Protozoan Drugs : Parasitology Flashcards
Amoeba infection can be
Intraluminal
Extraluminal
The luminal infection can cause
Amoebic colitis
The extraluminal infection includes
Intestinal wall infestation, liver abscess and ameboma
The liver abscess presents with smooth like mass on the abdomen but histologically presents as
Sclerosis in the outside
Chronic Inflammation on the inside
For asymptomatic amoebiasis you give
Paramomycin
Diloxanide furoate
Iodoquinone
What drug is used to treat mild to moderate intestinal/Intraluminal amoebiasis
Metronidazole
Paramomycin
Diloxanide furoate
Iodoquinole
For severe intestinal amoebiasis
Metronidazole
Paramomycin
Diloxanide furoate
Iodoquinole
For liver abscess amoebiasis what do you give to treat
Chloroquine
Metronidazole
Paramomycin
Diloxanide furoate
Iodoquinole
For mixed infection of amoebiasis use
Emetine/hydroemetine
Chloroquine
Metronidazole
Paramomycin
Diloxanide furoate
Iodoquinole
What form of leishmania between promastigote and mastigote is more susceptible to treatment
Promastigote
What drugs are used to treat visceral leishmaniasis
Sodiumstibogluconate
Others:
Megcumin antinoate
Paramomycin
Amphotericin B
What drugs are used in the treatment of cutaneous leishmaniasis
Sodiumstibogluconate
Megcumin antinoate
Amphotericin B
Pentamidine
What is the drug of choice for AIDS patients with leishmaniasis
Miltafosine
The species of black fly that transmit onchocerca is
Similium spp
Treatment of onchocerca can be
Surgical
Pharmacological
Effective drugs in the treatment of onchocerca volvulus
Ivermectin
Doxycycline
Moxidectin
MOA of ivermectin
Causes flaccid paralysis in the worm by binding to and activating glutamate gated chloride channels irreversibly causing inhibitory post synaptic potentials
Role of Doxycycline in onchocerca treatment
Antibiotics
Used in treating onchocerciasis with the aim of eradicating wolbachia bacteria which has symbiotic association with the worm
Onset of action of trypanosoma infection
1-3weeks
Trypanosomiasis is divided into two stages or phases
Hemolymphatic stage-first two weeks
Neurological stage/meninigoencephalitic stage -beyond 2 weeks
Treatment of Stage I trypanosomis
Sara min
Pentamidine
Treatment of stage two is with
Eflurnitine
Nifurtimox
Malarsoprol
Drugs effective in the treatment of both stage I and stage II
Feximidazole
Malarsoprol
What is used in early chargas disease
Mifurtimox
Benzimitdazole