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Anti-infective drugs and resistance

455 articles

Antiseptic

Antiseptics are antimicrobial agents applied to living tissue to prevent infection; key agents include chlorhexidine, alcohols, and povidone-iodine, pioneered by Lister's 1867 carbolic-acid antisepsis.

Antiviral drug

An antiviral drug, also called an antiviral medication, is a medication used to treat or prevent viral infections by interfering with stages of the viral life cycle.

Antiviral therapy

Antiviral therapy: drug treatment of viral infections, from idoxuridine (1963) and aciclovir to HIV combination therapy, hepatitis C DAAs, and emerging broad-spectrum, host-targeting, and CRISPR-Cas approaches.

Antofloxacin

Antofloxacin (盐酸安妥沙星, trade name Upeng) is a Chinese-developed fluoroquinolone antibiotic, an 8-amino levofloxacin derivative inhibiting topoisomerase IV and DNA gyrase; approved in China April 2009 with a 20-hour half-life and once-daily dosing.

Apricitabine

Apricitabine (ATC; formerly AVX754, SPD754, BCH10618) is an investigational deoxycytidine analogue NRTI for HIV-1, active against M184V and thymidine analogue mutation virus; Avexa halted its phase III development in 2010 without approval.

Arsphenamine

Arsphenamine (Salvarsan, compound 606), an organoarsenic drug introduced by Ehrlich and Hata in 1910 as the first effective syphilis treatment and first modern chemotherapeutic agent, displaced by penicillin in the 1940s.

Arteether (alpha/beta-arteether)

Alpha/beta-arteether (E-Mal) is an Indian-developed, oil-based intramuscular artemisinin derivative from CSIR-CDRI and CIMAP, licensed to Themis Medicare in 1997, used as second-line injectable treatment for chloroquine-resistant and cerebral falciparum malaria.

Artemether-lumefantrine

Artemether-lumefantrine (Coartem, 复方蒿甲醚) is a fixed-dose artemisinin-based combination therapy, 20 mg/120 mg tablets in a six-dose regimen, the most widely used WHO-recommended treatment for uncomplicated falciparum malaria.

Artemisinin (青蒿素)

Artemisinin (青蒿素, qinghaosu), antimalarial from Artemisia annua discovered by Tu Youyou (2015 Nobel Prize); backbone of ACT first-line malaria treatment; endoperoxide-bridge mechanism; partial resistance now confirmed in four African countries.

Artemisinin combination therapy

Artemisinin combination therapy (ACT) is the WHO-recommended first-line treatment for uncomplicated falciparum malaria, pairing a fast-acting artemisinin derivative with a longer-acting partner drug that clears remaining parasites; artemisinin resistance has now emerged independently in Africa.

Artemisinin-naphthoquine

Artemisinin-naphthoquine (ARCO, 复方磷酸萘酚喹片) is a Chinese fixed-dose antimalarial pairing artemisinin with the 4-aminoquinoline naphthoquine, given as a single 8-tablet dose; WHO does not recommend it for general use.

Artemisinin-piperaquine

Artemisinin-piperaquine (Artequick, 青蒿素哌喹片) is a Chinese-developed fixed-dose antimalarial combining artemisinin with the long-half-life partner piperaquine; distinct from WHO-recommended dihydroartemisinin-piperaquine, it lacks a general WHO recommendation over its 2-day, low-artemisinin regimen.

Artenimol

Artenimol, the INN for dihydroartemisinin (DHA), is an artemisinin-derived antimalarial and active metabolite of artesunate, discovered by Tu Youyou in 1973 and used with piperaquine as Eurartesim.

Arterolane (arterolane maleate + piperaquine, Synriam)

Arterolane (OZ277, RBx11160), a fully synthetic trioxolane peroxide antimalarial, marketed with piperaquine as Synriam; first synthetic peroxide antimalarial approved, in India, non-inferior to artemether-lumefantrine.

Astodrimer

Astodrimer (SPL7013, VivaGel) is a polyanionic lysine dendrimer antiviral and antibacterial drug by Starpharma, approved for bacterial vaginosis in Europe, Australia, and Asia, and tested as a COVID-19 nasal spray.

