Antifungal Drugs Classification and Mechanisms
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Questions and Answers

Which statement best describes the selectivity of flucytosine in treating fungal infections?

  • Flucytosine directly destroys human cells.
  • Flucytosine is less toxic to humans compared to fungi due to limited conversion. (correct)
  • Flucytosine has a high conversion rate in human cells.
  • Flucytosine is equally toxic to both human and fungal cells.
  • What is the main mechanism by which azole antifungal agents exert their effects?

  • Blocking the replication of fungal DNA through direct interference.
  • Activation of human immune response against fungi.
  • Inhibition of cell wall synthesis in fungi.
  • Disruption of fungal cell membrane by impairing ergosterol synthesis. (correct)
  • Which adverse effect is not typically associated with the use of flucytosine?

  • Gastrointestinal ulceration (correct)
  • Bone marrow toxicity
  • Hepatitis (rarely)
  • Alopecia
  • What is the significance of combining Ampho B with flucytosine?

    <p>It promotes rapid culture conversion and decreases resistance.</p> Signup and view all the answers

    Which of the following azole antifungal agents falls under the imidazole group?

    <p>Miconazole</p> Signup and view all the answers

    Which antifungal agent is primarily used for systemic candidiasis and cryptococcal meningitis?

    <p>Fluconazole</p> Signup and view all the answers

    What is a common adverse effect associated with ketoconazole?

    <p>Gynaecomastia</p> Signup and view all the answers

    Which of the following statements about ketoconazole is true?

    <p>High doses can lead to Cushing's syndrome.</p> Signup and view all the answers

    Which antifungal agent is contraindicated with amphotericin B?

    <p>Ketoconazole</p> Signup and view all the answers

    What is the primary route of administration for itraconazole in systemic fungal infections?

    <p>Oral or IV</p> Signup and view all the answers

    Which antifungal is known for causing transient visual disturbances?

    <p>Voriconazole</p> Signup and view all the answers

    Which characteristic is true regarding fluconazole's pharmacodynamics?

    <p>It is minimally effective against dermatophytes.</p> Signup and view all the answers

    Which antifungal is classified as an imidazole and is primarily used topically?

    <p>Ketoconazole</p> Signup and view all the answers

    Which of the following antifungal drugs primarily disrupts the function of the cell membrane?

    <p>Amphotericin B</p> Signup and view all the answers

    What is the primary mechanism of action for Terbinafine?

    <p>Inhibiting ergosterol synthesis</p> Signup and view all the answers

    Which drug class does Griseofulvin belong to and what is its primary action?

    <p>Miscellaneous; disrupts microtubule function</p> Signup and view all the answers

    What is the common adverse effect associated with Amphotericin B?

    <p>Hypokalemia</p> Signup and view all the answers

    Which antifungal is known for its extensive use in systemic mycosis?

    <p>Fluconazole</p> Signup and view all the answers

    Caspofungin primarily inhibits which process in fungi?

    <p>Cell wall synthesis</p> Signup and view all the answers

    What distinguishes Flucytosine from other antifungal agents?

    <p>It is an antimetabolite and a prodrug</p> Signup and view all the answers

    Which of the following correctly describes the pharmacokinetics of Amphotericin B?

    <p>Requires no dose adjustment in patients with renal diseases</p> Signup and view all the answers

    What is the main source of Amphotericin B?

    <p>Bacteria</p> Signup and view all the answers

    Nystatin is primarily used for what type of infections?

    <p>Topical candidiasis</p> Signup and view all the answers

    Inhibition of which component is crucial for the function of Azole antifungals?

    <p>Ergosterol</p> Signup and view all the answers

    Which characteristic makes antifungal drugs more toxic compared to antibacterial drugs?

    <p>Fungi are eukaryotes</p> Signup and view all the answers

    Which antifungal is typically used for treating life-threatening mycotic infections?

    <p>Amphotericin B</p> Signup and view all the answers

    Which type of fungal infection affects the deepest layers of tissue?

    <p>Deep mycosal infections</p> Signup and view all the answers

    What is the primary mechanism of action for fluconazole?

