Antifungals Flashcards
drug target of azoles
ergosterol in cell membrane
drug target of polyenes
ergosterol in cell membrane
drug target of echinocandins
cell wall
3 classes of anti-fungals
azoles, polyenes, echinocandins
prototype of polyene class
amphotericin
protoype of echinocandin calss
capsofungin
mechanism of action of azoles
inhibit rate limiting step in ergosterol synthesis
azole drug/enzyme interaction
cyp450 inhibitor
how is fluconazole metabolized/ eliminated
renal
how are vori and itra conazole meatoblized
hepatic
how is fluconazoles Gi absorption and CNS penetration
excellent
benefit of fluconazole relative to other azoles
least drug interactions
fluconazole spectrum
candida and mild crypto
no activity against molds
how is itraconazole’s Gi absorption and CNS penetration
poor
disadvantage of itraconazole
most drug interactions of azoles