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Antiviral Agents

  • Antiviral agents are medications used to treat viral infections by either inhibiting viral replication or modulating the host’s immune response.

  • These agents can be classified based on their target viruses or mode of action.

Classification of Antiviral Agents

Classification of Antiviral Agents

1) Influenza A Virus Inhibitors

  • These agents inhibit viral replication by blocking the M2 protein, an ion channel essential for the viral lifecycle.

  • They are effective primarily against influenza A viruses.

Examples:

  • Amantadine Hydrochloride

  • Rimantadine Hydrochloride

2) Anti-Herpes Virus Agents

  • These agents work by inhibiting viral DNA synthesis in herpes viruses.

Examples:

  • Idoxuridine Trifluoride (used topically for herpetic keratitis)

  • Acyclovir

  • Ganciclovir

Mechanism of Action:

  • Idoxuridine is incorporated into viral DNA, disrupting replication.

  • Acyclovir & Ganciclovir are nucleoside analogs that, once phosphorylated, act as competitive inhibitors of viral DNA polymerase and function as chain terminators.

3) Reverse Transcriptase Inhibitors (Anti-HIV Agents)

  • These drugs inhibit the reverse transcriptase enzyme, which is critical in the lifecycle of retroviruses like HIV.

Examples:

  • Nucleoside Reverse Transcriptase Inhibitors (NRTIs): 

    • Zidovudine

    • Didanosine

    • Zalcitabine

    • Lamivudine(Incorporated into viral DNA, causing chain termination.)

  • Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs): 

    • Loviride

    • Delavirdine(Bind to reverse transcriptase, inducing conformational changes that inhibit activity.)

4) Protease Inhibitors (Anti-HIV Agents)

  • These agents inhibit HIV protease, preventing the cleavage of viral polyproteins into functional proteins, which is essential for viral maturation.

Examples:

  • Saquinavir

  • Indinavir

  • Ritonavir

5) Broad-Spectrum Antiviral Agents

  • These agents exhibit antiviral activity against a wide range of RNA and DNA viruses.

Example:

  • Ribavirin (Believed to inhibit viral RNA synthesis and modulate the host's immune response.)


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