Antifungal Flashcards
Binds ERGOSTEROL and forms POReS that allow leakage of electrolytes
amphoTEARicin TEARS a hole in the fungal membrane by forming pores
Tx: Serious, systemic mycosses. cryptococcus Blastomycoses Coccidioides Histoplasma Candida Mucor
Ampho B
Supplement K and Mg d/t altered renat tubule permeability (from nephrotoxicity)
Fevers/chils NEPHROTOXICITY (decreased by hydration) Arrythmias Anemia IV phlebitis
SE of Ampho B
toxicity decrased by liposomal amphotericin
same as Ampho B but TOO TOXIC for systemic use:
swish and swallow: oral candidiaseis
topical: diaper rash
Nyacin
Inhibits DNA and RNA SYNTHESIS by conversion to 5-FU by CYTOSINE DEAMINASE
FLUCTYOSINE FUCKS BY DNA synthesis w/ 5-FU
systemic fungal infections (meningitis by cryptococcus)
Bone marrow suppression
Flucytosine
Inhibits fungal ergosterol synthesis by inhibiting cyp450 (14-alpha demethylase) that converts lanosterol> ergosterol
Azoles
local and less serious systemic mycoses
chronic supperssion of cryptococcal meningitis in AIDS pts and candida
Fluconazole
used to tx Blastomyces, coccidioides, histoplasma
Itraconazole
clotrimzole
miconazole
topical fungal infections
inhibits fungal SQUALENE EPOXIDASE to tx dermatophytes of the fingers or TOEnails
TErbinafine
GI UPset
HA
hepatotoxicity
taste distrubance
Terbinafine
inhibit cell wall cynthesis by inhibiting synthesis of B glucan
anidulafungin caspofungin micafungin
TX: invasive aspergillosis and candida
can cause FLUSING–histamine release
Echiniocandins
inhibits microtubule fxn> disrupts mitosis
deposited in KERATIN containing tissues (nails)
Griseofulvin