ANTIBIOTICS - ANTIPROTOZOAL Flashcards
examples of TISSUE SCHIZONTICIDES (kill schizonts in the liver)
primaquine, atovaquone
examples of BLOOD SCHIZONTICIDES
chloroquine, quinine mefloquine, atovaquone, pyrimethamine, doxycycline, halofantrine, artemisinin
example of GAMETOCIDES
primaquine
examples of SPORONTICIDES (prevent sporogony and multiplication in the mosquito)
proguanil, pyrimethamine
Side effect include Cinchonism (headache, tinnitus, vertigo), Hemolysis in G6PD deficiency, Blackwater fever
QUININE
QUINIDINE GLUCONATE
DOC for malaria in pregnant patients
Quinine
- severe complication of P. falciparum malaria
- characterized by intravascular hemolysis, massive hemoglobinuria and acute renal failure
Blackwater fever
radical cure of P. vivax, P. ovale
Terminal prophylaxis (vivax, ovale)
PRIMAQUINE
Treatment and chemoprophylaxis (chloroquine-resistant P.falciparum) - all stages
ATOVAQUONE-PROGUANIL
Common side effect is a headache without organic lesion that is Pseudotumor cerebri.
Doxycycline
Forms toxic free radicals in malarial food vacuole. Blood schizonticide.
ARTEMISININ
ARTESUNATE, ARTEMETHER, DIHYDROARTEMISININ
the drug of choice for uncomplicated falciparum malaria in the Philippines
Artemether-Lumefantrine (Co-Artem)
DOC for Chloroquine sensitive P. falciparum
Chloroquine
DOC for P. vivax and P. ovale
Chloroquine then Primaquine
examples of TISSUE AMEBICIDES (act on organisms in the bowel wall and the liver)
chloroquine, emetines, metronidazole, tinidazole
examples of LUMINAL AMEBICIDES (act only in the lumen of the bowel)
diloxanide furoate, iodoquinol, paromomycin
Asymptomatic cyst carriers of E. histolytica (drug of choice)
DILOXANIDE FUROATE
used for Severe intestinal and extraintestinal amebiasis (drug of choice), Trichomoniasis, Giardiasis, Bacterial vaginosis, Anaerobic infections (B. fragilis, C. difficile), Peptic ulcer disease
Metronidazole
DOC for Cryptosporidiosis
NITAZOXANIDE
Prophylaxis and treatment of pneumocystosis (drug of choice), Prophylaxis (T. gondii, I. belli)
CO-TRIMOXAZOLE
Prophylaxis and treatment of Toxoplasmosis (drug of choice)
SULFADIAZINE-PYRIMETHAMINE
Advanced West African sleeping sickness (drug of choice)
EFLORNITHINE
African sleeping sickness (drug of choice)
MELARSOPROL
Chagas disease (drug of choice),
NIFURTIMOX
Leishmaniasis (drug of choice except in India)
SODIUM STIBOGLUCONATE
Whipworm infections (drug of choice),
MEBENDAZOLE
Trichinosis (drug of choice),
THIABENDAZOLE
Filariasis (drug of choice), Eye worm disease (drug of choice),
DIETHYLCARBAMAZINE
May cause Mazzotti reaction when used for onchocerciasis
DIETHYLCARBAMAZINE
Strongyloidiasis (drug of choice),
IVERMECTIN
can cause Mazzoti reaction (fever, headache, dizziness, rashes, pruritus, tachycardia, hypotension, pain in joints, muscles and lymph glands),
IVERMECTIN
Ascaris, Hookworm and Pinworm infections (drug of choice),
PYRANTEL PAMOATE
Ascariasis, Hookworm, Pinworm, Hydatid disease (drug of choice), Whipworm infections, Cutaneous & Visceral Larva migrans, Cysticercosis (larval stages of T. solium), Angiostrongylus cantonensis, Capillaria philippinensis
ALBENDAZOLE
Drug of choice for trematodes / flukes (Schistosoma, Paragonimus, Clonorchis, Opisthorchis, Fasciolopsis, Heterophyes) and cestodes / tapeworms (Taenia, Diphyllobothrium, Hymenolepsis)
PRAZIQUANTEL
Prazaquantel is the DOC of flukes except Fasciola hepatica. What is its DOC?
bithionol or triclabendazole
Ivermectin is the DOC for ____ and _____
STRONGYLOIDES AND ONCOCERCA VOLVULUS