HIV and Antiviral Pharmacology Quiz

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Questions and Answers

Which class of agents specifically inhibits viral uncoating?

  • Viral release inhibitors
  • Nucleoside/Nucleotide analogues
  • Fusion inhibitors
  • Viral uncoating inhibitors (correct)

What type of agents are used to enhance immune response?

  • Viral replication inhibitors
  • Nucleoside analogues
  • Immune modulating agents (correct)
  • Fusion inhibitors

Which of the following is a nucleoside/nucleotide analog used as a reverse transcriptase inhibitor?

  • Emtricitabine (correct)
  • Adefovir dipivoxil
  • Tenofovir DF
  • Abacavir

Which drug class targets the HIV-1 capsid?

<p>HIV-1 capsid inhibitors (C)</p> Signup and view all the answers

Which of the following agents are used in COVID-19 treatment?

<p>Anti-viral agents (D)</p> Signup and view all the answers

Which drug is known as Ziagen?

<p>Abacavir (C)</p> Signup and view all the answers

Which drug combination is known as Truvada?

<p>Emtricitabine and Tenofovir DF (B)</p> Signup and view all the answers

Which class of drugs includes agents like Tenofovir disoproxil fumarate?

<p>Nucleoside/nucleotide analogues (B)</p> Signup and view all the answers

Which class of agents inhibits the fusion of HIV with host cells?

<p>Fusion inhibitors (B)</p> Signup and view all the answers

What is a common purpose of pharmacokinetic enhancers?

<p>To improve absorption or effectiveness of other drugs (D)</p> Signup and view all the answers

Which antiviral drug is represented by the brand name Valtrex?

<p>Valacyclovir (D)</p> Signup and view all the answers

Tenofovir alafenamide is marketed under which brand name?

<p>Vemlidy (A)</p> Signup and view all the answers

Which medication is a polymerase inhibitor used in the treatment of Hepatitis C?

<p>Sofosbuvir (B)</p> Signup and view all the answers

Which of the following drug combinations includes Emtricitabine?

<p>Cimduo (A)</p> Signup and view all the answers

Tenofovir DF combined with which medication forms a widely known combination therapy?

<p>Emtricitabine (A)</p> Signup and view all the answers

Which drug is classified as an antiviral and is used topically for eye conditions?

<p>Idoxuridine (B)</p> Signup and view all the answers

Which of the following is an NS3/4A protease inhibitor used to treat Hepatitis C?

<p>Dasabuvir (B)</p> Signup and view all the answers

What is the brand name for Zidovudine?

<p>Retrovir (C)</p> Signup and view all the answers

Which combination drug includes both Abacavir and Lamivudine?

<p>Epzicom (B)</p> Signup and view all the answers

Ganciclovir is primarily used to treat which type of infection?

<p>Cytomegalovirus (A)</p> Signup and view all the answers

Which medication is classified as a nonnucleoside reverse transcriptase inhibitor (NNRTI)?

<p>Daclatasvir (D)</p> Signup and view all the answers

Which of the following agents is known as a protease inhibitor (PI)?

<p>Pribrentasvir (A)</p> Signup and view all the answers

What is the function of a DNA terminase complex inhibitor in viral therapy?

<p>Inhibit viral DNA synthesis (C)</p> Signup and view all the answers

Which combination agent includes both NS5A and NS5B inhibitors?

<p>Lepidasvir+Sofosbuvir (C)</p> Signup and view all the answers

What type of inhibitors are Valganciclovir and Cidofovir primarily categorized as?

<p>CMV pUL97 kinase inhibitors (A)</p> Signup and view all the answers

What class of drugs includes Daclatasvir and Ombitasvir?

<p>NS5A inhibitors (C)</p> Signup and view all the answers

Which agent is primarily used to inhibit viral fusion?

<p>Fusion inhibitors (A)</p> Signup and view all the answers

Which combination is beneficial in the treatment of HCV?

<p>Lepidasvir+Sofosbuvir (A)</p> Signup and view all the answers

What is the primary target of inhibitors classified as viral synthesis inhibitors?

<p>Viral genome replication (B)</p> Signup and view all the answers

Which drug is used for treating Cytomegalovirus (CMV) infections?

<p>Valganciclovir (D)</p> Signup and view all the answers

Which of the following is a viral release inhibitor?

<p>Oseltamivir (Tamiflu®) (A)</p> Signup and view all the answers

What is the classification of Peramivir (Rapivab®)?

<p>Viral Release Inhibitor (B)</p> Signup and view all the answers

Which medication is a nucleoside analog used for antiviral therapy?

<p>Valacyclovir (Valtrex®) (C)</p> Signup and view all the answers

Which antiviral agent is used topically for eye conditions?

