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antifungals
antifungals
37
Medical
Professional
04/24/2011

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Term
4 Basic kinds of myocology for antifungal
Definition
Yeast
2. Endemic Mycoses (Dimorphic Fungi)
3. Invasive Molds (or molds)
4. Non-invasive Molds
Term
What falls into the yeast category? 2
Definition
candida specieces
cryptococcus
Term
what are the most common yeast speices
Definition
C. albican
Term
What is a common cause of meningitis
Definition
C. neoformans (type of crypt
Term
Types of Invasive molds
Definition
septated hypahe Nonseptate hyphae
Term
Most common type of invasive mold
Definition
Aspergillus
Term
is aspergillus sepated or nont septated
Definition
septate
Term
septated means branching 90 deg
T/F
Definition
false, septated is 45, nonseptated is 90
Term
What do polyenes do. and give ex
Definition
bind to ergosterol. creates pores in mem cause leaking of poatssium and other moelcules
Term
What does amophtericin B cover
Definition
fungicidal and most year/ molds
Term
What are the 2 types of amphotericin B
Definition
conventional and lipid formulation
Term
Why is the benefit of lipid formulations
Definition
less renal toxicity
Term
what is strangeabout what amphotericin can treat?
Definition
doesnt gets int CSF but can treat funcal meningitis
Term
Ampohtericin B half life
Definition
super long, beta , dont know where that shit goes
Term
T/F Conentional Amph B is adjusted for renal toxciity
Definition
false iti s not
Term
T/F lipid formulation of ampho bea is 5-10x higher than conventional
Definition
T
Term
Amphotericin B is drug of choice for
Definition
1. serious candid infection
-crypto meningitis
meningits from histo or blasto
standar therapy for mucormycosis
Term
Azoles are standard therapry for mucormycosis? T/f
Definition
F Amph T is.
Term
Fluclosine is good for cyptocoocal meningits including menin from histo or blasto
Definition
false. ampho B
Term
Misceallaneous antifungals
Definition
Flucytosine
Term
T/F flucytosine canbe used alone
Definition
F. cannot needs tobe used in combo or resistance
Term
What is flucytosine used in combo with
Definition
amph B for cryptomenint for first 2 weeks then switches to fluconzole. (THATS IT!! ONLY FUCNTION
Term
Whhen is the only time flucytosine is used
Definition
in combo w/ AMBO for cyrpotoccal menngitis (first 2 weeks only)
Term
how long do you use flucytoisne for
Definition
first 2 weeks of crypto menin w/ ammpho B
Term
Azoles :imidazoles and traizoles
function
Definition
inhibit syntehsis of ergostero
Term
what is the different between azoles and ampho B
Definition
azoels inhibit syn, ampho binds and make holes.
Term
what is newer version of azoles
Definition
fluconzaole
Term
when is fluconzaole used
Definition
candida and cyrpotococcus
Term
Fluconazole covers candid krusei and candida glabrata (T/F
Definition
F NO COVERAGE AGAINST THEM. dont forget mofo
Term
What replaces ampho _ flucylocine w/ cyrpt menin?
Definition
fluconazole
Term
what is special about itraconzole
Definition
Asperigillus coverage first azoel.

I-tra-aperagus. (itraconazole asperigillus
Term
What is drug of choice for aspergillus
Definition
voriconazole
Term
what is a unique side effect about voricnazole
Definition
visual disturbances
Term
What is the impt azole to treat mucor
Definition
posaconazole
Term
echinocandin
Definition
caspofungin
Term
mechansims of caspofungin
Definition
inhibist cell wall synthesis, different then cell membrane synthesis, exterior to it.
Term
New echinocandins are approved for
Definition
Micafungin, andiulafungin
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