Asunaprevir

Asunaprevir (BMS-650032, Sunvepra) is a Bristol-Myers Squibb HCV NS3/4A protease inhibitor for chronic genotype 1 hepatitis C, approved in Japan July 2014 for use with daclatasvir as the first interferon-free all-oral regimen.

Atilotrelvir/ritonavir

Atilotrelvir/ritonavir (泰中定, GST-HG171) is a Chinese oral 3CL protease inhibitor combination for mild-to-moderate COVID-19, conditionally NMPA-approved November 2023; 150/100 mg twice daily for 5 days.

Atovaquone

Atovaquone (Mepron, 566C80) is a hydroxynaphthoquinone antiprotozoal drug inhibiting the mitochondrial cytochrome bc1 complex; used for Pneumocystis pneumonia and, with proguanil, malaria treatment and prophylaxis.

Avibactam

Avibactam (NXL104) is a diazabicyclooctane, non-beta-lactam beta-lactamase inhibitor with covalent reversible inhibition of class A, C, and some class D enzymes; approved 2015 with ceftazidime as AVYCAZ.

AYUSH-SL

AYUSH-SL is a CCRAS coded poly-herbal Ayurvedic formulation for lymphatic filariasis (Shlipada), tested in a 180-participant double-blind placebo-controlled trial with MDA for filarial lymphedema.

Azithromycin

Azithromycin (Zithromax, Sumamed) is a 15-membered azalide macrolide antibiotic synthesized at PLIVA in 1980, FDA-approved 1991; it binds 23S rRNA of the 50S ribosomal subunit and treats respiratory, STI, and enteric infections, with rising mph(A)-mediated resistance.

Azlocillin

Azlocillin (brand Azlin) is a discontinued semisynthetic ureidopenicillin, ATC J01CA09, approved 1982, given parenterally for Pseudomonas aeruginosa infections; eight times as active as carbenicillin against Pseudomonas but inactivated by beta-lactamases.

Aztreonam

Aztreonam, the only approved monobactam antibiotic (Azactam, Cayston), targets aerobic Gram-negative bacteria including P. aeruginosa, resists metallo-beta-lactamases, and is paired with avibactam against MBL-producing carbapenem-resistant Enterobacterales.

Bacampicillin

Bacampicillin (Spectrobid) is an oral ester prodrug of ampicillin, hydrolyzed by intestinal esterases to ampicillin. It absorbs faster and more completely than ampicillin, allowing twice daily dosing; US product discontinued.

Bacitracin

Bacitracin is a cyclic polypeptide antibiotic from Bacillus subtilis/licheniformis that blocks undecaprenyl pyrophosphate recycling in Gram-positive cell wall synthesis; nephrotoxic, so used topically.

Baloxavir marboxil

Baloxavir marboxil (Xofluza), a single-dose oral influenza PA endonuclease inhibitor developed by Shionogi with Roche, approved in Japan in 2018 and the US in 2018 for treatment and post-exposure prophylaxis in people 5 years and older, with PA I38 resistance as its main limitation.

Beclabuvir

Beclabuvir (BMS-791325), a non-nucleoside allosteric inhibitor of HCV NS5B polymerase (Thumb 1 site), developed by Bristol-Myers Squibb; approved in Japan as Ximency with daclatasvir and asunaprevir for genotype 1 hepatitis C.

Bekanamycin

Bekanamycin (kanamycin B, kanendomycin) is an aminoglycoside antibiotic from Streptomyces kanamyceticus, marketed in Japan in 1969, ATC J01GB13, WHO AWaRe Watch group, roughly twice as active in vitro as kanamycin A.

Bemnifosbuvir

Bemnifosbuvir (AT-527, RO7496998) is an oral guanosine nucleotide analogue prodrug of AT-9010, a viral RNA polymerase inhibitor developed by Atea Pharmaceuticals for hepatitis C and, unsuccessfully, COVID-19; now Phase 3 with ruzasvir for HCV.

Benzylpenicillin

Benzylpenicillin (penicillin G, penicillin II) is a beta-lactamase-sensitive injectable beta-lactam antibiotic, 600 mg = 1 million IU, first-choice with gentamicin for neonatal sepsis, facing global benzathine salt shortages.