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Pharmacology: Amantadine

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What is the primary use of amantadine in veterinary medicine?

Relieving chronic pain in dogs and cats

How is amantadine administered in dogs and cats for chronic pain therapy?

Orally once a day

What percentage of the dose of amantadine is absorbed in horses when given orally?

50%

How long does it take for amantadine to be eliminated in horses?

<p>3.5 hours</p> Signup and view all the answers

What is the mechanism of action of amantadine in influenza viruses?

<p>By blocking the ion channel activity of the M2 protein</p> Signup and view all the answers

What is a common adverse effect of amantadine administration in horses?

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

How rapidly does resistance to amantadine develop?

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

What is another use of amantadine besides treating chronic pain?

<p>Treating influenza viruses</p> Signup and view all the answers

What is a rare adverse effect of terbinafine?

<p>Bone marrow suppression</p> Signup and view all the answers

What is the recommended dosage of terbinafine for treating dermatophytic infections in dogs and cats?

<p>30 mg/kg/day</p> Signup and view all the answers

How is terbinafine absorbed in humans when given orally?

<p>Readily absorbed (&gt;70%)</p> Signup and view all the answers

Where is terbinafine distributed in the body?

<p>Skin and into the sebum</p> Signup and view all the answers

What is the elimination half-life of terbinafine in humans?

<p>36 hours</p> Signup and view all the answers

How does terbinafine inhibit fungal growth?

<p>By blocking the synthesis of ergosterol</p> Signup and view all the answers

What is the effect of food on the GI absorption of terbinafine?

<p>Food enhances absorption</p> Signup and view all the answers

In what type of tissue can terbinafine persist for more than 30 days?

<p>Adipose tissue</p> Signup and view all the answers

What is the primary mechanism of action of acyclovir?

<p>Inhibiting the viral DNA polymerase</p> Signup and view all the answers

What is the oral absorption rate of acyclovir in humans?

<p>20%</p> Signup and view all the answers

What is the mode of action of zidovudine (AZT)?

<p>Competing with host 5'-thymidine for proviral DNA formation</p> Signup and view all the answers

What is the administration route and frequency of acyclovir for cats?

<p>Orally, twice a day</p> Signup and view all the answers

What is the primary organ responsible for the metabolism of acyclovir?

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

What is a potential adverse effect of acyclovir therapy?

<p>Leucopenia and anemia</p> Signup and view all the answers

What is the distribution of acyclovir in the body?

<p>Widely distributed throughout body tissues and fluids</p> Signup and view all the answers

What is the protein binding of acyclovir?

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

What is the primary cause of ionophore toxicity in animals?

<p>Cellular electrolyte imbalances, increased extracellular K+ and intracellular Na+ and Ca2+ concentrations</p> Signup and view all the answers

What is the main reason for the slower metabolism of ionophores in monogastric animals?

<p>The incomplete metabolism of ionophores in monogastric animals</p> Signup and view all the answers

What is the mechanism of action of griseofulvin against dermatophytes?

<p>It binds to microtubules to inhibit spindle formation and mitosis</p> Signup and view all the answers

What is the absorption rate of griseofulvin in the gut?

<p>25-70%</p> Signup and view all the answers

What is the effect of griseofulvin on infected cells?

<p>It is shed and replaced with uninfected cells</p> Signup and view all the answers

What is the primary use of griseofulvin in veterinary medicine?

<p>Treating multifocal dermatophyte infections</p> Signup and view all the answers

What is the species most susceptible to the toxic effects of ionophores?

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

What is the result of the exchange of Na+ for Ca2+ by Na+ –Ca2+ exchanger in the cardiac and skeletal muscles?

<p>Increased intracellular Na+ and Ca2+ concentrations</p> Signup and view all the answers

What is the primary route of administration for nystatin in treating Candidal infections?

<p>Oral administration</p> Signup and view all the answers

What is the main adverse effect of polyene antifungals at high doses?

<p>Gastrointestinal upset</p> Signup and view all the answers

What is the mechanism of action of azole antifungals in treating fungal infections?

