Antiprotozoals Flashcards
Nitroimidazole
Metronidazole and tinidazole
Spectrum: Giardia
Strictly forbidden in food producing animals
Nitroimidazole MOA
Interacts with protozoal DNA and causes damage and strand breakage
Metronidazole (flagyl)
Eliminated giardia cyst shedding in cats
Tx infections by Giardia, entamoeba, balantidium, trichomoniasis in dogs
Side effect: neurotoxicosis
Tinidazole
Suppresses shedding of T. foetes in cats
Giardia in dogs
Benzimidazoles
Spectrum: Giardia
Drugs: albendazole, fenbendazole, febantel
Benzimidazoles MOA
Inhibits tubulin polymerization and fumarate reductase
Benzimidazoles uses
Tx of helminth in large and small animals (anthelminitcs)
Giardiasis in cats and dogs
Albendazole uses
Large animals: Broad spectrum against nematode and trematodes
Dogs: giardia cysts
Albendazole toxicities
BM depression, anorexia, depression, etc.
Should not be used in cats
Contraindicated in pregnant animals (teratogenic)
Fenbendazole uses
Giardia organisms in dogs, cats and cattle
Cats co-infected with cryptosporidium
Febantel (Drontal-Plus) uses
With pyrantel pamoate + praziquantel for intesinal nematodes and cestodes in dogs and cats
Tx Giardia in dogs and cats (safer)
Parmomycin (aminoglycosides) uses
Giardiasis, luminal ameobiasis, leishmaniassis, crytosporidiosis in dogs and cats
ELDU in cattle and goats for cryptosporidiosis
Sulfonamides
Sulfamethazine, sulfadimethoxine, sulfaquinoxaline
Used for coccidiosis (anticoccidials)
Tx of coccidiosis
Turkeys and chickens: Sulfamethazine
Cattle: sulfaquinoxaline
Dogs and cats: sulfadimethoxine
DHFR/ TS inhibitors
Trimethoprim, ormetoprim, pyremethamine
Trimethoprim
Coccidiosis, toxoplasmosis, neosporosis, EPM, malaria
Adverse on BM (rescued by folinic acid)
Ormetoprim uses
Poultry, chicken, turkeys and dogs: combo with sulfadimethoxine for coccidiosis
Pyremethamine
Dogs and cats: toxoplasmosis and K9 neosporosis
Horses: EPM with sulfadiazine
Amprolium (thiamine analogues)
Eimeria infections in chickens, turkeys, pheasants and calves
Coccidiosis in chickens, turkeys, pheasants, dogs, cats and cattle
Amprolium MOA
Competitive inhibition of active thiamine transport into the parasite
Freely soluble in water
Side effects of amprolium
High doses: thiamine deficiency
Dogs: neuro, depression, anorexia and diarrhea
Robenidine (Guanidine derivative)
Prevention of coccidiosis in chickens
Pyrindinols (clopidol)
Prevention of coccidiosis in chickens and turkeys
Prevention of Leucocytozoon smithi infection in turkeys
Polyether ionophores
Monesin, Lasalocid, Salinomycin, Semduramicin, Narasin, Maduramycin
Wide spread usage in poultry industry
Polyether ionophores MOA
Forms lipophilic complexes with alkali metal cations and transports them through cell membrane → swelling and rupture of sporozoites and merozoites
Polyether ionophores uses
Anticoccidiocidal
Premixes for prevention of coccidia in chickens
Lasalocid (turkeys, chickens, partridges, sheep, cattle, rabbits)
Monesin (quail, cattle and goats)
__________ is very toxic in horses and can cause death
Monensin
Halofuginone (alkaloids)
Prevention of coccidiosis in chickens and turkey
Curative against theleria in cattle
Equine Protozoal Myeloencephalitis
Caused by Sarcocystis neurona
Progressive neuro dz in equine
Horse aberrant or dead-end host to the parasite
Infected possum shed sporocysts
Ponazuril (Marquis)
Primary metabolite of Toltrazuril (Baycox)
Minimum side effects (blisters, skin rash, loose stool, mild colic)
Ponazuril MOA
Interferes with mitochondrial respiration and nuclear division of the schizont
Ponazuril uses
First drug approved for treating EPM
Coccidial tx
Lincosamides
Clindamycin and Lincomycin
For toxoplasmosis and neospora sp. in cats and dogs
Azithromycin (Azalides)
Activity against bacteria and mycoplasms
Cattle: cryptosporoidiosis
Dogs:Azithromycin and atovaquone against babesis gibsoni
Imidocarb dipropoinate (diamidine derivative)
Tx K9 babesiosis
Tx babesia in cattle and horses
Diminazene diacenturate
Babesia of cattle, horses and dogs
Tx cytauxzoon in cats
Nitazoxanide (nitrothiazole derivative)
EPM in horses
Spectrum: giardia, coccidia, cryptospridiosis, S. neurona
Side effects of Nitazoxanide
Don’t use in horses <1 yr old
Fatal enterocolitis for horses
Arsenicals
Spectrum: histomoniasis, coccidiosis
Nitarsone, MOA unclear
Arsenicals uses
Humans: Africa trypanosomiasis
Chickens and turkeys: Nitarsone for prevention of histomoniasis (dangerous in ducks, geese and dogs)
Pentavalent Antimonials
Leishmania sp.
Meglumine antimonate to tx K9 leishmaniasis
Aminoquinolones
Cloroquine
Tx avian malaria
Tx malaria in penguins (Plasmodium relictum)
Tetracyclines
Cattle: tx anaplasma marginale infections
Horses: chlortetracycline for babesia equi
Dogs: doxycycline for babesia canis
Nitrofurtimox (nitrofurans)
Tx human Trypansosomas cruzi and K9 T. cruzi
Restricted use in food-producing animals