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15 Cards in this Set

  • Front
  • Back

Nystatin

Class: polyene


PK: topical


Use: oral thrush (swish and swallow)

Amphotericin B

Class: polyene


PK: IV


MOA: binds ergosterol


Use: broad spectrum antifungal, severe infection


Adverse effects: nephrotoxicity, infusion related toxicity (cytokine storm) - give NSAIDs

Ketoconazole

Class: imidazole


PK: topical


MOA: CYP450 inhibitor - 14alpha demthylase enzyme


Use: broad spectrum


Adverse effect: drug interactions

Clotrimazole

Class: imidazole


PK: topical


Use: jock itch, athletes foot, yeast infection, ring worm

Miconazole

Class: imidazole


PK: topical


Use: yeast infection and dermatophyte infections

Itraconazole

Class: triazole


PK: PO


Use: histoplasmosis, blastomyces, sporotrichosis


Adverse effect: CHF

Fluconazole

Class: triazole


PK: oral and IV


Use: systemic candidiasis, cryptococcal meningitis, coccidioidal meningitis

Voriconazole

Class: triazole


PK: oral and IV


Use: aspergillosis


Adverse effects: visual disturbance, hepatic toxicity

Pasoconazole

Class: triazole


PK: oral and IV


Use: mucormycosis, highest spectrum

Caspofungin

Class: echinocandin


PK: IV


MOA: disrupts cell wall


Use: empirical treatment for candida, second line for aspergillosis


Adverse effect: GI effects, infusion reaction

Micafungin

Class: echinocandin

Terbinafine

Class: allylamine


MOA: inhibits squalene epoxidase - disrupts cell membrane


PK: oral/topical


Use: dermatophyte infection


Adverse effects: hepatotoxic, Stevens-Johnson syndrome, neutropenia

Flutycytosine

Class: pyrimidine analog


PK: Oral


MOA: disrupts thymidylate synthesis


Use: adjunct treatment for cryptococcal meningitis or chromoblostomycosis


Adverse effects: renal impairment, BM suppression, liver toxicity, GI symptoms

Griseofulvin

Class: mitotic inhibitor


PK: oral


MoA: binds tubulin


Use: dermatophyte infection


Adverse effect: hepatotoxicity, albuminuria, leukopenia, neutropenia, toxic epidermal necrolysis

Selenium sulfide

Use: tinea versicolor and seborrheic dermatitis