Neuraminidase inhibitors: Zanamivir, the leading neuraminidase inhibitor ha
s been awarded marketing approval in France for curative treatment of flu.
It has been demonstrated that zanamivir reduces the duration of symptoms an
d the frequency of recourse to antibiotics.
Indications for zanamivir: Besides early prescription for curative treatmen
t of flu, as soon as the first symptoms occur, particularly in vaccinated e
lderly patients (vaccination is effective in only 70 to 80% of cases), zana
mivir could also be used as a preventive treatment in subjects exposed to a
n index case.
Early trials with pleconaril: Pleconaril is active against picomaviruses an
d appears to have interesting efficacy against exceptionally severe enterov
irus infections. Conversely, trials conducted in cases of upper respiratory
tract infections and meningitis caused by enteroviruses have shown modest
results.