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Antiparasitic/antimalarials
Drugs
20
Bible Studies
5th Grade
12/11/2012

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Term
Aminoquinoline antimalrials
Definition
Primaquine, CHloroquine, Amodiaquine, Mefloquine, Quinine, Quinidine
Term
useful for all plasmodial infections; toxicity: hemolytic anemia
Definition
Primaquine
Term
toxicities: cinchonism = tinnitus, headache, blurred vision, N/V; hypoglycemia, arrhythmias, hypotension
Definition
Quinine/quinidine
Term
highly toxic in overdose; widespread resistance-- cannot use it for falciparum
Definition
Chloroquine
Term
toxicities: neuropsychiatric reactions (psychosis, convulsions)
Definition
Mefloquine
Term
rapid resistance to either one alone (only used in combo)
Definition
Atovaquone, proguanil
Term
Rapid blood schizonticide, inhibitis cytochrome b in electron transport chain, synergistic combination with proguanil
Definition
atovaquone
Term
converted by CYP2C19 to cycloguanil which inhibits plasmodial DHFR
Definition
Proguanil
Term
Proguanil
Definition
tissue schizonticidal activity against P. falciparum only
Term
Reactivity of endoperoxide bridge with heme iron produces oxidative stress in food vacuoles causing toxicity to the parasite
Definition
Artemisinins
Term
Artemisininsalog of trimethoprim but more selective for eukaryotic DHFR; also useful in toxoplasmosis and PCP
Definition
primary activity against erythrocytic P. falciparum but increasingly used in P. vivax infections
Term
ALWAYS combine with another long-acting drug
Definition
artemisinin-containing therapy
Term
analog of trimethoprim but more selective for eukaryotic DHFR; also useful in toxoplasmosis and PCP
Definition
Pyrimethamine
Term
slow blood schizonticides (typically reserved for when you have absolute intolerance of more preferred agents
Definition
Tetracycline, doxycycline, clindamycin
Term
used for four weeks after exposure to malaria for suppressive care
Definition
Blood schizonticides
Term
Blood schizonticides
Definition
P. falciparum and P. malariae only
Term
Blood schizonticides + primaquine for radical cure of:
Definition
P. ovale and P. vivax
Term
malaria chemosuppression: DOC except for P. falciparum
Definition
Chloroqine
Term
marlia chemosuppression: for chlorquine-resistant P. falciparum malaria
Definition
Mefloquine or ACT
Term
used for multidrug resistant malaria (disadvantage has a slow onset but resistance is low)
Definition
Doxycycline
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