Antipaludicos Flashcards

1
Q

Ciclo de transmisión

A

Esporozoito - vector - huésped - hígado - sangre - utero

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2
Q

Tratamiento del paludismo

A

Fármacos solo atacan sintomático por formas asexuales
Ninguno es eficaz contra todas las etapas

ACT artemisin based combination

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3
Q

Artemisina

Acción

A

Acción contra falciparum resistentes a cloroquina

Mecanismo por producción de radicales libres

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4
Q

Artemisina

Efectos adversos

A

Prolongación de QT
No en embarazo (primer trimestre)
Daño a SNC en menores

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5
Q

Artemisina

Uso

A

Combinado

No en profilaxis

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6
Q

Cloroquina

Generalidades

A

Acción en formas eritrociticas
Esquizonticida
Resistencia por salida del parásito
Absorción aumenta con comida

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7
Q

Cloroquina

Mecanismo de acción

A

Lesión mediada por hemo

Alcalinizacion de vacuola

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8
Q

Cloroquina

Efectos adversos

A

Dosis letal de 30 mg/ kg
⬇️corazón
No en epilepsia, miastenia
No con amiodarona, sube [] digoxina y ciclosporina

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9
Q

Cloroquina +

A

Primaquina

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10
Q

Primaquina

Generalidades

A

Cura radical del paludismo
Formas exoeritrociticas
Absorción 100% VO

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