Antifungals Flashcards

1
Q

drug target of azoles

A

ergosterol in cell membrane

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2
Q

drug target of polyenes

A

ergosterol in cell membrane

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3
Q

drug target of echinocandins

A

cell wall

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4
Q

3 classes of anti-fungals

A

azoles, polyenes, echinocandins

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5
Q

prototype of polyene class

A

amphotericin

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6
Q

protoype of echinocandin calss

A

capsofungin

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7
Q

mechanism of action of azoles

A

inhibit rate limiting step in ergosterol synthesis

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8
Q

azole drug/enzyme interaction

A

cyp450 inhibitor

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9
Q

how is fluconazole metabolized/ eliminated

A

renal

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10
Q

how are vori and itra conazole meatoblized

A

hepatic

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11
Q

how is fluconazoles Gi absorption and CNS penetration

A

excellent

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12
Q

benefit of fluconazole relative to other azoles

A

least drug interactions

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13
Q

fluconazole spectrum

A

candida and mild crypto

no activity against molds

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14
Q

how is itraconazole’s Gi absorption and CNS penetration

A

poor

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15
Q

disadvantage of itraconazole

A

most drug interactions of azoles

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16
Q

what is drug of choice for histoplasma

A

itraconazole

17
Q

itraconazole sepctrum

A

most yeasts, many molds, and most dimorphics

18
Q

how is voriconazole’s CNS and GI penetration

A

excellent

19
Q

what is drug of choice for aspergillosis

A

voriconazole

20
Q

what is drug of choice for zygomycosis

A

posconazole

21
Q

mechanism of action of polyenes

A

bind to ergosterols in cell membrane and form membrane channels w/ increased permeability

22
Q

how well does amphotericin B penetrate the CNS

A

poorly

23
Q

how does amphotericin cause renal toxicity

A

damage to distal tubular membrane leads to electrolyte wasting which leads to decreased GFR

24
Q

what is advantage of lipid based formulation of amphotericin B

A

decreased drug reactions

25
Q

echinocandin mechanism of action

A

inhibits B (1.3) glucan synthesis in fungal cell wall

26
Q

echinocandin spectrum

A

candida and aspergillus

27
Q

capsofungin route

A

IV

28
Q

how is capsofungin metabolized/cleared

A

hepatically

29
Q

caspofungin drug interactions

A

cyp450