Antifungals Flashcards
Which drugs are fungicidal?
Polyenes
Allylamines
Echinocandins
Which drugs are fungistatic?
Azoles
Flucytosine
Griseofulvin
Polyenes
Amphotericin B
Nystatin
Polyene MOA
Bind ergosterol–>membrane pores
Why would you use amphotericin B?
Intrathecally for meningitis
Azole MOA
Inhibit 14asterol demethylase (a sterol is created, but not ergosterol)
Allylamine
Terbinafine
Polyene dose-limiting toxicity
Nephrotoxicity
Allylamine MOA
Inhibit squalene epoxidase
Allylamine use
Treatment of dermatophytosis
Echinocandins
-fungins
Echinocandins MOA
Inhibit B-1,3 glucan synthesis
Echinocandins interactions
Cyclosporine increases caspofungin levels
Flucytosine MOA
Inhibits fungal DNA/RNA/protein synthesis
Does flucytosine penetrate CSF?
Yes