Anti-fungals And Anti-virals Flashcards

1
Q

Do antibiotics have an effect on fungi?

A

Most dont

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2
Q

What are fungi split into?

A

Yeast and filamentous fungi (moulds)

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3
Q

What are the 4 main classes of anti-fungals?

A

Polyenes, Azoles, allylamines, echinocandins

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4
Q

What is an example of a polyene?

A

Amphoterecin B

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5
Q

When would Amphotericin B be used, administration and why?

A

Its a polyene anti-fungal. Used in serious cases as its toxic, via IV administration. Against yeasts and moulds.

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6
Q

What is an example of an azole?

A

Fluconazole

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7
Q

What is the role of fluconazole?

A

Treats yeast infections like candida. Inhibits ergosterol synthesis

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8
Q

What is an echinocandin and its role

A

Micafungin. For serious candida (yeast infections)

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9
Q

What is an allylamine and its role?

A

Terbinafine. Inhibits ergosterol synthesis. Treats athletes foot and ringworm topically. Orally in serious cases

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10
Q

Do antibiotics have any action against viruses?

A

Not at all

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11
Q

What action do anti-virals have on viruses?

A

All virustatic - none virucidal. Many interfere with nucleic acid synthesis

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12
Q

How is HIV treated? Why?

A

Using 3 anti-virals - combination therapy. The drugs are active on at least 2 phases of HIV replication

Zidovudine, Saquinavir, Nevirapine

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13
Q

What are 2 types of herpes?

A

HSV and VZV
Herpes simplex virus
Varicella zoster virus

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14
Q

What is an anti-Herpes drug and how is it administered? What’s a benefit of using this drug?

A

Aciclovir. Orally or topically. Has low toxicity on uninfected cells

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15
Q

Which 2 drugs can treat hep B and C?

A

Interferon A for both. Ribavirin for hep c

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16
Q

Which drugs can treat a viral respiratory infection?

A

Ribavirin - spray down throat
Zanamivir - influenza a or b

17
Q

Why is Amphoterecin B toxic?

A

Can bind to our own cholesterol and destroy cell. Usually binds to ergosterol on fungi wall

18
Q

Which 3 drugs are used in combination to treat HIV?

A

Zidovudine
Nevirapine
Saquinavir

19
Q

What is remdesivir used for?

A

Redesigned to treat Covid 19. Originally for Hep C