Ganciclovir

Ganciclovir
  • Valganiciclovir is its prodrug
  • Ganiciclovir is administered intravenously or orally
  • Used to treat
– Cytomegalovirus infections (retinitis, pneumonia, and esophagitis) May be used as prophylaxis in In transplant recipients
  • Can be used, but is not preferred, for:
– Herpes Simplex Virus – Herpes Zoster Virus – Epstein-Barr Virus – Human Herpes Virus 6
  • Ganciclovir is a guanosine analogue that inhibits viral DNA synthesis
However, it is more toxic than acyclovir, and is associated with bone marrow suppression* and, as a result, leukopenia and thrombocytopenia.