Antifungals And Antiparasitics Flashcards
Candidiasis
Infection if the skin or mucous membrane with the yeast Candida albicans
Cinchonism
Qunidine toxicity or poisoning
Fungicidal
Deadly to fungi
Fungistatic
Pertaining to agents that retard growth of fungi
Fungus
Single cell, colorless plant that lacks chlorophyll, such as yeast or mold
Helminthiasis
Invasion by helminth s (worms)
Mycotic infections
Infections caused by fungi
Parasite
Organism living in or on another organism (host) without contributing to the survival or well being of host
Thrush
Candidiasis of the mouth
Systemic fungal infections
Serious infections that occur when the fungi gain entrance into the interior of the body, can grow in lungs, Braun or GI tract
Where dies candidiasis affect patients
Mouth (thrush), affects women in vulvovaginal area, immunocompromised patients with chronic conditions in the perenium, oral cavity, or systemically
Who is at the highest risk for Candidal infections
Diabetes, pregnant, oral contraceptives, antibiotics, or corticosteroids
Antifungal actions
Fungicidal or fungistatic. Amphotericin B, isavuconazonium, miconazole, nystatin, voriconazole, micafungin, and ketoconazole have an effect on the cell membrane of the fungus
Topical antifungals
Butenafine, ciclopirox, clotrimazole, econazole, efinaconazole, miconazole, naftifine, oxiconazole, sulconazole, tavaborole
Antifungal uses
Superficial and deep fungal infections, systemic infections such as aspergillosis, candidiasis, and cryptococcal menengitis, superficial infections of nail beds, and oral, anal, and vaginal areas
Miconazole
Treats vulvovaginal yeast infections
Vaginal antifungal Drugs
Clotrimazole, miconazole, nystatin, terconazole, tioconazole
Amphotericin B interactions
Corticosteroids increase risk for severe hypokalemia, digoxin increases risk of digitalis toxicity, aminoglycosides increase risk of nephrotoxicity, cyclosporine increases risk of nephrotoxicity, flucytosine causes drug toxicity, and miconazole decreases effectiveness of amphotericin B
Fluconazole interactions
Oral hypoglycemics increase their own effect, phenytoin decreases its own effectiveness
Griseofulvin interactions
Barbiturates decreases their own effect, oral contraceptives decrease their own effectiveness salicylates decrease their own serum level
Itraconazole interactions
Digoxin and cyclosporine elevate blood levels of itraconazole, phenytoin and histamine antagonists decrease blood levels of itraconazole, isoniazid and rifampin decrease blood levels of itraconazole
Ketoconazole interactions
Histamine antagonist and antacids decreases absorption of ketoconazole, rifampin or isoniazid decrease blood levels of ketoconazole
Posaconazole interactions
Cimetidine decreases posaconazole blood levels, phenytoin increases its own effectiveness, rifabutin decrease blood levels of posaconazole, stations increase their own effectiveness
Voriconazole interactions
Methadone, tacrolimusm ,the statins, benzodiazepines, CCB’s increase effectiveness of voriconazole, sulfonylureas cause hypoglycemia, vinca alkaloids increase risk of neurotoxicity
Micafungin interactions
Sirolimus increases risk of immunosuppression, nifedipine increases risk of its own toxicity
Terbinafine interactions
Beta blockers and antidepressants increase their own effectiveness
Fluconazole, ketoconazole, itraconazole, voriconazole and griseofulvin common interaction
Warfarin increases risk of bleeding
Antifungals adverse reactions
Headache, rash, anorexia, malaise, abdominal, joint, or muscle pain, nausea, vomiting, diarrhea
Antifungals contraindications
Pregnancy and lactation, but only used in life threatening situations when risk to fetus is outweighed
Griseofulvin contraindications
Sever liver disease
Voriconazole contraindications
When taking terfenadine, astemizole, sirolimus, rifampin, rifabutin, carbamazepine, ritonavir, ergot alkaloids, or long acting barbiturates, cisapride, pimozide, or quinidine
Itraconazole contraindications
Cisapride, pimozide, quinidine, shouldn’t be used to treat fungal nail infections in patients with a history of heart failure
Antifungals precautions
Renal dysfunction or hepatic impairment
Amphotericin B precautions
Caution with electrolyte imbalances or antineoplastic Drugs, given only under close supervision, can cause impaired comfort, IV solution is light sensitive
Griseofulvin precautions
Penicillin
Itraconazole precautions
HIV, or hypochlorhydria
Antihelmintic drugs action
Kill parasites
Albendazole MOA
Interfere with the synthesis is the parasites microtubukes
Albendazole use
Larval forms of pork tapeworm, liver, lung, and peritoneum disease caused by dog tapeworm
Mebendazole MOA
Blocks uptake of glucose by worm
Mebendazole use
Whip worm, pinworm, roundworm, American hookworm, and the common hookworm
Pyrantel MOA
Paralyze helminth
Pyrantel use
Roundworm and pinworm
Anthelmintic adverse reactions
Drowsy, dizzy, nausea, vomiting, diarrhea, abdominal pain, cramps
Pyrantel side effects
Rash
Anthelmintic contraindications and precautions
Caution in pregnancy (cat C), and lactating, patients with hepatic or renal impairment, and patients with malnutrition or anemia
Anthelmintic interactions albendazole
Dexamethasone and cimetidine increase effectiveness of albendazole
Mebendazole interactions
Hydantoins and carbamazepine lower levels of mebendazole
Antiprotozoal drugs actions
Interfere with life cycle of the protozoan
Antiprotozoal Drugs uses
Malaria,giardiasis, toxoplasmosis, intestinal amebiasis, STI’s (trichomoniasis), pneumocystis pneumonia (PCP), preventing malaria
Antiprotozoal adverse reactions
Anorexia, nausea, vomiting, diarrhea, abdominal cramps, headache, dizzy, visual disturbance, tinnitus, hypotension, changes detected on ECG, cinchonism (symptoms: tinnitus, headache, GI disturbance, and visual disturbance)
Metronidazole side effects
Peripheral neuropathy
Paromycin side effects
Nephrotoxicity and ototoxicity
Most antiprotozoals are pregnancy cat
C
Metronidazole is pregnancy cat
B
Nitazoxanide pregnancy cat
B
Doxycycline pregnancy cat
D
Quinine pregnancy cat
X
Quinine contraindications
Myasthenia gravis
Antiprotozoal precautions
Children, lactation, people with renal or hepatic impairment, or bone marrow depression
Metronidazole precautions
seizure disorders, severe hepatic impairment, Blood dyscrasias, bowel disease, history of alcohol dependency
Nitazoxanide precautions
Blood dyscrasisa, seizure disorders, bowel disease, history of alcohol dependency
Antimalarial interactions
Antacids and iron decrease absorption if the antimalarial
Antiprotozoal interactkons
Increased risk of digoxin toxicity
Metronidazole interactions
Cimetidine decreases metabolism of metronidazole, and phenobarbital increases metabolism of metronidazole,
Quinine interactions
Warfarin has an increased risk of bleeding
Parasitic invasion of body can cause
Diarrhea and risk for deficient fluid volume