Antifungal therapy Flashcards
Lanosterol synthesis
(-) SQUALENE EPOXIDASE
Terbinafine
Cell Wall Synthesis
(-) synthesis of B glucan – (-) cell wall synthesis
ECHINOCANDINS
-fungin
Anidulafungin
Caspofungin
Micafungin
Ergosterol Synthesis
(-) LANOSTEROL – (-) ergosterol conversion
AZOLES
Clotrimazole Fluconazole Itraconazole Ketoconazole Miconazole Voriconazole
Cell Membrane Integrity
BINDS to ergosterol – forms membrane PORES – LEAKAGE of ELECTROLYTES
POLYENES
Amphotericin B - systemic
Nystacin - superficial
Nucleic Acid Synthesis
(-) DNA and RNA BIOSYNTHESIS via conversion into 5-FU by CYTOSINE DEAMINASE
Flucytosine
Interferes MICROTUBULE function
Griseofulvin
Used for CRYPTOCOCCAL MENINGITIS
Alternative to Amphotericin B in the treatment of C. neoformans
Fluconazole
SE of Echinocandin
fever
flushing (histamine release)
elevated liver enzymes
SE of Amphotericin B
NEPHROTOXIC
infusion reactions - chills, fever, muscle spasms
Has the BROADEST spectrum triazole
Posaconazole