<p>Inhibiting the synthesis of ergosterol in fungal cytoplasmic membranes</p> Signup and view all the answers

What is the therapeutic use of ketoconazole in dogs and cats?

<p>Treating systemic mycoses and severe yeast infections</p> Signup and view all the answers

What is the effect of azole antifungals on mammalian steroid synthesis at high doses?

<p>Inhibition of steroid synthesis</p> Signup and view all the answers

What type of fungal infections are azole antifungals effective against?

<p>Systemic infections caused by Blastomyces, Coccidioides, Cryptococcus, and Histoplasma spp.</p> Signup and view all the answers

What is the primary use of natamycin in veterinary medicine?

<p>Treating ocular mycotic infections</p> Signup and view all the answers

What is the effect of azole antifungals on fungal cell membranes?

<p>Increasing cellular permeability</p> Signup and view all the answers

What is the mechanism of action of amantadine in inhibiting viral replication?

<p>By inhibiting the ion channel activity of M2 protein</p> Signup and view all the answers

What is the primary effect of amantadine on chronic pain sensation?

<p>It antagonizes the N-methyl-D-aspartate (NMDA) receptor</p> Signup and view all the answers

What is the elimination half-life of amantadine in horses?

<p>3.5 hours</p> Signup and view all the answers

What is the pharmacokinetic characteristic of amantadine in horses?

<p>Variable oral absorption and moderate elimination</p> Signup and view all the answers

What is the administration route of amantadine for treating chronic pain in dogs and cats?

<p>Oral once a day</p> Signup and view all the answers

What is a characteristic of the development of resistance to amantadine?

<p>It develops quite rapidly</p> Signup and view all the answers

What is another use of amantadine besides treating chronic pain?

<p>Treating influenza viruses</p> Signup and view all the answers

What is the mechanism of action of amantadine in the CNS?

<p>Antagonizing the N-methyl-D-aspartate (NMDA) receptor</p> Signup and view all the answers

What is the effect of terbinafine on fungal cell membranes?

<p>It blocks the synthesis of ergosterol</p> Signup and view all the answers

How is terbinafine distributed in the body?

<p>It is distributed to the skin and sebum</p> Signup and view all the answers

What is the mechanism of action of terbinafine against fungi?

<p>It inhibits the conversion of squalene to sterols</p> Signup and view all the answers

What is the oral absorption rate of terbinafine in humans?

<p>More than 70%</p> Signup and view all the answers

What is the primary use of terbinafine in veterinary medicine?

<p>Treating dermatophytic infections</p> Signup and view all the answers

How long does terbinafine persist in adipose tissue and skin?

<p>More than 30 days</p> Signup and view all the answers

What is the protein binding of terbinafine in humans?

<p>More than 99%</p> Signup and view all the answers

What is the elimination half-life of terbinafine in humans?

<p>Around 36 hours</p> Signup and view all the answers

What is the primary mechanism of action of acyclovir?

<p>Inhibiting the viral DNA polymerase</p> Signup and view all the answers

What is the oral absorption rate of acyclovir in humans?

<p>About 20%</p> Signup and view all the answers

What is the primary organ responsible for the metabolism of acyclovir?

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

What is the administration route and frequency of acyclovir for cats?

<p>Orally, twice a day</p> Signup and view all the answers

What is the distribution of acyclovir in the body?

<p>Widely distributed throughout body tissues and fluids</p> Signup and view all the answers

What is a potential adverse effect of acyclovir therapy?

<p>Leucopenia and anemia</p> Signup and view all the answers

What is the mechanism of action of zidovudine (AZT)?

<p>Competing with host 5'-thymidine for incorporation into proviral DNA</p> Signup and view all the answers

What is the effect of acyclovir on the viral DNA?

<p>Inhibiting the viral DNA polymerase, ending the nucleotide chain prematurely</p> Signup and view all the answers

What is the mechanism of action of griseofulvin against dermatophytes?

<p>It binds to microtubules to inhibit spindle formation and mitosis.</p> Signup and view all the answers

What is the absorption rate of griseofulvin in the gut?

