Antifungal Flashcards
Bunds to ergosterol forming artificial pores
Aspergillus Blastomycrs Candida Cryptococcus Histoplasma Mucor
WOF infusion reactions RTA with mg and k toxicity
Amphotericin B
Polyene
Systemic fungal infections
Amphotericin B Flucytosine Ketoconazole Fluconazole Itraconazole Caspofungin
Inhibits thymidilate synthase
Cryptococcosis Chromoblastomycosis
Flucytosis
Pyrimidine antimetabolite
Inhibit fungal 450 dependent enzymes blocking ergosterol synthesis
Azole
Narrow antifungal spectrum
Ketoconazole
DOC cryptococcal
Tx and prophy for meningitis
Fluconazole
Blastomycosis Sporotrichosis Dermatiphytosis
Itraconazole
Inhibits B glucan synthase
Disseminated and mucocutaneous candidiasis
Salvage tx for invasive aspergillosis
WOF flushing
Caspofungin
Superficial mycoses
Systemic
Griseofulvin
Terbinafine
Interferes with microtubule function to inhibit NA synthesis
Dermatophytosis
Accumulates in keratin
Griseofulvin
Inhibit squalene oxidase
Dermatophytosis Onychomycosis
Accumulates in keratin
Terbinafine
Superficial fungal infections
Topical
Nystatin
Clotrimazole
Polyene
Candidiasis
WOF severe nephrotoxicity
Swish and swallow
Nystatin
Azole for pytitiasis versicolor
Clotrimazole