Antifungals Flashcards
Antifungals for drastic systemic infections?
AMPHOTERICIN B
FLUOCYTOCINE
AZOLES
ECHINOCANDINS
Antifungals for mucocutaneous/mild systemic infections?
Griseofulvin
Cutaneous fungal infection antifungal?
Nystatin
AMPHOTERICIN B MOA?
Interacts with ergosterol causing pores in membrane and cell death
Route of AMPHOTERICIN B
IV
Intrathecal slow infusion
AMPHOTERICIN B ADRs?
Nephrotoxicity Renal tubular acidosis Arrythmias Anemia Phlebitis
AMPHOTERICIN B nephrotoxicity can be avoided by ______
Liposomal AMPHOTERICIN B
NYSTATIN MOA?
Same as amphotericin b
Nystatin Route?
TOPICAL
Nystatin clinical use?
Candida
Diaper rash
Fluocytocine MOA?
Converted to 5fluorouracil which affects DNA n RNA synthesis
FLUOCYTOCINE Clinical uses?
Opportunistic inf
Cryptococcal meningitis
FLUOCYTOCINE ADRs?
Bone marrow suppression
AZOLES subclassification
Triazole
Imidazole
Azoles MOA?
Inhibit cyt p450 sys which inhibits ergosterol syn
Which antifungal is contraindicated in pregnancy?
Azoles
Griseofulvin
Azoles ADRs?
Suppresses testosterone-> gynecomastia
Menstrual irregularities
Ketoconazole is used for the treatment of ___________ as well
Cushing’s
Griseofulvin MOA?
Inhibits microtubule formation
griseofulvin clinical uses
Oral therapy for skin or nail inf
Griseofulvin ADR?
Teratogenic
Induces cyt p450 sys
Porphyria attacks
Carcinogenic