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Ribavirin "loading" dose given

Göteborg University · FDA-approved active Small molecule

Ribavirin is a nucleoside analog that inhibits viral RNA synthesis by interfering with guanosine triphosphate pools and viral polymerase activity.

Ribavirin is a nucleoside analog that inhibits viral RNA synthesis by interfering with guanosine triphosphate pools and viral polymerase activity. Used for Chronic hepatitis C (in combination with interferon-alpha or direct-acting antivirals), Severe respiratory syncytial virus (RSV) infection, Lassa fever and other hemorrhagic fevers.

At a glance

Generic nameRibavirin "loading" dose given
SponsorGöteborg University
Drug classNucleoside analog antiviral
TargetViral RNA-dependent RNA polymerase; IMPDH (inosine monophosphate dehydrogenase)
ModalitySmall molecule
Therapeutic areaVirology/Infectious Disease
PhaseFDA-approved

Mechanism of action

Ribavirin is converted intracellularly to its active triphosphate form, which inhibits inosine monophosphate dehydrogenase (IMPDH), depleting guanosine nucleotides needed for viral RNA synthesis. It also directly inhibits viral RNA-dependent RNA polymerase and can cause lethal mutagenesis in viral genomes. The 'loading' dose refers to an initial higher dose regimen used to rapidly achieve therapeutic concentrations.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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