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8 Cards in this Set

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  • Back

Ketoconazole

OTC shampoo: dandruff



Oral: systemic fungal infections of lung, bone, skin etc.

Pharmacokinetics of Ketoconazole

Needs an ACIDIC environment


(food, antacids, H2 blockers and PPIs impair oral absorption)



Cytochrome p450


(CI with cisapride, lovastatin, simvastatin, midazolam, tiazolam)

ketoconazole ADRs

GI upset


Endocrine effects - leading to gynecomastia, decreased libido, impotence, menstrual irregularities



Monitor LFTs weekly!!!!

Fluconazole Uses

IV&oral: Oral and esophageal candidiasis



Oral: vulvovaginal candidiasis



IV&Oral: systemic fungal infection of lung, bone, skin etc

Fluconazole ADRs and DIs

p450 interactions



GI upset, nausea and vomiting, headache



Fatal hepatic toxicity can occur


Monitor LFTs periodically

Itraconazole Uses

Onychomycosis


Oral and esophageal candidiasis


Systemic infections of lung, bone, skin

Griseofulvin ADRs

Rash, itching, headache, fatigue, GI upset, photosensitivity



weak p450 interactions

OTC antifungal Creams

Butenafine


Butoconazole


CLotrimazole


Miconazole


Nystatin


Terbinafine


Terconazole


Tioconazole


Tolnaftate