26 Agents Flashcards
DNA + RNA polymerase inhibitor
Oxphos inhibitor
Trypanosomiasis
Pentamidine
Aresnical that inhibits parasitic sulfyhydrl enzymes
Trypanosomiasis
Melarsoprol
IV
Inhibits polyamine biosynthesis, inhibits ornithine decarboxylase
Trypanosomiasis
Elfornithine
For T. Cruzii (Chagas)
Produces intracellular free radicals – kills the parasite
Trypanosomiasis
Nifurtimox
For Chagas Disease
Trypanosomiasis
Benzindazole
Inhibits glycolysis and TCA cycle.
Adverse Effects: Cardiac and pancreas problems
Leishmaniasis and PAM
Sodium Stibogluconate
Oral
MOA = binds to DNA and inhibits cytochrome C oxidase
Clincal Uses: Naegleria Fowleri (primary amoebic meningoencephalitis)
Leishmaniasis and PAM
Miltefosine
Binds to proteins and DNA
AE = disulfiram like reaction
Giardia Lamblia
METRONIDAZOLE
Amoebicidal, bactericidial, trichomonacidal
MOA = disrupts the tertiary structure of DNA and inhibits nucleic acid synthesis
Giardia Lamblia
TINIDAZOLE
Treatment for Trichomonas Vaginalis
Partner is ALSO treated even if not symptomatic
Metronidazole and Tinidazole
Asymptomatic carriers
AE = myelo-optic neuropathy
Entamoeba Histolytica
Iodoquinol (Luminal)
1st line for Amebiasis and Giardiasis in pregnancy
Entamoeba Histolytica
Paromomycin (Luminal)
IM: blockchain elongation proteins
CI = pregnancy
AE = cardiotoxicity
Used only when Patient does not respond and cant use metronidazole
Entamoeba Histolytica
Emetine and Dehydroemetine (systemic)
Long Term Use
**MOA = inhibits folate synthesis **
Leucovorin – admin to protect against folate deficency
Toxoplasmosis
Pyrimethamine and Sulfonamide
Lipophilic, oral, excreted in stool
MOA: Inhibits mitochondrial ETC
Clincal Use: Toxoplasmosis + PJP in AIDS patients
Toxoplasmosis
Atovaquone