<p>25-70%</p> Signup and view all the answers

In which species is griseofulvin used to treat multifocal dermatophyte infections?

<p>Dogs, cats, and horses</p> Signup and view all the answers

What is the effect of griseofulvin on infected cells?

<p>It induces the shedding and replacement of infected cells with uninfected cells.</p> Signup and view all the answers

What is the primary use of griseofulvin in veterinary medicine?

<p>To treat multifocal dermatophyte infections.</p> Signup and view all the answers

What is the result of the exchange of Na+ for Ca2+ by Na+ –Ca2+ exchanger in the cardiac and skeletal muscles?

<p>Increased intracellular Ca2+ concentration.</p> Signup and view all the answers

Which species is most susceptible to the toxic effects of ionophores?

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

What is the primary mechanism of ionophore toxicity?

<p>Cellular electrolyte imbalances.</p> Signup and view all the answers

What is the primary mechanism of action of azole antifungals in treating fungal infections?

<p>Inhibiting the synthesis of ergosterol in fungal cytoplasmic membranes</p> Signup and view all the answers

How is nystatin primarily administered in animals for treating Candidal infections?

<p>Orally every 6-8 hours</p> Signup and view all the answers

What is the primary effect of azole antifungals on mammalian steroid synthesis at high doses?

<p>Inhibition of steroid synthesis</p> Signup and view all the answers

What type of fungal infections are azole antifungals effective against?

<p>Candidiasis, griseofulvin-resistant dermatophytes, and systemic infections</p> Signup and view all the answers

What is the primary use of natamycin in veterinary medicine?

<p>Treating ocular mycotic infections in horses</p> Signup and view all the answers

What is the effect of azole antifungals on fungal cell membranes?

<p>Increasing cellular permeability</p> Signup and view all the answers

What is the therapeutic use of ketoconazole in dogs and cats?

<p>Treating systemic mycoses and severe yeast infections</p> Signup and view all the answers

What is the primary mechanism of action of azole antifungals in treating fungal infections, besides inhibiting ergosterol synthesis?

<p>Blocking cytochrome P450 enzymes</p> Signup and view all the answers

What is the primary mechanism of action of terbinafine against fungal cells?

<p>By blocking the synthesis of ergosterol</p> Signup and view all the answers

What is the effect of food on the gastrointestinal absorption of terbinafine?

<p>Food enhances the absorption of terbinafine by increasing bile secretion</p> Signup and view all the answers

What is the distribution pattern of terbinafine in the body?

<p>Terbinafine is distributed primarily in the skin and sebum</p> Signup and view all the answers

What is the elimination half-life of terbinafine in humans?

<p>36 hours</p> Signup and view all the answers

What is the therapeutic use of terbinafine in veterinary medicine?

<p>Treating dermatophytic infections in dogs and cats</p> Signup and view all the answers

How does terbinafine inhibit fungal growth?

<p>By blocking the synthesis of ergosterol</p> Signup and view all the answers

What is the protein binding of terbinafine in the plasma?

<p>More than 99%</p> Signup and view all the answers

What is the effect of terbinafine on fungal cell membranes?

<p>Terbinafine causes the accumulation of squalene in fungal cell membranes</p> Signup and view all the answers

What percentage of amphotericin B is excreted unchanged into urine and feces?

<p>65%</p> Signup and view all the answers

What is the mechanism of action of flucytosine?

<p>Inhibiting thymidylate synthase and DNA and RNA synthesis</p> Signup and view all the answers

How is flucytosine administered in treating aspergillosis and candidiasis in psittacine birds?

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

What is the primary use of flucytosine in combination with amphotericin B?

<p>Treating meningeal cryptococcosis in dogs and cats</p> Signup and view all the answers

What is the elimination half-life of flucytosine in humans?

<p>3-6 hours</p> Signup and view all the answers

What is a common adverse effect of amphotericin B?

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

How is amphotericin B administered?

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

What is monitored weekly during amphotericin B therapy?

<p>Blood urea nitrogen (BUN)</p> Signup and view all the answers

What is the primary mechanism of action of griseofulvin against fungal infections?

