Lumen and tissue-dwelling protozoa Flashcards
Drugs against lumen and tissue-dwelling protozoa (2 groups)
Nitromidazoles
Luminal amebicides
Nitromidazoles (2 drugs)
Metronidazole
Tinidazole
2nd generation nitromidazole (1 drug)
Tinidazole
Drug of choice for amebiasis, giardiasis, trichomoniasis and enterocolitis by C. difficile
Metronidazole
Metronidazole - MOA
Inhibit pyruvate-ferredoxin oxidoreductase (PFOR)
Cautions during metronidazole treatments
Alcohol (disulfiram-like reaction)
Avoid in first trimester
Drug used for rosacea
Metronidazole
Adverse effects of metronidazole
Metallic taste
Thrombocytopenia
Tinidazole - indications
Trichomoniasis, giardiasis, intestinal amebiasis, amebic liver disease, bacterial vaginosis
Tinidazole - contraindications
Firs trimester of pregnancy
Luminal amebicides (3 drugs)
Iodoquinol
Paramomycin
Diloxanide
Luminal amebicides are used in combination treatment for
Amebic dysentery
Liver abscess
Drug indicated for cryptosproidiosis and ascariasis
Nitazoxanide