ANTIPROTOZOAL DRUGS Flashcards
Anti-malarial drug:
Prevents polymerization of heme into hemozoin
Chloroquine
S/e seen in Chloroquine
Retinal damage and auditory impairment
May precipitate porphyria
Anti-malaria: Complexes with DNA to prevent strand separation
Quinine
Quinidine
S/e seen in Quinine, Quinidine
Blackwater fever
Cinchonism
DOC for malaria in pregnant patients
Quinine
Quinidine
Used in Chloroquine-resistant areas
Mefloquine
Anti-malarial that forms electron-transferring redox compounds that act as cellular oxidants. Eradicates hypnozoites in the liver, preventing malarial relapse (Radical cure of P. vivax and P. ovale)
Primaquine
Treatment and prophylaxis of all stages of Chloroquine-resistant P. falciparum
Atovaquone-proguanil
Sporonticides
Proguanil
Pyrimethamine
Anti-malarial agent that impairs progeny of malarial apicoplast genes > abnormal cell division. Used as chemoprophylaxis in multidrug-resistant malaria.
Doxycycline
DOC for uncomplicated falciparum malaria in the Philippines
Arthemeter-Lumefantrine (Co-artem)
Current first-line malaria treatment recommended by WHO for children, adults, and pregnant women in 2nd and 3rd trimester
Artemisinin-based combination therapy
DOC for asymptomatic cyst carriers of E. histolytica
Diloxanide furoate
Used in combination with Metronidazole in mild to severe intestinal amebiasis
Iodoquinol
Luminal amebicide that inhibits protein synthesis by binding to 16S ribosomal subunit
Paromomycin