Parasitic Flashcards

1
Q

Chloroquine, Quinine, Pyrimethamine, atovaquone and proguanil MOA:

A

Inhibit parasitic DNA synthesis

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2
Q

Mefloquine and Hydroxychloroquine MOA

A

Inhibit function of lysosomes in parasitic cell

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3
Q

Primaquine MOA

A

Inhibit mitochondria of parasite

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4
Q

Which antimalarials have high resistance?

A

Chloroquine
Atovaquone

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5
Q

What is a black box warning associated with Mefloquine

A

Anxiety, depression, hallucination and SI.

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6
Q

Do not give primaquin in pregnancy.

A
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7
Q

Antimalarial DIs

A

QT prolongation meds
Antifolate medications (pyrimethamine)

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8
Q

What meds are used to treat Amoebiasis?

A

Metronidazole and Diloxanide.

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9
Q

What is the MOA of metronidazole?

A

Inhibit protein synthesis

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10
Q

Metranidazole is contra-indicated in _______ and can have a _________ effect with _________.

A

Pregnancy
Disulfiram-like reaction
Alcohol

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11
Q

Drugs used to treat Trypanosomiasis or “sleeping sickness”

A

Suramin/pentamidine in haemolymphatic stage
Melarsoprol and/or eflornithine for late stage with CNS involvement.

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12
Q

What is eflornithine and melarsoprol used to treat? What is their MOA?

A

Trypanosomiasis late CNS stage
Melarsoprol MOA disrupt energy production in parasite
Eflornithine MOA = disrupt cellular fxn.

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13
Q

Is Chagas’ disease curable?

A

No. It is treatable with Nifurtimox, eflornithine and benznidazole but not totally effective.

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14
Q

What is Nifurtimox used to treat?

A

Chagas diseas in SAmerica

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15
Q

What is the MOA of Suramin?

A

Used to treat hemolymphatic stage of sleeping sickness
Inhibit parasite enzymes and destroys their organelles.

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16
Q

Pentamidine MOA?
AEs?

A

Hemolymphatic stage of sleeping sickness
Inhibition of protein and RNA synthesis
Low BP, tachycardia, breathlessness and vomiting.

17
Q

Eflornithine has many _____

A

AEs.

18
Q

What is Sodium stibogluconate, Miltefosine, pentamidine and amphotericin used to treat?

A

Leishmaniasis - flagellate Protozoa.

19
Q

What is used to treat Trichomoniasis and giardia?

A

Metronidazole

20
Q

When prescribing antimalarials, what is important?

A

Knowing the various species of plasmodium because some have developed resistance to some of the agents.