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24 Cards in this Set

  • Front
  • Back

Ampho B deoxycholate

Conventional form


President med 60 minutes b4:


Tylenol or nsaid


Meperidine


Benadryl or hydrocortisone


NS boluses to dec nephrotoxicity


Decreases K n Mg

Ambisome, Abelcet, Amphotec

All lipid formulations of Amp B

Ancoban

Flucytosine, 5-FC


Cidal


Converted to fluorouracil


Use in combo with Amp B


Myelosupression


Increases SCr and BUN


Hepatitis


Covers yeast

Nizoral, Ketodan, Extina, Xolegel

Ketoconazole


Static


Tablet,cream, foam, gel, shampoo


Hepatotoxicity


Increase LFTs

Diflucan

Fluconazole


Static


Candida albicans


Covers yeast


Cleared renally


Tablet, suspension, injection


Preg D except when 150mg dose


Preg C as a class

Sporanox, Onmel

Itraconazole


Tablet, capsule, solution


Limited by DIs


Yeasts and dimorphic


Capsule and oral solution not interchangeable


Solution taken without food

Vfend

Voriconazole


DOC for Aspergillosis


Covers C. Glabrata and C. Krusei


Shake suspension for 10 seconds and don't refrigerate


Preg D


Liver damage, visual disturbances


QT prolongation and hallucinations


Increase LFTs, SCr


Photosensitive


Caution driving at night

Noxafil

Posaconazole


Tablet, suspension and injection


Take with food


Tab and susp not interchangeable


Correct K Ca and Mg


Preg C


Spectrum like Vfend plus Zygomycetes (mucor and rhizopus)

Cresemba

Isavuconazonium


Prodrug


Spectrum like Noxafil


Tk without regards to food


Caution in hepatic impairment


Requires and filter during administration due to possible particulates


Preg C

Itraconazole and ketoconazole have ph dependent absorption


Need acidity


Take with a soda if on PPI or H2RA


Space antacids by 2 hours

.

Posaconazole suspension cannot be used with PPI or H2RA

.

Cancidas

Caspofungin


Cidal


Echinocandin


Injection


Preg C


Hepatotoxicity w/ cyclosporine


No renal adjusting


renal adjusting

Mycamine

Micafungin

Eraxis

Anidulafungin


Echinocandin


Preg B

Echinocandins

Cidal


Spectrum of Candida, krusei, and glabrata and Aspergillosis


Well tolerated


Injectable only


Increase LFTs, hypotension, nvd, dec K and Mg


Preg c

Grifulvin V, Gris-peg

Griseofulvin


Systemic not favored much


Preg X


Photosensitivity


Inducer...contraceptive avoidance

Lamisil, Terbinex

Terbinafine


Inhibits squalene epoxidase


Topical, granules, tablet


Can cause lupus


SEs: HA and increased LFTs

Mycelex

Clotrimazolw


Troche/lozenge


Thrush


Let dissolve for 15-30 minutes


Treatment for 14 days. 5 Troche/day


Preg C

Bio-Statin

Nystatin


Suspension, tablet, cream


Preg C


Thrush

Candida albicans treatment


HIV (-) and orapharyngeal only: fluconazole or (clotrimazole, nystatin)



HIV (+) or esophageal or invasive:


Fluconazole or Echinocandin or Amp B

Candida glabrata or Candida krusei treatment

Echinocandins or Amp B

Aspergillus treatment

Voriconazole, liposomal Amp B, isavuconazonium

Zygomycetes class


(Rhizopus or Mucor)

Amp B plus or minus posaconazole or isavuconazonium

Dermatophytes treatment

Nail bed infection


Confirm fungi prior to treatment


Itraconazole, Terbinex, fluconazole