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Pharmacology
Antiviral Agents and Biologic Response Modifiers
Pyrimidine Nucleosides
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Chapters in Pharmacology
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  • Systemic Pharmacotherapeutics of the Cardiovascular System
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Topics in Antiviral Agents and Biologic Response Modifiers
  • Overview of Antiviral Agents and Biologic Response Modifiers
  • Pyrimidine Nucleosides
  • Purine Nucleosides
  • Ribavirin
  • Zidovudine
  • Amantadine
  • Biologic Response Modifiers
  • Miscellaneous Antiviral Agents
 
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Pyrimidine Nucleosides

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A variety of pyrimidine nucleosides (both halogenated and nonhalogenated) effectively inhibit the replication of herpes simplex viruses with limited host-cell toxicity. The exact mechanism of action of these compounds appears to reflect substitution of pyrimidine for thymidine, causing defective DNA molecules. Idoxuridine is effective for the treatment of herpesvirus infection of the superficial layers of the cornea (herpesvirus keratitis) and of the skin, but is toxic when administered systemically.

Trifluridine, also an analog of deoxythymidine, is currently the agent of choice for the treatment of herpesvirus keratitis in humans. The other antiviral pyrimidine nucleosides have not been used clinically to any notable extent.

Last full review/revision March 2012 by Dawn Merton Boothe, DVM, PhD, DACVIM, DACVCP

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