Oseltamivir

Class

Antiviral

Dose

75mg bd po

Spectrum

Influenza

MoA

  • Reversible inhibitor of neuraminidase
  • Virion release from infected cells then spread to resp tract are inhibited bc this enzyme is blocked

Time v Conc

Indications

Influenza

PK

A

Prodrug has good 80% OBA (Oseltamivir-phosphate)

D

PPB low

M

Rapid extensive de-esterefication and conversion to O-carboxylate by liver

E

O-carboxylate elimin by glom filtration

AE

  • GI upset – nausea, vom
  • Headache
  • Skin rashes

Resistance

Monitoring