Podcast
Questions and Answers
Which of these is a clinical use for Diloxanide furoate?
Which of these is a clinical use for Diloxanide furoate?
- In combination after treatment with metronidazole (correct)
- Dysentery
- Enteritis
- Treatment for Amebiasis
What is the mechanism of action for Diloxanide furoate ?
What is the mechanism of action for Diloxanide furoate ?
- Acts on the bacterial nucleus
- Inhibit protein synthesis (correct)
- Inhibits bacterial protein synthesis
- Inhibits bacterial protein synthesis and nucleic acid synthesis
Which of these is a clinical use of Iodoquinol?
Which of these is a clinical use of Iodoquinol?
- Asymptomatic Intestinal Amebiasis
- In combination after treatment with metronidazole
- T. vaginalis
- Treatment for Amebiasis (correct)
What is the similarity between Iodoquinol and Diloxanide furoate?
What is the similarity between Iodoquinol and Diloxanide furoate?
Iodoquinol is used to treat Amebiasis, but is also used to treat:
Iodoquinol is used to treat Amebiasis, but is also used to treat:
Which adverse reaction can occur when combining metronidazole with disulfiram or disulfiram-like drugs?
Which adverse reaction can occur when combining metronidazole with disulfiram or disulfiram-like drugs?
What is the primary clinical use of chloroquine?
What is the primary clinical use of chloroquine?
Which pharmacological class does chloroquine belong to?
Which pharmacological class does chloroquine belong to?
What mechanism of action does chloroquine utilize to inhibit the growth of organisms?
What mechanism of action does chloroquine utilize to inhibit the growth of organisms?
What is the bioavailability range of chloroquine upon absorption?
What is the bioavailability range of chloroquine upon absorption?
Which group of drugs could potentially lead to a disulfiram-like reaction when taken with chloroquine?
Which group of drugs could potentially lead to a disulfiram-like reaction when taken with chloroquine?
Which of the following does NOT describe the metabolism of chloroquine?
Which of the following does NOT describe the metabolism of chloroquine?
What percentage of chloroquine is bound to plasma proteins during distribution?
What percentage of chloroquine is bound to plasma proteins during distribution?
Which of the following is the primary cause of amebiasis worldwide?
Which of the following is the primary cause of amebiasis worldwide?
What is the primary clinical manifestation of symptomatic amebiasis?
What is the primary clinical manifestation of symptomatic amebiasis?
Which drug is classified as a luminal amebicide for treating amebiasis?
Which drug is classified as a luminal amebicide for treating amebiasis?
What percentage of the world's population is believed to be affected by amebiasis?
What percentage of the world's population is believed to be affected by amebiasis?
Which amebicidal drug is primarily used for cerebral amebiasis?
Which amebicidal drug is primarily used for cerebral amebiasis?
Which of the following statements about Entamoeba histolytica is incorrect?
Which of the following statements about Entamoeba histolytica is incorrect?
Which infections are effectively treated by histolytica?
Which infections are effectively treated by histolytica?
Which condition is most directly associated with amebic liver abscess?
Which condition is most directly associated with amebic liver abscess?
What type of bacteria does metronidazole show effective antibacterial properties against?
What type of bacteria does metronidazole show effective antibacterial properties against?
Which of the following is NOT a limitation of metronidazole?
Which of the following is NOT a limitation of metronidazole?
Which of the following groups is at greater risk for developing amebiasis?
Which of the following groups is at greater risk for developing amebiasis?
Which group of bacteria is effectively treated by metronidazole?
Which group of bacteria is effectively treated by metronidazole?
Which of the following conditions is metronidazole primarily ineffective against?
Which of the following conditions is metronidazole primarily ineffective against?
What types of infections are classified under extraluminal amebiasis?
What types of infections are classified under extraluminal amebiasis?
Which of the following microorganisms is NOT susceptible to metronidazole?
Which of the following microorganisms is NOT susceptible to metronidazole?
Which of the following best describes the mode of action of metronidazole?
