antifungals Flashcards

1
Q

antifungal classes

A

plolynes, allymanines, azoles, echinocandins, pyrimidine inhibitors,

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2
Q

polyene drugs

A

amphotericin B, Nyastatin

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3
Q

pollen drug mechanisms

A

bind ergosterol, create pore

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4
Q

amphotericin B

A

broad but toxic. Severe cryptomeningitis

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5
Q

Nyastatin

A

mucocutanous candida, topical

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6
Q

Alyamines

A

terbinafine

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7
Q

terbinafine MOA

A

block squalene epoxidase

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8
Q

terbinafine use

A

skin/nail infections (not systemic

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9
Q

terbinafine toxic

A

CYP450!! taste and appetite

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10
Q

Azoles MOA

A

inhibit ergosterol

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11
Q

Azoles adverse

A

CYP450!!

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12
Q

fluconazole

A

candida and crypto

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13
Q

voriconazole

A

first line aspergillus, but vision, hallucination, rash, QT

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14
Q

posaconazole

A

candida, crypto, aspergillus Transplant proph.

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15
Q

echinocandin drugs

A

caspofungin

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16
Q

caspofungin

A

inhibit b gluten, candida/aspergillus. Especially resistant aspergillus,

17
Q

pyrimidine inhibitors

A

flucocystein

18
Q

flucocystein MOA

A

block DNA/Protien (resistance easy!! need in combo), C meningitis! (with AB).. toxic to bone marrow

19
Q

what drug is transplant prophylaxis

A

posaconazole- all the main fungi