| Mechanism of action | It is a pyrophosphate analogue that inhibits viral replication by targeting viral DNA polymerase. |
| Standard dosage | Induction therapy is 90 mg/kg IV over 2 h every 12 h for 2 to 3 weeks; maintenance therapy is 90 to 120 mg/kg IV over 2 h, every 24 h. |
| Contraindications | Hypersensitivity to foscarnet. |
| Main drug interactions | Increased cardiac toxicity is seen with a large number of drugs including tricyclic antidepressants, halothane, fluconazole, pentamidine. and antipsychotics. Concurrent use of cidofovir can cause nephrotoxicity. |
| Main side effects | Anemia (33 %), granulocytopenic disorder (17 %), nausea, vomiting, and diarrhea (30 %). |
| Special points | It is often used in conjunction with ganciclovir or cidofovir. Drug resistance can emerge. |