Anti-fungals

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Bachelors Anti-infectives (Anti-fungals) Karteikarten am Anti-fungals, erstellt von wade.barrett777 am 13/03/2015.
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Zusammenfassung der Ressource

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Polyene macrolides Amphotericin B Nystatin
Examples of Imidazoles Clotrimazole Ketoconazole Miconazole
Examples of Triazoles Fluconazole Itraconazole
Aspergillus fumigatos Pulmonary or Disseminated aspergillosis
Cryptococcus neoformans Cryptococcal meningitis Pulmonary infections
Immunocompromised patients AIDS Corticosteroids Anti-cancer drugs
Candida albicans Oropharyngeal candidiasis (thrush) Endocarditis Vaginitis
Amphotericin + Flucytosine can combine to treat Systemic candidiasis Cryptococcal meningitis
Ketoconazole Good oral absorption Treat local & systemic mycoses Adverse: hepatic necrosis & adrenal suppression
Miconazole Alternative to amphotericin Administered IV to treat systemic mycoses SEs: N&V
Mycoses Fungal infections
Fluconazole Treat superficial & systemic mycoses (except Aspergillus) Administered IV or Orally Not hepatoxic & doesn't cause adrenal suppression like ketoconazole
Itraconazole Good oral absorption Active against Aspergillus
Amphotericin Poor oral absorption Administer IV or Intrathecally (CNS infections) 1st -line: Systemic infections (Candida, Aspergillus & Cryptococcus)
Nystatin Toxic parenterally: i) Suck tablets ii) Pessaries iii) Cream or ointment Treat skin & mucous membrane infection due to C. albicans
Flucytosine Good oral absorption Sytemic Cryptococcal or Candida infections
Imidazoles Often for topical use Treat infections due to dermatophytes OR C. albicans Not effective against Aspergillus
Examples of Allylamines Terbinafine Naftifine
Flucytosine compared to Amphotericin, is Less toxic
Liposomal formulation of Amphotericin Amphotericin B (Liposomal): AmBisome
List anti-fungal drug classes that inhibit fungal membrane formation Allylamines Azoles (Imidazoles & Triazoles)
Ketoconazole interaction Inhibits cytochrome P450 enzymes responsible for inactivating cyclosporine Concentration of cyclosporine increases as a result
Adminstered IV, these drugs can cause Thrombophlebitis Amphotericin B Miconazole
Drugs that can cause HA Amphotericin Itraconazole Griseofulvin
Ketoconazole Pregnancy Category Pregnancy category C (Use not recommended during pregnancy)
Induces cytochrome P450 Griseofulvin
Common SEs of Griseofulvin HA Mental confusion
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