Clinical conditions Herpes Antihepatits Drugs used in the treatment Idoxuridine, acyclovir Foscarnet Interferons Entecavir SofosbuvirHepatitis C Ribavirin MOA Forscarnet- inhibits the pyrophosphate binding on viral DNA polymerase Interferon inducers turn on the synthesis of intrinsic factor for early innate immunity IFN- activate immune cells such as NK and macrophages. Use Ribavirin- RSV and HCV Entecavir- HEP-B Sofosbuvir- hep C Sofosbuvir- inhibits RNA polymerase used by hep C Entecavir-blocks reverse transcriptase Antinfluenza Amantidine, rimanditine Zanamivir Osteltamivir Ribavirin- M-RNA synthesis inhibitor Amatadine and ramatadineinhibit replication of influenza A by blocking m2 proteininhibits viral coating and penetration Z&O- inhibits neuraminidase NRTI Zidovudine NtRTs(nucleotide) NNRTIsnevirapine ProteaseRitonavr Fusion Z&O- for influenza A and B A&R- influenza A Given systematically of topically- When used systematically may be administered Orally or IV CONTRA- hypersensitivity , congestive HF, seizures and Renal disease and lactation Side effects- Gi disturbances, burning & stinging- when topically applied. Ribavirin- anemia Foscarnet- renal insufficiency, electrolyte imabalance Drug interaction- Etravirine- other protease inhibitors Many inducers or inhibitors of liver enzymes-influenced by Cp450 Inhibitorserythromycin and clarithromycin