MICRO - random bugs i.e. lice and malaria Flashcards
Anti mite/louse (scabies)
Permethrine
Malathion
Lindane
Permethrin MOA and AE
Block NA+ channels
Neurotoxicity
melathion MOA
ACHE inhibitor
Lindane MOA and AE
blocks GABA channels
Neurotoxic
Malaria DOC (where no resistance
Chloroquine
Chloroquin MOA and AE
Block detoxification of heme to hemozoin –> toxic to plasmodium
AE = cinchonism, pruritis (especially in dark people), retinopathy, G6PD hemolysis
p. falciparum chloroquine reistant:
artemethur/lumefantrine
OR
atovaquone/proguanil
p. malariae
chloroquine
p. vivax or ovale rx
Chloroquine + primaquine for liver guys
Life-threatening malaria
quinidine or artesunate
Toxo: Rx and Prophylaxis
Rx = pyrimethamine and sulfadiazine (sulfonamide)
Prophylaxis = TMP-SMX
Rx t. bruci
suramin (blood-borne) and melarsoprol (CNS)
Rx t. cruzi
nifurtimox
OR
benznidazole
rx leshmaniasis
sodium stiboglucomate, Amphoteracin B
Rx giardia
Metronidazole
Rx entameba histolytica
Metro
OR
idoquinol (aymptomatic cyst passers)
Rx cryptosporidium:
prevention:
nitazoxanide for immunocompromised
[prevent with filtered water]
Trichomonas Rx
Metro
[also give to partner for prophylaxis]
Naegleria fowleri Rx
Amphoteracin B
Babesia
Atovaquone + azithromycin
General nematodes
(enterobius, ascaries, strongyloides, ancylostoma, necator, trichinella)
Bendazoles
Strongyloides
ivermectin or bendazoles
ankylostoma or necator
pyrantel pamoate or bendazoles
enterobius
bendazoles
ascaries
bendazoles
trichinella
bendazoles
Oncocerca volvulus
Ivermectin
loa loa
Diethylcarbamazine
wucheria bancrofti
diethylcarbamazine
toxocara canis
bendazoles
tenia solium; intestinal rx
praziquantel
tenia solium; cystercircosis/neurocystercircosis
Praziquantel + albendazoel for cysts
diphyllobothrium latum
praziquantel
echinococcus granulosus
Albendazole/mebendazole + surgery with chemo
schistosoma
Praziquantel
lonorchis sinensis
praziquantel
Dapsone AE:
Erythema nodosum leprosum (fat cell inflammation)
Clofazimine AE:
Red-brown skin discolouration
Chloroquine AE:
retinopathy
pruritis (especially in dark people)
cinchonism
hemolytic anemia with G6PD