Creado por wade.barrett777
hace más de 9 años
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Pregunta | Respuesta |
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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