<p>It alters the permeability of the fungal cell membrane</p> Signup and view all the answers

What is the effect of high-fat foods on the absorption of griseofulvin in animals?

<p>It increases the absorption of griseofulvin</p> Signup and view all the answers

How is griseofulvin metabolized in the body?

<p>It is metabolized by the liver through demethylation and glucuronide conjugation</p> Signup and view all the answers

What is the primary route of administration for griseofulvin in animals?

<p>Oral administration</p> Signup and view all the answers

What is the primary therapeutic use of nystatin in veterinary medicine?

<p>Treatment of fungal infections, particularly yeast infections</p> Signup and view all the answers

What is the effect of nystatin on the fungal cell membrane?

<p>It increases the permeability of the fungal cell membrane</p> Signup and view all the answers

What is the excretion route of nystatin in animals?

<p>Fecal excretion</p> Signup and view all the answers

What is the pharmacokinetic characteristic of griseofulvin in animals?

<p>It is stored in the keratin cells of the skin, hair, and nails</p> Signup and view all the answers

What is the primary mechanism of action of griseofulvin against dermatophytes?

<p>It binds to microtubules to inhibit spindle formation and mitosis</p> Signup and view all the answers

What is the primary therapeutic use of griseofulvin in veterinary medicine?

<p>Treating multifocal dermatophyte infections</p> Signup and view all the answers

What is the absorption rate of griseofulvin in the gut?

<p>25-70%</p> Signup and view all the answers

What is the effect of griseofulvin on infected cells?

<p>It inhibits the growth of infected cells</p> Signup and view all the answers

Which species is most susceptible to the toxic effects of ionophores?

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

What is the result of the exchange of Na+ for Ca2+ by Na+ –Ca2+ exchanger in the cardiac and skeletal muscles?

<p>Increased intracellular Ca2+ concentration</p> Signup and view all the answers

What is the primary mechanism of toxicity of ionophores in animals?

<p>Cellular electrolyte imbalances</p> Signup and view all the answers

What is the reason for the slower metabolism of ionophores in monogastric animals?

<p>More complete and slower metabolism</p> Signup and view all the answers

What is the common administration route for clotrimazole and miconazole in the treatment of yeast or dermatophyte infections?

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

What is the adverse effect of ketoconazole in cats?

<p>Anorexia, vomiting, and diarrhea</p> Signup and view all the answers

What is the mechanism of action of amphotericin B?

<p>Binding to ergosterol of fungal cell membranes to form pores or channels</p> Signup and view all the answers

What is the therapeutic use of amphotericin B?

<p>Treating systemic fungal infections in dogs, cats, horses, and birds</p> Signup and view all the answers

What is the pharmacokinetic characteristic of amphotericin B?

<p>Not absorbed from the GI tract</p> Signup and view all the answers

What is the elimination half-life of amphotericin B?

<p>1–2 weeks</p> Signup and view all the answers

What is the common adverse effect of fluconazole or itraconazole therapy?

<p>Rare, unless in patients with impaired renal function</p> Signup and view all the answers

What is the purpose of combining amphotericin B with other antifungals?

<p>To reduce toxicity</p> Signup and view all the answers

Study Notes

Amantadine

  • Chemistry: 1-aminoadamantane
  • Mechanism of action: binds to M2 protein, blocks ion-channel activity, and inhibits viral uncoating and replication
  • Antiviral activity: effective against some influenza viruses
  • Additional effect: antagonizes N-methyl-D-aspartate (NMDA) receptor in CNS, alleviates chronic pain
  • Therapeutic uses: adjunct to NSAIDs for chronic pain in dogs and cats, treatment of influenza viruses
  • Pharmacokinetics: oral absorption variable in horses, eliminated unchanged by kidneys, elimination half-life 3.5 hours in horses
  • Administration: orally once a day for chronic pain therapy in dogs and cats
  • Resistance: develops rapidly
  • Adverse effects: mild GI disturbances, rare bone marrow suppression

