Nucleoside analog

(Redirected from Nucleoside analoge)

Mechanism of Action

  • Nucleoside analoges are a class of antiviral medications that mimic the structure of natural nucleosides, interfering with viral DNA or RNA synthesis
  • Primarily used for treatment of herpesvirus infections (e.g., HSV, VZV), HIV, hepatitis B and C, and some other viral infections
  • Work by being incorporated into viral nucleic acids, leading to chain termination or mutagenesis

Adverse Effects

Common

  • Nausea, vomiting, diarrhea
  • Headache, fatigue
  • Rash or pruritus
  • Bone marrow suppression (e.g., zidovudine)

Serious

  • Neurotoxicity (e.g., cidofovir, tenofovir)
  • Nephrotoxicity (e.g., acyclovir in renal impairment)
  • Lactic acidosis and hepatotoxicity (e.g., nucleoside reverse transcriptase inhibitors like zidovudine)
  • Bone density loss (e.g., tenofovir)
  • Teratogenicity (e.g., ribavirin contraindicated in pregnancy)

List of Nucleoside analoges