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Bilirubin (formerly referred to as haematoidin) is the yellow breakdown product of normal heme catabolism, caused by the body's clearance of aged red blood cells which contain hemoglobin.Bilirubin is excreted in bile and urine, and elevated levels may indicate certain diseases.ilirubin consists of an open chain of four pyrrole-like rings (tetrapyrrole). In heme, these four rings are connected into a larger ring, called a porphyrin ring. Bilirubin can be conjugated with a molecule of glucuronic acid which makes it soluble in water (see below).
It is an anti-viral drug used for severe RSV infection [1] ; hepatitis C infection, including if persistent, and often in combination with peginterferon alfa-2b or peginterferon alfa-2a; as well as some other viral infections. Ribavirin is a prodrug, which when metabolized resembles purine RNA nucleotides.either of these mechanisms explains ribavirin's effect on many DNA viruses, which is more of a mystery, especially given the complete inactivity of ribavirin's 2' deoxyribose analogue, which suggests that the drug functions only as an RNA nucleoside mimic, and never a DNA nucleoside mimic.