antifungals Flashcards
(19 cards)
antifungal classes
plolynes, allymanines, azoles, echinocandins, pyrimidine inhibitors,
polyene drugs
amphotericin B, Nyastatin
pollen drug mechanisms
bind ergosterol, create pore
amphotericin B
broad but toxic. Severe cryptomeningitis
Nyastatin
mucocutanous candida, topical
Alyamines
terbinafine
terbinafine MOA
block squalene epoxidase
terbinafine use
skin/nail infections (not systemic
terbinafine toxic
CYP450!! taste and appetite
Azoles MOA
inhibit ergosterol
Azoles adverse
CYP450!!
fluconazole
candida and crypto
voriconazole
first line aspergillus, but vision, hallucination, rash, QT
posaconazole
candida, crypto, aspergillus Transplant proph.
echinocandin drugs
caspofungin
caspofungin
inhibit b gluten, candida/aspergillus. Especially resistant aspergillus,
pyrimidine inhibitors
flucocystein
flucocystein MOA
block DNA/Protien (resistance easy!! need in combo), C meningitis! (with AB).. toxic to bone marrow
what drug is transplant prophylaxis
posaconazole- all the main fungi