Which of the following best describes the mode of action of metronidazole?
What is the primary mechanism of action for luminal amebicides?
What is the primary mechanism of action for luminal amebicides?
Which drug is rapidly hydrolyzed to its active metabolite Tizoxanide?
Which drug is rapidly hydrolyzed to its active metabolite Tizoxanide?
What percentage of Nitazoxamide is bound to proteins?
What percentage of Nitazoxamide is bound to proteins?
Through which organ is the majority of luminal amebicides excreted?
Through which organ is the majority of luminal amebicides excreted?
Which of the following is NOT a common adverse effect associated with luminal amebicides?
Which of the following is NOT a common adverse effect associated with luminal amebicides?
Which drug listed is considered a prototype for its class?
Which drug listed is considered a prototype for its class?
How long is the half-life of the luminal amebicide discussed?
How long is the half-life of the luminal amebicide discussed?
Which luminal amebicide is considered safe for use during pregnancy?
Which luminal amebicide is considered safe for use during pregnancy?
What is the primary mechanism of action of Chloroquine?
What is the primary mechanism of action of Chloroquine?
What happens to a cell if it cannot generate ATP?
What happens to a cell if it cannot generate ATP?
Which enzyme is critical for anaerobic metabolism and is affected by Diloxanide furoate's mechanism?
Which enzyme is critical for anaerobic metabolism and is affected by Diloxanide furoate's mechanism?
What is a consequence of improper enzyme function in a cell?
What is a consequence of improper enzyme function in a cell?
What does the reduction of metronidazole facilitate?
What does the reduction of metronidazole facilitate?
Which of the following is true about the function of Emetine?
Which of the following is true about the function of Emetine?
What is a consequence of imbalanced pH in bacterial cells?
What is a consequence of imbalanced pH in bacterial cells?
Which statement best describes the role of anaerobic metabolism?
Which statement best describes the role of anaerobic metabolism?
Flashcards
Amebiasis
Amebiasis
An invasive disease caused by the parasite Entamoeba histolytica that can lead to significant morbidity and mortality.
Entamoeba histolytica
Entamoeba histolytica
The most pathogenic species of Entamoeba, responsible for causing amebiasis and known to have humans as its only host.
Asymptomatic Amebiasis
Asymptomatic Amebiasis
A symptom-free form of amebiasis where the parasite is present in the body without causing noticeable illness.
Fulminant Amebic Colitis
Fulminant Amebic Colitis
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Ameboma
Ameboma
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Amebic Liver Abscess
Amebic Liver Abscess
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Luminal Amebicides
Luminal Amebicides
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Tissue Amebicides
Tissue Amebicides
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Chloroquine - Drug Class
Chloroquine - Drug Class
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Chloroquine - Mechanism of Action
Chloroquine - Mechanism of Action
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Chloroquine - Pharmacokinetic Properties
Chloroquine - Pharmacokinetic Properties
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Chloroquine - Drug Interactions
Chloroquine - Drug Interactions
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Disulfiram-like Reaction
Disulfiram-like Reaction
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Cephalosporins (Cefamandole, Cefoperazone, Cefotetan, Moxalactam)
Cephalosporins (Cefamandole, Cefoperazone, Cefotetan, Moxalactam)
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Chloral Hydrate
Chloral Hydrate
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Disulfiram
Disulfiram
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Metronidazole
Metronidazole
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Amebic Colitis
Amebic Colitis
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Giardiasis
Giardiasis
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Trichomoniasis
Trichomoniasis
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Anaerobic Bacteria
Anaerobic Bacteria
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Microaerophilic Bacteria
Microaerophilic Bacteria
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Emetine
Emetine
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Paromomycin
Paromomycin
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Diloxanide furoate
Diloxanide furoate
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Chloroquine
Chloroquine
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Reductive Activation
Reductive Activation
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Pyruvate-ferredoxin Oxidoreductase (PFOR)
Pyruvate-ferredoxin Oxidoreductase (PFOR)
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Anaerobic Metabolism (in relation to Metronidazole)
Anaerobic Metabolism (in relation to Metronidazole)
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Diloxanide Furoate Mechanism of Action
Diloxanide Furoate Mechanism of Action
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Iodoquinol
Iodoquinol
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Iodoquinol Mechanism of Action
Iodoquinol Mechanism of Action
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Iodoquinol Usage
Iodoquinol Usage
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What are luminal amebicides?
