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Pharmacology Anti-fungals
Anti-fungals
8
Bible Studies
12th Grade
06/02/2012

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Term
Binds to ergosterol, and forms membrane pores that allow leakage of electrolytes

Used for systemic mycoses
Definition
Amphotericin B
Term
Toxicity of Amphotericin B
Definition
Nephrotoxicity, arrythmias, IV phlebitis, fevers/chills

(causes membrane instability with loss of K and Mg)
Term
Binds to ergosterol, disrupting fungal membranes, too toxic for systemic use

Used locally only
Definition
Nystatin
Term
Inhibits fungal sterol (ergosterol) synthesis

Toxicity: Causes hormone synthesis inhibition (gynomastia) and liver disfunction (inhibits P450)
Definition
Azoles:
Fluconazole
Ketoconazole
Clotrimazole
Miconazole
Itraconazole
Voriconazole
Term
Inhibits DNA synthesis by conversion to 5-fluorouracil

Used in systemic fungal infections in combination with Amphotericin B

Toxicity:...?
Definition
FlUcytosine

Bone marrow suppression! Acts like 5-FU
Term
Inhibits cell wall synthesis by inhibiting synthesis of B-glucan

Used for invasive aspergillosis
Definition
Caspofungin
Term
Inhibits the fungal enzymes: squalene epoxidase

Used for dermatophytoses (especially onychomycosis)
Definition
Terbinafine
Term
Interferes with microtubule function, disrupts mitosis.

Deposits in keratin containing tissue (nails).

Affects P450
Definition
Griseofulvin

Induces P450!
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