Table 1.
Class of antiviral | Name | Commercial name | Year of approval | Administration route | Treatment regime | Mutations associated with resistance | % Of resistant strains circulating | References |
---|---|---|---|---|---|---|---|---|
M2 inhibitors | Amantadine | Symmetrel a | 1966 | Oral | 200 mg·day−1 in 1 or 2 divided doses | M2 (L26F, V27A, A30V, S31N, G34E, and L38F) |
99.9% (H1N1 and H3N2 strains) 45.2% (H1‐H17) 13% H5N1 |
[6, 7, 8, 14, 16, 17] |
Rimantadine | Flumadine | 1993 | Oral | 100 mg twice a day for 7 days | ||||
NA inhibitors | Oseltamivir | Tamiflu | 2016 | Oral | 75 mg twice a day for 5 days | NA (H274Y, I222R/K/V, G146R, E119A/G/D, Q136K, R292K, N295S, V116A, and H117V) | 1.3 ‐ 3.2% (H1N1) and < 1% (H3N2 and IBV) | [21, 25, 26, 27, 38, 39] |
Peramivir | Rapivab | 2014 | Intravenous | 600mg, single dose within 2 days after onset of symptoms | ||||
Zanamivir | Relenza | 1999 | Inhalation | 10 mg twice a day for 5 days | ||||
PA inhibitor | Baloxavir | Xofluza | 2018 | Oral | 40mg (weight < 80 kg) or 80 mg (weight > 80 kg) one dose | PA (I38T, I38F, and I38M, E23G/K, A37T, and E199G) | 9.7% after baloxavir treatment | [4, 48, 49, 50, 52, 53, 58] |
Discontinued.