Mechanism of action Zanamivir and oseltamivir inhibit viral neuraminidase, an enzyme essential for release of newly formed virus particles from infected cells and further spread of the infectious virus. Clinical use Zanamivir and oseltamivir are effective for reducing the duration of influenza A and B if administered within 48 hours of symptom onset and may prevent viral infection in close contacts of affected individuals. Adverse effects Oseltamivir is not recommended in infants younger than 1 year because of fatalities in mice. Zanamivir should be avoided in those with asthma or chronic obstructive pulmonary disease because it can cause bronchospasm