<p>Trifluridine (Viroptic®) (D)</p> Signup and view all the answers

Which of the following is classified as a viral replication inhibitor?

<p>Baloxavir (Xofluza®) (C)</p> Signup and view all the answers

Which of the following agents is primarily used for the prophylaxis of respiratory syncytial virus (RSV)?

<p>Nirsevimab-alip (Beyfortus®) (D)</p> Signup and view all the answers

What is the primary function of nucleoside/nucleotide analogues in antiviral therapy?

<p>To inhibit reverse transcriptase activity (C)</p> Signup and view all the answers

Which medication is classified as an integrase strand inhibitor?

<p>Dolutegravir (Tivicay®) (A)</p> Signup and view all the answers

Which combination of drugs serves as a single tablet regimen that includes an NNRTI?

<p>Emtricitabine + Tenofovir DF + Efavirenz (D)</p> Signup and view all the answers

What is the primary mechanism of action of fusion inhibitors like Enfuvirtide?

<p>To block gp41-mediated fusion (B)</p> Signup and view all the answers

Which agent is categorized as a pharmacokinetic enhancer?

<p>Cobicistat (Tybost®) (B)</p> Signup and view all the answers

Which of the following drugs is used in combination for hepatitis C treatment?

<p>Velpatasvir+Sofosbuvir (Epclusa®) (A)</p> Signup and view all the answers

Which agent is specifically a single tablet regimen that contains Dolutegravir?

<p>Dolutegravir + Lamivudine (Dovato®) (A)</p> Signup and view all the answers

Which drug is classified as a nonnucleoside reverse transcriptase inhibitor (NNRTI)?

<p>Rilpivirine (Edurant®) (C)</p> Signup and view all the answers

What type of antiviral agent is Remdesivir (Veklury®) primarily used as?

<p>A polymerase inhibitor (D)</p> Signup and view all the answers

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Study Notes

Viral Release Inhibitors

  • Oseltamivir (Tamiflu®), Zanamivir (Relenza®), and Peramivir (Rapivab®) inhibit the release of new viral particles from infected cells, preventing spread.

Viral Replication Inhibitors

  • Baloxavir (Xofluza®) inhibits viral replication by blocking the cap-dependent endonuclease activity essential for viral mRNA synthesis.

Nucleoside and Nucleotide Analogues

  • Acyclovir (Zovirax®), Valacyclovir (Valtrex®), Famciclovir (Famvir®), Penciclovir (Denavir®), and Trifluridine (Viroptic®) are nucleoside or nucleotide analogues that inhibit viral DNA polymerase, preventing viral replication.
  • Acyclovir, Valacyclovir, Famciclovir are oral medications used for treatment of herpes simplex virus (HSV) and varicella-zoster virus (VZV) infections.
  • Penciclovir is a topical medication primarily used for treatment of labial herpes simplex virus (HSV) infections (cold sores).
  • Trifluridine is an ophthalmic medication used for treatment of herpes simplex keratitis.

Fusion Inhibitors

  • Palivizumab (Synagis®) and Nirsevimab-alip (Beyfortus®) are used to prevent respiratory syncytial virus (RSV) infection.

Anti-Hepatitis Agents

  • Nucleoside/Nucleotide Analogues (Reverse Transcriptase Inhibitors) are used to treat Hepatitis B virus (HBV) infection.
    • Lamivudine (Epivir-HBV®) is a nucleoside analogue reverse transcriptase inhibitor (NRTI).
    • Tenofovir disoproxil fumarate (Viread®) is an NRTI.
    • Tenofovir alafenamide (Vemlidy®) is an NRTI.
    • Entecavir (Baraclude®) is an NRTI.
  • Immune System Modulators are used to treat HBV and HCV infections.
    • Interferon--2b (Intron-A®) is an interferon.
    • Pegylated Interferon--2b (PegIntron-A®) is a pegylated interferon.
    • Pegylated Interferon--2a (Pegasys®) is a pegylated interferon.
    • Interferon Alfacon-1 is an interferon.
  • Combination Agents are used specifically for HCV infection.
    • Lepidasvir+Sofosbuvir (Harvoni®) inhibits NS5A and NS5B.
    • Velpatasvir+Sofosbuvir (Epclusa®) inhibits NS5A and NS5B.
    • Pibrentasvir+Glecaprevir (Mavyret®) inhibits NS5A and NS3/4A.
    • Elbasvir+Grazoprevir (Zepatier®) inhibits NS5A and NS3/4A.
    • Velpatasvir+Sofosbuvir+Voxilaprevir (Vosevi®) is a triple combination therapy.

