Antifungals Flashcards

1
Q

which drugs bind to ergosterol, increasing membrane permeability?

A

Polyenes

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2
Q

what are some examples of polyenes?

A

amphotericin B

nystatin

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3
Q

what is amphotericin B used to treat?

A

serious yeast and filamentous fungal infections IV

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4
Q

what is nystatin used to treat?

A

yeast and filamentous fungal infections topical use only

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5
Q

toxixcity of amphotericin B

A

it has extreme hepatic, renal, cardiac toxicity

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6
Q

drugs that inhibit ergosterol synthesis

A

azoles

allyamines

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7
Q

subclasses of azoles

A

limidazoles

triazoles

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8
Q

examples of limidazoles

A

Miconazoles

ketoconazoles

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9
Q

what does the limidazole miconazole treat and how is it administered?

A

internal and external infections including yeats and dermatophytes.
topically and orally

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10
Q

what does the limidazole ketoconazole treat and how is it administered?

A

topical infections

topically and orally

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11
Q

give examples if triazoles

A

fluconazole
itraconazole
voriconazole

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12
Q

what does the triazole fluconazole treat and how is it administered?

A

yeast infections (no activity against filamentous fungi)
some resistance by candida albicans.
orally and parenterally

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13
Q

what does the triazole itraconazole treat and how is it administered?

A

yeasts and filamentous fungi

given orally and IV

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14
Q

what does the triazole voriconazole treat and how is it administered?

A

aspergillus and is administered orally and IV

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15
Q

give and example of an allyamine

A

terbinafine

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16
Q

what is the action of terbinafine and how is it administered?

A

dermatophytes given orally for serious infection, given topically for mild

17
Q

what is the action of the echinocandins?

A

inhibit glucanpolysaccharide synthesis

18
Q

what are the three echinocandins

A

caspofungin
mycafungin
anidulafungin

19
Q

what do the echinocandins act against?

A

fungicidal against candida species, serious infections

inhibit growth of some aspergillus spp. , serious infections

20
Q

how are echinocandins administered?

A

IV