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Netivudine is an orally active nucleoside analogue, specifically a thymidine analogue, with potent and specific antiviral activity against varicella-zoster virus (VZV). It has been shown to be approximately seven times as potent as acyclovir in vitro. Netivudine acts by inhibiting viral DNA synthesis after phosphorylation by viral thymidine kinase, leading to chain termination during DNA replication. It was investigated primarily for the treatment of herpes zoster (shingles), chickenpox, and HIV infections. Clinical trials reached up to Phase III for these indications[1][2][3][4][7].
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