Respiratory Drugs-antifungals Flashcards

1
Q

What is the treatment for Aspergillus

A

Voriconazole

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2
Q

What form is posaconazole available for

A

Liquid oral

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3
Q

Which fungi targeted with intraconazole

A

Dimorphic such as histo, blasto, sporothrix

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4
Q

Adverse effect of ketoconazole

A

Interacts with human P450

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5
Q

What is the permeability if fluconazole into CSF

A

Good penetration

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6
Q

Elimination of azoles are where

A

All hepatic except fluconazole which is renal

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7
Q

Adverse affects of flucytosine

A

Blood based issues (anemia, leukopenia, thrombocytopenia

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8
Q

Site of action for amp B

A

Membrane function

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9
Q

What is the permeability of intraconazole

A

Poor penetration into CSF

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10
Q

Drug for esophageal candidiasis or candidemia

A

Anidulafungin

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11
Q

MOA of echinocandins

A

Inhibits glucan synthase

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12
Q

MOA for flucytosine

A

Converted to product that inhibits RNA and DNA synthesis

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13
Q

What is the treatment for mucormycosis

A

Posaconazole

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14
Q

Site of action for azoles

A

Ergosterol synthesis

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15
Q

What are the adverse effects of voriconazole

A

Inhibits CYP3A4

Visual disturbances

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16
Q

Site of action for echinocandins

A

Cell wall synthesis

17
Q

Administration form of echinocandins

A

IV only

18
Q

What is posaconazole used for

A
  • Salvage of invasive aspergillosis
  • prophylaxis in chemo for leukemia
  • allogenic bone marrow transplants with graft versus host