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Antiviral
Neuraminidase inhibitor – active antiviral medications that bind to the outside of a virus to
prevent the release of new viral microbes - often treatment of Influenza
Overview of antivirals
In antiviral therapy, viruses make use of native cell machinery, limiting pharmacotherapy
options
To avoid creating an environment for drug-resistant viruses, antivirus cannot act partially
Care consideration
Antivirals do not stop a patient from transmitting a virus. They stay contagious until the infection
is resolved
Renal insufficiency or dehydration can lead to nephrotoxicity when taking some antiviral like
acyclovir.
Fungal
Polyene : Antifungals that increase the permeability of fungal cells in order to nullify their effect
on the body. Polyenes are used in the treatment of strong fungal infections, including infections that
spread to the bloodstream.
Azole : Antifungals that act by inhibiting the ergosterol production in fungal cells. Azole are used
against both systemic and superficial infections.
Antimetabolite:
Echinocandins :
Summary
Azole Antifungals target ergosterol synthesis to break down fungal cell membranes.
Care consideration
It is important to ensure proper hydration and take renal or liver issues into consideration
Patients with hear conditions or arrhythimia should be monitored when taking antifungals
Cross reactivity
A patient with penicillin allergy could be at risk for reactions to similar medications such as
cephalosporins, which a similar beta-lactam ring to penicillin. This is not guaranteed to cause a reaction
but precaution need