Antifungals Flashcards

1
Q

MOA of trizoles?

A

inhibit ergosterol synthesis by inhibiting 14 alpha sterol demethylase

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2
Q

What is posaconazole used to treat

A

prophylaxis of aspergillosis and candida in IC

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3
Q

what is voriconazole used to treat?

A

invasive aspergillosis

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4
Q

what is itraconazole used to treat

A

secondary treatment and prophylaxis of histo

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5
Q

what is fluconazole used to treat

A

thrush

secondary and prophylaxis of crypto

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6
Q

What is the main s/e of trizoles

A

liver abnormalities - measure the LFTs

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7
Q

what is an additional s/e of voriconazole

A

“shade pulled down on their vision”

V for vision

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8
Q

what is the MOA for amph B

A

generates pores in the PM

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9
Q

Is amph B cidal or static

A

cidal

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10
Q

are the trizoles cidal or static

A

static

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11
Q

what is the main s/e of amph B

A

nephrotoxicity

it WILL happen it is just a matter of time when

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12
Q

what is another s/e of amph B

A

acute infusion reaction - pre medicate with dihydraphenadine and acetaminophen

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13
Q

what form of amph B is more renal protective? what is the downside of this form

A

lipid soluble

it is very expensive

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14
Q

what is the MOA of the echinocandins

A

inhibit B 1,3 D glucan - inhibits ergosterol synthesis

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15
Q

what are the echinocandins

A

“fungins”

caspofungin, micafungin, anidulafungin

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16
Q

what are the echinocandins used to treat

A

candida and aspergillus

also used for empiric therapy

17
Q

what are some negatives of echinocandin use

A

IV formulation only

expensive

18
Q

how are the echinocandins eliminated?

A

hepatically

19
Q

what is the MOA of flucytosine

A

uses fungal enzyme to convert to 5FU

inhibits DNA and RNA synthesis

20
Q

what is flucytosine used to treat

A

crypto and candida used in combo with other drugs

quick resistance often develops however

21
Q

what is the main s/e of flucytosine?

A

pancytopenia - think chemo drug!!!