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Antifungal Agents
Antifungal Agents ,[object Object],[object Object]
Fungi ,[object Object],[object Object],[object Object]
Yeasts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Molds ,[object Object],[object Object]
Mycotic Infections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mycotic Infections ,[object Object],[object Object],[object Object]
Mycotic Infections ,[object Object],[object Object],[object Object]
Mycotic Infections ,[object Object],[object Object],[object Object]
Antifungal Agents ,[object Object],[object Object],[object Object],[object Object]
Antifungal Agents ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antifungal Agents: Mechanism of Action ,[object Object],[object Object],[object Object],[object Object]
Antifungal Agents: Mechanism of Action ,[object Object],[object Object],[object Object],[object Object]
Antifungal Agents: Mechanism of Action ,[object Object],[object Object],[object Object],[object Object]
Antifungal Agents: Mechanism of Action ,[object Object],[object Object],[object Object]
Antifungal Agents:  Side Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antifungal Agents:  Side Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antifungal Agents:  Nursing Implications ,[object Object],[object Object],[object Object]
Antifungal Agents:  Nursing Implications ,[object Object],[object Object],[object Object]
Antifungal Agents:  Nursing Implications ,[object Object],[object Object],[object Object],[object Object]
Antifungal Agents:  Nursing Implications ,[object Object],[object Object],[object Object]
Antifungal Agents:  Nursing Implications ,[object Object],[object Object],[object Object],[object Object]
Antifungal Drugs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Drug of Choice for most systemic fungal infections.  Even those  susceptible to others but where the disease rapidly progressive, in  Immunocompromized or involves CNS. www.freelivedoctor.com
Model for Amphotericin B induced  Pore in Cell Membrane In fungi: ergosterol in membranes: higher affinity than mammalian cholesterol for AmB www.freelivedoctor.com
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Q A SNGFR R E R A P GC ΔP P T K f Influence of Amphotericin B Infusion on  Determinants of Single Nephron GFR www.freelivedoctor.com
Influence of Amphotericin B on intracellular Ca ++  levels in glomerular mesangial cells Theory Pore ↑  Na entry Depolarization Voltage-dep. Ca channels Contraction www.freelivedoctor.com
Calcium channel blockers  are protective against  AmB- nephrotoxicity in-vivo in rats Salt loading is  protective against  nephrotoxicity in vivo  in animals www.freelivedoctor.com
Salt loading or Supplements Protect Against AmB- Nephrotoxicity In Humans www.freelivedoctor.com
Alternative Formulations to Decrease Toxicity www.freelivedoctor.com
Lipid formulations: 20-50 times more  expensive than  AmB-deoxycholate www.freelivedoctor.com
Renal Effects of AmB-DOC & Liposomal AmB www.freelivedoctor.com
f-AmB L-AmB f-AmB L-AmB AmB-DOC Differential Effects of L-AmB on Mammalian  and Fungal Cells, in Contrast to free AmB RBC Fungal Cell www.freelivedoctor.com
www.freelivedoctor.com
5-Fluorocytosine A fluorinated pyrimidine ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
The Azoles Imidazoles and Triazoles ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Ketoconazole (older, more toxic, replaced by itraconazole, but less costly) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Triazoles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Other Antifungal Agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

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Antifungal agents

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Drug of Choice for most systemic fungal infections. Even those susceptible to others but where the disease rapidly progressive, in Immunocompromized or involves CNS. www.freelivedoctor.com
  • 25. Model for Amphotericin B induced Pore in Cell Membrane In fungi: ergosterol in membranes: higher affinity than mammalian cholesterol for AmB www.freelivedoctor.com
  • 26.
  • 27. Q A SNGFR R E R A P GC ΔP P T K f Influence of Amphotericin B Infusion on Determinants of Single Nephron GFR www.freelivedoctor.com
  • 28. Influence of Amphotericin B on intracellular Ca ++ levels in glomerular mesangial cells Theory Pore ↑ Na entry Depolarization Voltage-dep. Ca channels Contraction www.freelivedoctor.com
  • 29. Calcium channel blockers are protective against AmB- nephrotoxicity in-vivo in rats Salt loading is protective against nephrotoxicity in vivo in animals www.freelivedoctor.com
  • 30. Salt loading or Supplements Protect Against AmB- Nephrotoxicity In Humans www.freelivedoctor.com
  • 31. Alternative Formulations to Decrease Toxicity www.freelivedoctor.com
  • 32. Lipid formulations: 20-50 times more expensive than AmB-deoxycholate www.freelivedoctor.com
  • 33. Renal Effects of AmB-DOC & Liposomal AmB www.freelivedoctor.com
  • 34. f-AmB L-AmB f-AmB L-AmB AmB-DOC Differential Effects of L-AmB on Mammalian and Fungal Cells, in Contrast to free AmB RBC Fungal Cell www.freelivedoctor.com
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.