Antifungals Flashcards

(44 cards)

1
Q

MOA of Azoles?

A

Blocks conversion of lanosterol to ergosterol

Alters cell permeability

Fungistatic

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1
Q

Anti fungal that may elevate ALT in cats?

A

Terbinafine

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2
Q

Most effective drug for the treatment of systemic mycoses in immunocompromised animals?

A

Amphotericin B

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3
Q

Anti fungals that cross the BBB?

A

Flucytosine

Fluconazole

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3
Q

DOC for Blastomycosis and Histoplasmosis?

A

Itraconazole

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4
Q

Griseofulvin is effective against what fungi?

A

Dermatophytes

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5
Q

Moa of Allylamine (Terbinafine)?

A

Inhibits ergosterol synthesis

Inhibits squalene epoxidase

Fungicidal

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5
Q

What anti fungal combination is used to treat systemic mycoses?

A

Amphotericin B with Azoles

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6
Q

Drug effective against Aspergillus?

A

Itraconazole

Clotrimazole

Enilconazole

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6
Q

ROA of Fluconazole?

A

Oral IV

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7
Q

ROA of Amphotericin B?

A

IV

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8
Q

Which preparation of Amphotericin B is less toxic? Liposomal or Colloidal?

A

Liposomal

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9
Q

Length of treatment with Ketoconazole?

A

Long term (3-6 months)

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10
Q

Azoles that require an acidic pH for absorption?

A

Ketoconazole

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11
Q

Which Azoles inhibit cortisol and/or testosterone synthesis?

A

Ketoconazole

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11
Q

Treatment of K9 nasal Aspergillosis?

A

Clotrimazole Enilconazole 5%

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12
Q

ROA of Terbinafine?

A

Tablet

Topical

Spray (Canada)

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13
Q

Side effects of Ketoconazole?

A

Inappetance

Pruritis and alopecia in dogs

Inhibits cortisol and testosterone synthesis

Teratogenic - don’t use in pregnant animals

Hepatotoxicity

14
Q

Effect of Ketoconazole on enzymes?

14
Q

ROA of Lufeneron?

A

PO in dogs

Injection in cats

16
Q

Moa of Fluctosine?

A

Inhibits thymidylate synthase

Inhibits nucleic acid synthesis

Fungicidal

16
Q

Treatment of systemic Aspergillosis?

A

Itraconazole PO for 2-3 months

17
Q

Ketoconazole is effective against what local infections?

A

Dermatophytes

Candida

Malassezia canis

18
Q

Azole with minimal side effects?

19
ROA of Flucytosine?
Oral
19
Ketoconazole is effective against what systemic infections?
Blastomycosis Histoplasmosis
21
MOA of Griseofulvin?
Inhibits mitosis Interferes with microtubule function Fungistatic
23
Amphotericin B can be used topically to treat what?
Candida
25
Side effects of Flucytosine?
GI irritation Bone marrow suppression Liver dysfunction
26
ROA of Ketoconazole
Oral Topical
27
Side effects of Amphotericin B?
Nephrotoxicity Hypokalemia Hypotension Arrhythmia
29
MOA of Lufenuron?
Inhibits chitin synthetase Inhibits cell wall
30
MOA of Polyenes?
Binds irreversibly to ergosterol Alters cell membrane permeability Fungicidal
32
Side effects of Griseofulvin?
GI irritation In cats - teratogenic, hepatotoxic, and bone marrow suppression
33
Treatment of Aspergillus keratitis in the horse?
Clotrimazole 1%
34
How long should an animal be treated with Griseofulvin?
3-6 weeks
35
ROA of Griseofulvin?
Oral Should be given with high fat meal
37
What drugs are Polyenes?
Nystatin Amphotericin B Natamycin
38
Side effects of Itraconazole?
Teratogenic
39
Effect of Griseofulvin on enzymes?
Induction
41
What antifungals are not effective against Aspergillus?
Amphotericin B Ketoconazole
42
What drug combination is used to treat Cryptococcal meningitis in cats?
Amphotericin B with Flucytosine
43
Azole effective in treating Cryptococcal meningitis?
Fluconazole
44
DOC for Sporotrichosis?
Itraconazole