Anitfungals Flashcards
Azoles
Drugs in class
- Fluconazole
- Ketoconazole
Brand name
Fluconazole
Diflucan
Brand name
Ketoconazole Topical
Nizoral
MOA
Azole
Inhibition of fungal CYP51 to block synthesis of ergosterol, a critical component of the membrane
ADRs
Azoles
- Headache
- Dru-Drug interaction with other agents metabolized by CYP3A4
Contraindications
Azoles
- Allergy
- Moderate QT prolongation
- Pregnancy
Counselling point
Azoles
Can be taken with or without food/water
Nyastatin
Drugs in class
- Nystatin Oral
- NystatinTopical
Brand name
Nystatin Oral
Bio-statin
Brand name
Nystatin Topical
- Mycostatin
- Nyamyc
- Nystop
MOA
Nystatin
Polyene macrolide that binds and destabilizes fungal cell membrane
Contraindication
Nystatin
Allergy
Counselling Point
Nystatin
Can be taken with or without food/water
Brand name
Terbinafine
Lamisil
MOA
Terbinafine
Allylamine that inhibits ergosterol synthesis through inhibition of squalene epoxidase to destabilize the fungal cell membrane