Anti-HIV Agents

  • Nucleoside/Nucleotide Analogues Reverse Transcriptase Inhibitors (NRTIs) are used to treat HIV infection.
    • Abacavir (Ziagen®) is an NRTI.
    • Emtricitabine (Emtriva®) is an NRTI.
    • Lamivudine (Epivir®) is an NRTI.
    • Tenofovir disoproxil fumarate (Viread®) is an NRTI.
    • Tenofovir alafenamide (Vemlidy®) is an NRTI.
    • Tenofovir DF + Emtricitabine (Truvada®) combines two NRTIs.
    • Tenofovir AF + Emtricitabine (Descovy®) combines two NRTIs.
    • Abacavir + Lamivudine (Epzicom®) combines two NRTIs.
    • Tenofovir DF + Lamivudine (Cimduo®) combines two NRTIs.
    • Zidovudine (Retrovir®) is an NRTI.
  • Integrase Strand Inhibitors (INSTIs) are used to treat HIV infection.
    • Dolutegravir (Tivicay®) is an INSTI.
    • Raltegravir (Isentress®) is an INSTI.
    • Elvitegravir (Viteka®) is an INSTI.
    • Bictegravir is an INSTI used only in combination therapies.
    • Cabotegravir is an INSTI used only in combination therapies.
  • Nonnucleoside RTIs (NNRTIS) are used to treat HIV infection.
    • Efavirenz (Sustiva®) is an NNRTI.
    • Rilpivirine (Edurant®) is an NNRTI.
  • Protease Inhibitors (PIs) are used to treat HIV infection.
    • Atazanavir (Reyataz®) is a PI.
    • Darunavir (Prezista®) is a PI.
  • Pharmacokinetic Enhancers are used in combination with other anti-HIV medications.
    • Cobicistat (Tybost®) is a pharmacokinetic enhancer.
    • Ritonavir (Norvir®) is a pharmacokinetic enhancer.
  • Fusion Inhibitors block the entry of the HIV virus into cells.
    • Enfurvitide (Fuzeon®) targets gp41, stopping HIV entry at a later stage.
    • Maraviroc (Selzentry®) targets the CCR5 receptor used by HIV to enter.
    • Ibalizumab-uiyk (Targarzo®) blocks domain 2 protein binding post-attachment.
    • Fostemsavir (Rukobia®) targets gp120, stopping HIV entry at an earlier stage.
  • HIV-1 Capsid Inhibitors stop HIV from assembling.
    • Lenacapavir (Sunlenca®) is an inhibitor of the HIV-1 capsid.
  • Single Tablet Regimens combine multiple antiretroviral medications into one pill.
    • NNRTI-Based single tablet regimens:
      • Emtricitabine + Tenofovir DF + Efavirenz (Atripla®) combines an NRTI, an NRTI, and an NNRTI.
      • Emtricitabine + Tenofovir DF + Rilpivirine (Complera®) combines an NRTI, an NRTI, and an NNRTI.
      • Emtricitabine + Tenofovir AF + Rilpivirine (Odefsey®) combines an NRTI, an NRTI, and an NNRTI.
      • Doravirine + Lamivudine + Tenofovir DF (Delstrigo®) combines an NNRTI, an NRTI, and an NRTI.
      • Efavirenz + Tenofovir DF + Lamivudine (Symfi® and Symfi Lo®) combines an NNRTI, an NRTI, and an NRTI.
    • PI-Based Single Tablet Regimen:
      • Darunavir + Cobicistat + Tenofovir AF + Emtricitabine (Symtuza®) combines a PI, a pharmacokinetic enhancer, an NRTI, and an NRTI.
    • INSTI-Based Single Tablet Regimens:
      • Dolutegravir + Abacavir + Lamivudine (Triumeq®) combines an INSTI, an NRTI, and an NRTI.
      • Bictegravir + Emtricitabine + Tenofovir AF (Biktarvy®) combines an INSTI, an NRTI, and an NRTI.
      • Dolutegravir + Lamivudine (Dovato®) combines an INSTI and an NRTI.
      • Dolutegravir + Rilpivirine (Juluca®) combines an INSTI and an NNRTI.
      • Cabotegravir + Rilpivirine (Cabenuva®) combines an INSTI and an NNRTI.
      • Elvitegravir + Cobicistat + Emtricitabine + Tenofovir DF (Stribild®) combines an INSTI, a pharmacokinetic enhancer, an NRTI, and an NRTI.
      • Elvitegravir + Cobicistat + Emtricitabine + Tenofovir AF (Genvoya®) combines an INSTI, a pharmacokinetic enhancer, an NRTI, and an NRTI.

COVID-19 Agents

  • Remdesivir (Veklury®) is an antiviral medication used to treat COVID-19.
  • Nirmatrelvir+Ritonovir (Paxlovid®) is a combination therapy used to treat COVID-19.
    • Nirmatrelvir is a protease inhibitor.
    • Ritonavir is a pharmacokinetic enhancer.

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