ANTI-FUNGAL DRUGS Flashcards
These Drugs are?
Amphotericin B/ Liposomal Amphotericin B
Nystatin
Azoles or Polyenes
Polyenes
These Drugs are?
Ketoconazole
Fluconazole
Azoles or Polyenes
Azoles
Candida albicans is bacteria or Fungus
Fungus
Fungus are Superficial or Systemic Infections or both
Both
Amphotericin B treat Superficial or Systemic Infections or both
Systemic Infections
? Binds to ergosterol in fungal cell membrane
Azoles Antifungal or Polyenes Antifungal drugs
Polyenes Antifungal drugs
Which Polyenens is highly toxic
Amphotericin B/ Liposomal Amphotericin B
Nystatin
Amphotericin B
Which causes causes fever, chills, rigors, muscle pain, nausea and headache around 1 to 3 hours after drug administration
Amphotericin B/ Liposomal Amphotericin B
Nystatin
Amphotericin B
Which causes a SHAKE AND BAKE”- INFUSION REACTION
Amphotericin B/ Liposomal Amphotericin B
Nystatin
Amphotericin B
Which cause adverse effects
Nephrotoxicity (Kidney)
Hypokalemia
Bone Marrow Suppression - RBCs(rare)
Amphotericin B/ Liposomal Amphotericin B
Nystatin
Amphotericin B/
Nystatin is treat Superficial or Systemic Infections or both
Superficial
Which deal with creams, oral suspension) THRUSH!!!!
Amphotericin B/ Liposomal Amphotericin B
Nystatin
Nystatin
Swish and Swallow” is used only when the thrush is inside the mouth.
T/F
True
Azole’s- Fluconazole & Ketoconazole are Superficial or Systemic Infections or both
Both
Inhibit fungal CYP450 enzymes
Azoles Antifungal or Polyenes Antifungal drugs
Azoles Antifungal
which prevent fungi from creating ergosterol
CYP450 enzymes or Liver Enzymes
CYP450 enzymes
ADVERSE EFFECTS:
Primarily GI related- N/V/D
KETOCONAZOLE or FLUCONAZOLE
FLUCONAZOLE
ADVERSE EFFECTS:
Hepatotoxicity
Sex hormone alteration (decreased libido, gynecomastia, menstrual irregularities)•GI related (N/V/D/C)
KETOCONAZOLE or FLUCONAZOLE
FLUCONAZOLE
Which is used on the NCLEX more!
KETOCONAZOLE or FLUCONAZOLE
KETOCONAZOLE
This medication class functions as a CYP inhibitor
Azoles Antifungal or Polyenes Antifungal drugs
Azoles Antifungal
Which alters sex hormones- patients should report menstrual irregularities/decreased libido, gynecomastia
KETOCONAZOLE or FLUCONAZOLE
KETOCONAZOLE
Which if taken orally ? you want to avoid H2RAs and PPIs- typically AVOID
Azoles Antifungal or Polyenes Antifungal drugs
Azoles Antifungal
prazoles
No prazoles with the azoles
or
Yes prazoles with the azoles
No