnet•Interferon•Zalzitabin
Influenza Virus-Respiratory tract infection
Obat-Amantadine-Rimantadin
Respiratory Syncytial Virus-AIDS
Obat-Ribavirin
Cytomegalo Virus-Retinitis
Obat-Ganciclovir- Forcarnet
Hepatitis Virus B & C-Chronic Hepatitis
Obat-Interferon alfa-2b
Asiklovir
Pharmacologist Gertrude B. Elion was awarded the 1988 Nobel Prize in Medicine, partly for the development of aciclovir. Dr. Richard Whitley, a University of Alabama at Birmingham researcher and pioneer in antiviral therapy, was the first to successfully use the drug in humans.
In this HSV-infected human cell, the acyclovir molecules enter the cell and are converted to acyclovir monophosphate by the HSV enzyme thymidine kinase (TK). Enzymes in the human cell add two more phosphates to eventually form the active drug acyclovir triphosphate. The acyclovir triphosphate competes with 2-deoxyguanosine triphosphate (dGTP) as a substrate for viral DNA polymerase, as well as acting as a chain terminator. In actual infection, the HSV releases its naked capsid that delivers DNA to the human nucleus; the active drug acyclovir triphosphate exerts its action on the viral DNA located in the nucleus.
Asiklovir
Digunakan untuk: - Herpes Simplex Virus (HSV)- Varicella-Zoster Virus (VSV)- Cytomegalovirus (CMV)
Sensitifitas: - paling sensitif HSV- moderate VSV- resistant CMV
Interferon α-2a-Chronic active hepatitis B-Chronic hepatitis C
Interferon α-2b- Hairy cell leukemia- Kaposi’s sarcoma-Multiple myeloma
Imunomodulator:
Methilsoprinolol
Tugas:
Pelajari farmakokinetika dan farmakodinamika dari antivirus yang lain.