What are luminal amebicides?
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List common luminal amebicides.
List common luminal amebicides.
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How does Diloxanide Furoate work?
How does Diloxanide Furoate work?
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Describe the metabolism of Diloxanide Furoate.
Describe the metabolism of Diloxanide Furoate.
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What is the half-life of Diloxanide Furoate? How is it mainly excreted?
What is the half-life of Diloxanide Furoate? How is it mainly excreted?
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What are the potential side effects of Diloxanide Furoate?
What are the potential side effects of Diloxanide Furoate?
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Is Diloxanide Furoate safe for use in pregnancy?
Is Diloxanide Furoate safe for use in pregnancy?
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What is the difference between luminal and tissue amebicides?
What is the difference between luminal and tissue amebicides?
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Study Notes
Amebicidals
- Amebiasis affects about 10% of the world's population
- It is a significant cause of morbidity and mortality due to its invasiveness.
- It is the third leading parasitic cause of death in humans, after malaria and schistosomiasis
- It is mostly seen in individuals living in poverty, crowding conditions, and areas with poor sanitation
- Entamoeba histolytica is the most pathogenic species, capable of causing disease and humans are its only known host.
Life Cycle of Entamoeba Histolytica
- Infection begins when mature cysts are ingested.
- Mature cysts enter the body via the fecal-oral route.
- Cysts travel down the gastrointestinal tract.
- They reach the ileum of the small intestine and transform into trophozoites.
- During the chronic or fulminant stage, trophozoites are the parasitic form capable of invasion.
- They can invade adjacent structures, such as the liver, lungs, and brain.
- The trophozoites form cysts that are passed out in the stool.
Clinical Manifestations
- Asymptomatic Amebiasis: Infection present but mild or no symptoms
- Symptomatic Amebiasis: Pathological disease:
- Amebic Colitis: inflammation of the colon
- Fulminant Amebic Colitis: severe form of amebic colitis, often life threatening
- Ameboma: mass of inflammatory tissue
- Amebic Liver Abscess: Infection of the liver
- Pulmonary Amebiasis: Infection of the lungs
- Cerebral Amebiasis (rare): Infection of the brain
Anti-Amebic Drugs
- Divided into two main categories:
- Tissue Amebicides: Used for extraintestinal amebiasis (amebic colitis, liver abscess)
- Luminal Amebicides: Used for intestinal amebiasis
- Metronidazole: Effective against extraintestinal amebiasis.
- Tinidazole: Related to metronidazole, similar activity
- Emetine: Used for severe extraintestinal amebiasis (liver abscess).
- Chloroquine: Used for extraintestinal amebiasis.
Mechanism of Action
- Metronidazole mechanism of action involves reactive reduction of a nitro group by anaerobic bacteria and sensitive protozoans, producing an active reduction product.
Pharmacokinetics
- Rapid absorption, penetrates most tissues, and metabolized by oxidation in the liver.
- Half-life of around 8 hours, mostly eliminated in the urine.
- Metronidazole has disulfiram-like effects, so patients should avoid alcohol during and for three days after use.
- Lithium toxicity can occur with concurrent metronidazole use.
- Various drugs may interact with each other.
Adverse Effects
- Common: Headaches, nausea, dry mouth, metallic taste.
- Uncommon: Vomiting, diarrhea, abdominal distress
- Rare: Dysuria, cystitis, sense of pelvic pressure
- Neurotoxic effects (dizziness, vertigo, encephalopathy, convulsions, incoordination, ataxia, numbness, paresthesia).
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