Terbinafine

  • Chemistry: allylamine derivative
  • Mechanism of action: inhibits synthesis of ergosterol, accumulates squalene, and causes fungal cell membrane disruption
  • Antifungal activity: fungicidal against dermatophytes, fungistatic against yeast
  • Therapeutic uses: treatment of dermatophytic infections in dogs and cats, systemic mycotic infections in birds
  • Pharmacokinetics: oral absorption >70% in humans, distributed to skin and sebum, metabolized in liver, eliminated in urine, elimination half-life 36 hours
  • Adverse effects: rare, includes agitation, loose stools, flatulence, and diarrhea, particularly early in therapy

Acyclovir

  • Chemistry: guanosine derivative
  • Mechanism of action: metabolized to monophosphate, then triphosphate, which inhibits viral DNA polymerase
  • Antiviral activity: active against herpes virus 1 in cats, equine herpes virus type-1 in vitro
  • Therapeutic uses: treatment of ocular and respiratory infections in cats
  • Pharmacokinetics: poorly absorbed orally, widely distributed, low protein binding, and crosses placenta, elimination half-life 3 hours in humans
  • Administration: orally twice a day in cats
  • Adverse effects: reversible leucopenia and anemia

Zidovudine (AZT)

  • Chemistry: analog of thymidine
  • Mechanism of action: phosphorylated to AZT 5'-triphosphate, competes with host 5'-thymidine, essential for proviral DNA formation by reverse transcriptase

Antifungal Agents

Griseofulvin

  • Chemistry: cyclohexane benzofuran antibiotic
  • Mechanism of action: binds to microtubules, inhibits spindle formation and mitosis, fungistatic for dermatophytes
  • Therapeutic uses: treatment of multifocal dermatophyte infections in dogs, cats, and horses
  • Pharmacokinetics: GI absorption rate varies from 25-70%
  • Administration: orally every 6-8 hours for Candidal infections in dogs and cats

Azoles

  • Chemistry: imidazole antifungals (ketoconazole, itraconazole, fluconazole)
  • Mechanism of action: inhibit synthesis of ergosterol, block cytochrome P450 enzymes, increase cellular permeability
  • Therapeutic uses: treatment of systemic mycoses, severe yeast infections, and hyperadrenocorticism in dogs and cats

Amantadine

  • Chemistry: 1-aminoadamantane
  • Mechanism of action: binds to M2 protein, blocks ion-channel activity, and inhibits viral uncoating and replication
  • Antiviral activity: effective against some influenza viruses
  • Additional effect: antagonizes N-methyl-D-aspartate (NMDA) receptor in CNS, alleviates chronic pain
  • Therapeutic uses: adjunct to NSAIDs for chronic pain in dogs and cats, treatment of influenza viruses
  • Pharmacokinetics: oral absorption variable in horses, eliminated unchanged by kidneys, elimination half-life 3.5 hours in horses
  • Administration: orally once a day for chronic pain therapy in dogs and cats
  • Resistance: develops rapidly
  • Adverse effects: mild GI disturbances, rare bone marrow suppression

Terbinafine

  • Chemistry: allylamine derivative
  • Mechanism of action: inhibits synthesis of ergosterol, accumulates squalene, and causes fungal cell membrane disruption
  • Antifungal activity: fungicidal against dermatophytes, fungistatic against yeast
  • Therapeutic uses: treatment of dermatophytic infections in dogs and cats, systemic mycotic infections in birds
  • Pharmacokinetics: oral absorption >70% in humans, distributed to skin and sebum, metabolized in liver, eliminated in urine, elimination half-life 36 hours
  • Adverse effects: rare, includes agitation, loose stools, flatulence, and diarrhea, particularly early in therapy

Acyclovir

  • Chemistry: guanosine derivative
  • Mechanism of action: metabolized to monophosphate, then triphosphate, which inhibits viral DNA polymerase
  • Antiviral activity: active against herpes virus 1 in cats, equine herpes virus type-1 in vitro
  • Therapeutic uses: treatment of ocular and respiratory infections in cats
  • Pharmacokinetics: poorly absorbed orally, widely distributed, low protein binding, and crosses placenta, elimination half-life 3 hours in humans
  • Administration: orally twice a day in cats
  • Adverse effects: reversible leucopenia and anemia

