Anifungals Flashcards
SE of amphotericin B
Nephrotoxicity (RTA), Note: aminoglycosides-ATN
Infusion reaction
Flucytosine is accumulated in fungal cells by the action of _ and converted by _ to _ which inhibits _
Permease; cytosine deaminase; 5-FU; thimidylate synthase
Binds ergosterol in fungal membrane forming artificial pores
Amphotericin B
Nystatin
Use of flucytosine
Cryptococcosis
Systemic candida
Chromoblastomycosis
For salvage therapy for invasive aspergillosis
Caspofungin
Accumulated in fungal cells by the action of permease and converted by cytosine deaminase to 5-FU which inhibits thimidylate synthase
Flucytosine
Limited to topical use because of ustemic toxicity
Ketoconazole
Clotrimazole
Fungistatic
Flucytosine
Azoles
Capsofungin
Treatment for Madura foot
Flucytosine
Inhibit fungal CYP450 dependent enzymes blocking ergosterol synthesis
Azoles
Uses of ketoconazole
Chronic mucocutanrous candidiasis
Dermatophytosis
Potent CYP450 inhibitor
Ketoconazole
Interferes with microtubule function, inhibiting sythesis and polymerization of nucleic acids
Griseofulvin
For treatment and prophylaxis of cryptococcal meningitis
Fluconazole
Narrow antifungal spectrum
Ketoconazole