    <p>Inhibits ergosterol synthesis by demethylation</p> Signup and view all the answers

    Which of these statements is true regarding Voriconazole?

    <p>Has a high oral bioavailability and does not require gastric acidity for absorption</p> Signup and view all the answers

    What type of drug interaction is associated with Itraconazole?

    <p>Inhibits Cyt P450 liver enzymes</p> Signup and view all the answers

    Which of the following statements about Echinocandins is false?

    <p>They have good oral bioavailability</p> Signup and view all the answers

    What is a key characteristic of Terbinafine?

    <p>It accumulates in skin and nail beds, providing effective treatment for onychomycosis</p> Signup and view all the answers

    What best describes the absorption of Posaconazole?

    <p>Can be improved with fatty foods and low stomach pH</p> Signup and view all the answers

    Which antifungal is primarily used for long-term therapy of dermatophyte infections of hair and nails?

    <p>Griseofulvin</p> Signup and view all the answers

    Which type of resistance is more commonly observed in severely ill or immunocompromised patients?

    <p>1˚ resistance</p> Signup and view all the answers

    Which of the following antifungals inhibits the synthesis of fungal cell walls?

    <p>Caspofungin</p> Signup and view all the answers

    What is the primary enzyme targeted by Terbinafine?

    <p>Squalene epoxidase</p> Signup and view all the answers

    What makes Itraconazole effective in treating infections caused by molds?

    <p>It has varied absorption and a broader spectrum than other agents</p> Signup and view all the answers

    Which of the following correctly describes the pharmacokinetics of Fluconazole?

    <p>T1/2 = 24 hours and excreted unchanged in urine</p> Signup and view all the answers

    What type of infections is Caspofungin primarily indicated for?

    <p>Invasive Aspergillus infections</p> Signup and view all the answers

    Study Notes

    Antifungal Drugs Classification

    • Antifungal drugs target superficial, cutaneous, subcutaneous, and systemic fungal infections.
    • Fungi are eukaryotes, meaning antifungal drugs are more toxic than antibacterial drugs.
    • Fungal cell walls contain chitin and polysaccharides, while human cell membranes contain ergosterol.

    Sites of Antifungal Activity

    • Membrane function: Drugs like Amphotericin B
    • Ergosterol synthesis: Fluconazole, Itraconazole, Voriconazole, Naftifine, Terbinafine
    • Nucleic acid synthesis: 5-Fluorocytosine
    • Cell wall synthesis: Caspofungin
    • Cell membrane permeability: Azoles, Polyenes, Terbinafine
    • Microtubule function: Griseofulvin

    Classifications Based on Mechanism of Action

    • Fungal cell wall synthesis inhibitors (Echinocandins): Caspofungin
    • Ergosterol binding: Amphotericin B, Nystatin
    • Ergosterol/Lanosterol synthesis inhibitors: Terbinafine, Naftifine, Butenafine
    • Ergosterol synthesis inhibitors: Azoles
    • Nucleic acid synthesis inhibitors: 5-Fluorocytosine
    • Fungal mitosis inhibitors: Griseofulvin
    • Miscellaneous: Ciclopirox, Tolnaftate, Haloprogin, Undecylenic acid, Topical azoles

    Classifications Based on Structure

    • Antibiotics: Polyenes (e.g., Amphotericin, Nystatin, Hamycin), Heterocyclic (e.g., Benzofuran, Griseofulvin), Antimetabolite (e.g., Flucytosine), Azoles (e.g., Fluconazole, Miconazole)

    Additional Information from the Text

    • Specific drugs are listed within each category (e.g., Imidazoles - Ketoconazole, Clotrimazole).
    • Antifungal drug uses, mechanisms, and adverse effects are detailed in further sections.
    • Detailed information on specific drug classes and individual drugs is also covered.
    • The text discusses the classification of antifungal drugs based on their structure, mechanism of action, and therapeutic uses.

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    Related Documents

    Lec 6 - Antifungal Drugs PDF

    Description

    This quiz covers the classification of antifungal drugs based on their mechanisms of action and sites of activity. Learn about various antifungal agents, including their specific targets such as ergosterol synthesis and cell wall synthesis. Test your knowledge on drug categories and their functions in treating fungal infections.

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