Zidovudine (AZT)

  • Chemistry: analog of thymidine
  • Mechanism of action: phosphorylated to AZT 5'-triphosphate, competes with host 5'-thymidine, essential for proviral DNA formation by reverse transcriptase

Antifungal Agents

Griseofulvin

  • Chemistry: cyclohexane benzofuran antibiotic
  • Mechanism of action: binds to microtubules, inhibits spindle formation and mitosis, fungistatic for dermatophytes
  • Therapeutic uses: treatment of multifocal dermatophyte infections in dogs, cats, and horses
  • Pharmacokinetics: GI absorption rate varies from 25-70%
  • Administration: orally every 6-8 hours for Candidal infections in dogs and cats

Azoles

  • Chemistry: imidazole antifungals (ketoconazole, itraconazole, fluconazole)
  • Mechanism of action: inhibit synthesis of ergosterol, block cytochrome P450 enzymes, increase cellular permeability
  • Therapeutic uses: treatment of systemic mycoses, severe yeast infections, and hyperadrenocorticism in dogs and cats

Antimicrobial Drugs

Griseofulvin

  • Griseofulvin is a cyclohexane benzofuran antibiotic derived from Penicillium griseofulvum
  • It is insoluble in water
  • Mechanism of action: Griseofulvin is actively taken up by growing dermatophytes, binds to microtubules to inhibit spindle formation and mitosis
  • Therapeutic uses: Griseofulvin is used in dogs, cats, and horses for multifocal dermatophyte infections
  • Pharmacokinetics: GI absorption rate varies from 25–70%, mild GI disturbances and bone marrow suppression have been reported

Nystatin and Natamycin

  • Nystatin and natamycin are polyene antibiotics derived from Streptomyces spp.
  • Mechanism of action: Nystatin and natamycin are fungicidal to yeast infections caused by Candida spp. and Malassezia spp. by binding to ergosterol of the protoplast membrane of fungi
  • Therapeutic uses: Nystatin and natamycin are administered topically for yeast infections of the eye, ear, and skin, and orally for treating mucosal yeast infections of the mouth and GI tract
  • Pharmacokinetics: Nystatin is not absorbed orally and is excreted in the feces

Terbinafine

  • Terbinafine is an allylamine derivative
  • Mechanism of action: Terbinafine inhibits the synthesis of ergosterol, a component of fungal cell membranes, by blocking the enzyme squalene monooxygenase
  • Therapeutic uses: Terbinafine is used to treat dermatophytic infections in dogs and cats, and systemic mycotic infections in birds
  • Pharmacokinetics: Terbinafine is readily absorbed (>70%) when given orally, distributed to skin and into the sebum, and metabolized in the liver into demethylated, deaminated, and dealkylated conjugates

Antiviral Agents

Amantadine

  • No information is available in the text

Antifungal Agents

Amphotericin B

  • Amphotericin B is a polyene macrolide that is stabilized with sodium desoxycholate as a colloidal suspension
  • Mechanism of action: Amphotericin B binds to ergosterol of fungal cell membranes to form pores or channels, resulting in leakage of cell contents
  • Therapeutic uses: Amphotericin B is used to treat systemic fungal infections in dogs, cats, horses, and birds
  • Pharmacokinetics: Amphotericin B is not absorbed from the GI tract, slowly distributes to most tissues except the CNS, eye, and bone, and eliminated biphasically with plasma t1/2 of 24–48 hours and 1–2 weeks

Flucytosine

  • Flucytosine is a fluorinated pyrimidine that is deaminated by fungi (not mammalian cells) to 5-fluorouracil, a potent antimetabolite
  • Mechanism of action: Flucytosine inhibits thymidylate synthase and DNA and RNA synthesis in susceptible fungi
  • Therapeutic uses: Flucytosine is combined with amphotericin B for synergistic action in the treatment of cryptococcosis (especially meningeal cryptococcosis) in dogs and cats
  • Pharmacokinetics: Flucytosine is well absorbed orally and widely distributed, including the CNS, and excreted unchanged in urine

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