Antimicrobial Chemotherapy 3 Flashcards

1
Q

What do polyenes bind to?

A

Ergosterol

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2
Q

Where are ergosterols found?

A

Fungal cell wall

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3
Q

Why are polyenes toxic?

A

They can bind to other sterols in mammalian cells i.e cholesterol.

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4
Q

What is the only polyene available for use?

A

Amphotericin B

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5
Q

What reduceds incidence fo side effects?

A

Lipid complexed formulation

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6
Q

What do azoles inhibit?

A

Ergosterol synthesis

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7
Q

What can azoles target?

A

Yeast

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8
Q

What are used to treat aspergillosis?

A

Voriconazole

Itraconazole

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9
Q

What is used to treat yeast?

A

Fluconazole

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10
Q

What do allylamines suppress?

A

Ergosterol synthesis

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11
Q

What is the only common allylamine?

A

Terbinafine

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12
Q

What are allylamines active against?

A

Dermatophytes

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13
Q

What do echinocandins inhibit?

A

Synthesis of glucan polysaccharide

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14
Q

What are the three types of echinocandins used against candida and aspergillus?

A

Caspofungin
Mycafungin
Anidulafungin

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15
Q

Few/Lots of viral diseases are treatable.

A

Few

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16
Q

There are no viru____ agents.

17
Q

What do many antiviral drugs interfere with?

A

Nucleic acid synthesis

18
Q

When is treatment most effective when looking at herpes?

A

If started early.

19
Q

What are the 4 types of herpes?

A

Herpes simplex
Cytomegalovirus
Varicella-Zoster
Epstein-Barr

20
Q

Aciclovir is a ______ analogue.

A

Nucleoside

21
Q

What but aciclovir be converted into?

A

Active form

22
Q

What are the two types of herpes drugs?

A

Specific

Non specific

23
Q

What is the first treatment of HIV?

A

Zidovudine

24
Q

What does zidovudine react with?

A

Action of reverse transcriptase.

25
What treats HIV now?
Combination therapy with at least 3 drugs.
26
What is used to treat chronic hep B and C?
Interferon-a
27
WHen interferon-a is attached to PEG, what is slowed.
Excretion
28
What is used for treatment of influenza A or B?
Zanamivir | Oseltamivir
29
What is used for treatment of severe respiratory syncytial virus?
Ribavirin.
30
What may help with choosing rational treatment in patients?
Genotypic analysis.
31
What is done to ensure antiviral drug is therapeutic and not toxic?
Monitoring drug levels.