ANTI-FUNGAL AGENTS Flashcards
Interferes with microtubule function
Griseofulvin
Anti-fungal contraindicated in patients with Porphyria
Griseofulvin
Absorption of this antifungal is increased by intake of fatty meal
Griseofulvin
Interfere with ergosterol synthesis by inihibiting squaline oxidase
Terbinafine
Binds to ergosterol in fungal cell membranes > forming ARTIFICIAL PORES
POLYENE
Nystatin
Amphotericin B
Topical anti-fungal that causes severe nephrotoxicity
Nystatin
N-N
Inhibit fungal P450-dependent enzymes blocking ergosterol synthetic
Azole
Limited to topical use only because of systemic toxicity
Ketoconazole
Systemic anti-fungal drug that causes Renal tubular acidosis with magnesium and potassium-wasting
Amphotericin B
Antifungal with the WIDEST antifungal spectrum
Amphotericin B
Accumulates in fungal cells by the action of permease and converted by cytosine deaminase to 5-FU > which inhibits thimidylate synthase
Flucytosin
Azole with narrow spectrum and high drug-drug interactions
Ketoconazole
Azole with broad spectrum and good CNS penetration
FPV
Fluconazole
Posaconazole
Voriconazole
Alternative to Amphotercin B in the treatment of Cryptococcal meningitis
Fluconazole
Azole with the broadest spectrum and the only azole with activity agaisnt Rhizopus sp. (MUCORMYCOSIS)
Posaconazole