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Anti Fungal Agents
Dr. Naga Prashant Koppuravuri, M.Pharm, Ph.D, FAGE.,
Assistant Professor,
Department of Pharmaceutical Chemistry
31-03-2021
Dr. Naga Prashant K 2
• Mycology is the branch of biology concerned with the study of fungi
• A fungus is a eukaryote that digests food externally and absorbs nutrients
directly through its cell walls.
• Systemic Mycoses
• Cutaneous Infections (Dermatophytoses)
• Opportunistic Fungal Infections
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Dr. Naga Prashant K 3
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Dr. Naga Prashant K 4
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Dr. Naga Prashant K 5
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Dr. Naga Prashant K 6
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Dr. Naga Prashant K 7
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Dr. Naga Prashant K 8
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Dr. Naga Prashant K 9
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Dr. Naga Prashant K 10
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Dr. Naga Prashant K 11
Azole anti fungal agents
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Dr. Naga Prashant K 12
• Azoles—Imidazoles and Triazoles
• Azole antifungal agents are the largest class of antimycotics available today,
with more than 20 drugs on the market
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Dr. Naga Prashant K 13
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Dr. Naga Prashant K 14
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Dr. Naga Prashant K 15
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Dr. Naga Prashant K 16
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Dr. Naga Prashant K 17
Azoles inhibit the
oxidative
14-demethylation of
lanosterol blocking
ergosterol synthesis
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Dr. Naga Prashant K 18
MECHANISM OF ACTION
• All the azoles act by inhibiting ergosterol biosynthesis through
inhibition of the 14a-demethylase, CYP51, discussed earlier under
ergosterol biosynthesis (Site 2).
• The N3 atom is essential for binding to the 14α-demethylase.
• The basic N3 atom of the azole forms a bond with the heme iron of
the CYP450 prosthetic group in the position normally occupied by the
activated oxygen.
• Increased levels of 14α-methyllanosterol, 4,14-dimethylzymosterol,
and 24-metheylene dihydrolanosterol result from this inhibition
weakening the fungal cell membrane leading to a leaky membrane.
31-03-2021
Dr. Naga Prashant K 19
Topical Agents for Dermatophytoses
• Since these infections tend to be topical, their treatment has been directed to
surface areas of the skin.
• The skin is a formidable barrier to drug penetration, and many of the topical
agents work best if an adjuvant is added that opens the barrier function of
the skin.
• Keratolytic agents such as salicylic acid or other -hydroxy compounds
perform this function reasonably well.
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Dr. Naga Prashant K 20
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Dr. Naga Prashant K 21
FATTY ACIDS
Propionic acid
Zinc Propionate
sodium caprylate
zinc caprylate
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Dr. Naga Prashant K 22
Undecylenic acid
(Desenex, Cruex)
Triacetin
Glyceryl triacetate
(Enzactin, Fungacetin)
Salicylic acid
m-Hydroxyphenol
(resorcinol)
benzoic acid
31-03-2021
Dr. Naga Prashant K 23
PHENOLS AND THEIR DERIVATIVES
Haloprogin
3-Iodo-2-propynyl-2,4,5-trichlorophenyl ether
(Halotex)
Clioquinol
iodochlorhydroxyquin
(Vioform)
Ciclopirox Olamine
(Loprox)
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Dr. Naga Prashant K 24
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Dr. Naga Prashant K 25
Nucleoside Antifungals
Flucytosine
5-Fluorocytosine, 5-FC,
(Ancobon)
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Dr. Naga Prashant K 26
Antifungal Antibiotics
POLYENES
(Fungizone)
Streptomyces nodosus
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Dr. Naga Prashant K 27
(Mycostatin)
Streptomyces noursei
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Dr. Naga Prashant K 28
Natamycin
(pimaricin; Natacyn)
Streptomyces natalensis
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Dr. Naga Prashant K 29
Griseofulvin
(Grisactin, Gris-PEG, Grifulvin)
Penicillium griseofulvum
Other Antifungal Antibiotics
Allylamines and Related Compounds
• The allylamine class of antifungal agents was discovered as a result of
random screening of a chemical inventory for compounds with antifungal
activity.
• Structure–activity studies in the series subsequently led to the discovery of
compounds with enhanced potency and potential oral activity, such as
terbinafine.
• Investigation of the mechanism of action of the allylamines demonstrated
that the compounds interfere with an early step in ergosterol biosynthesis,
namely, the epoxidation of squalene catalyzed by squalene epoxidase.
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Dr. Naga Prashant K 30
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Dr. Naga Prashant K 31
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Dr. Naga Prashant K 32
Naftifine Hydrochloride
(Naftin)
Terbinafine Hydrochloride
(Lamisil)
Tolnaftate
(Tinactin, Aftate, NP-27)
31-03-2021
Dr. Naga Prashant K 33
Synthesis of Tolnaftate
31-03-2021
Dr. Naga Prashant K 34

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