Med Chem of AntiMalarials & Antiparasitics Flashcards

1
Q

Chloroquine / Hydroxychloroquine

A
  • MoA: accumalate in food vacoule; inhibits heme polymerization
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2
Q

Chloroquine, Quinine, and Primaquine - AE

A

HIGH risk of hemolysis in pts w/ G6PD deficiency

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3
Q

How is Lice transmitted? What pop is most frequently infected?

A
  • Transmitted by direct touch
  • Kids 3-11y.o get infected frequently
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4
Q

What organisms cause relapsing malaria

A
  • Plasmodium Vivax
  • Plasmodium Ovale
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5
Q

Spinosad - SoA, MoA

A
  • Pediculosis (Lice)
  • Rx
  • MoA: rapid excitation of the insect nervous system causes death
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6
Q

what organisms cause the most malaria infxns

A
  • Plasmodium Falciparum
  • Plasmodium Vivax
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7
Q

Albendazole

A
  • broad spectrum
  • MoA: bind to tubulin; inhibits formation of microtubules
  • D.O.C for pinworms
  • avoid in pregnant women
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8
Q

Doxycycline

A
  • targets components of the apicoplast
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9
Q

Pyrantel Pamoate

A
  • broad spectrum
  • OTC
  • MoA: depolarizing neuromuscular blocking agent (releases AChE and inhibits cholinesterase); worms are paralyzed
  • used for pinworms and Ascariasis
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10
Q

Primaquine

A
  • D.O.C for Liver Stage (hyponozoite) of P. Vivax in combo/ Chloroquine
  • activated by metabolism of CYP2D6
  • MoA: may involve free radicals and H2O2
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11
Q

How are Pinworms (helminth) transmitted? What pop is most frequently infected

A
  • Transmitted by fecal-oral
  • School age kids (5-10y.o), institutionalized pts, and household members/caretakers of someone who has it
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12
Q

Artemisinin

A
  • Key functional group: endoperoxide
  • MoA: maybe forms free radicals, maybe inhibits PfPI3K
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13
Q

Pyrethrin & Permethrin - SoA, caution

A
  • OTC
  • Pediculosis (lice)
  • caution if Hx of ragweed or chrysantheum Ax
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