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Antifungals
Pharm 2 Exam 1
35
Health Care
Graduate
02/03/2009

Additional Health Care Flashcards

 


 

Cards

Term
Antifungals are used to treat what 2 types of infections?
Definition

1. Systemic

2. Superficial

Term
2 types of systemic mycoses
Definition

1. opportunistic

2. non-opportunistic

Term
examples of opportunistic infections
Definition

canditis, aspergillosis, cryptococcosis, mucormycosis

Term
examples of non opportunistic infections
Definition

sporotrichosis, blastomycosis, histoplasmosis, coccidiodomycosis

Term

Nystatin used to tx

Definition

Thrush, vaginal candidiasas,

intertriginous candidal infection

Term
AE of Nystatin
Definition

Systemic toxicity

Term
Interactions/Contraindications for Nystatin
Definition
NO parental admin
Term
Azoles (topical) MOA
Definition
fungistatic
Term
Azoles are DOC for what topical infection
Definition
dermatophytic infections
Term
Interactions/Contraindications for Azoles
Definition

affects P450 system = all involved in drug interactions!

Term

Terbinafine is what type of drug?

Definition
Allylamine
Term
Terbinafine MOA
Definition
Cell wall inhibition
Term
Terbinafine is DOC for what type of infection
Definition
dermatophytic infections
Term

Terbinafine possible drug interaction

Definition
90% PB
Term
AE of Terbinafine
Definition

local topical irritation

 

taste disturbances for systemic tx

Term
Ciclopirox used to tx
Definition
Tinea, onchomycosis
Term

AE ciclopirox

Definition

Skin/nail irritation,

topical irritation

Term
Systemic Infections drugs
Definition

1. Azoles (Flucon, itracon, voricon)

2. Polyene (Amphotericin B)

2. Nucleoside (flucystosine)

4. Echinocandins (Caspo, Mica, Anidula-fungin)

Term

MOA Fluconazole

Definition
inhibits cell wall synth -> leakage/permeability
Term
Fluconazole used to tx
Definition
Superficial and invasive infections
Term
Absorption/metabolism of Fluconazole
Definition

NOT dependant of acidity

 

poorly metabolized

Term
AE Fluconazole
Definition

1. GI

2. Incr. LFT's

***NO ENDOCRINE AE's

Term

Itraconazole uses

Definition

broad spectrum

 

Cutaneous and mucosal infections

Term
Absorption of itraconazole
Definition
incr. w/ decr. gastric acid
Term
AE of itraconazole
Definition

1. GI

2. Incr. LFT's, TG's K

3. CNS (HA)

Term
MOA Amphotericin B
Definition
interferes with cell wall synth
Term
Administration Amphotericin B
Definition

PARENTAL ONLY!!!

 

broad spectrum -> All life threatening inf.

Term
AE of Amphotericin B
Definition

1. Infusion related-

fever, chills, m. spasm, V, HA,

2. Renal Tubular Acidosis (decr. K, Mg)

 

Term

what precautions should be taken when giving amphotericin b?

Definition
Slow infusion + antipyretics, histamines, steriods
Term
systemic tx for topical infections
Definition

1. griseofulvin

2. terbinafine

Term

Griseofulvin use

Definition
Dertmatophytosis
Term
Administration Griseofulvin
Definition
incr. w/ fatty meal
Term
AE Griseofulvin
Definition

1. Parasthesia

2. Photosensitivity

3. Hypersensitivity

Term

Drug interactions Griseofulvin

Definition
Phenobarb, warfarin
Term
Drug interactions Terbinafine
Definition
Rifampin, Cimetidine, Cyclosporine
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