Antifungals, anthelminthics, antiprotozoal drugs - worksheet questions Name and Surname: Rearatwa Mamogale Student number: 202016931 Course: BSc DIET III 1. List four classes of antifungal drugs Echinocandins Antifungal azoles Polyene drugs Allylamines 2. List six cellular targets of antifungal drugs Cell wall DNA Synthesis Nucleus Plasma membrane Endoplasmic reticulum Mitotic spindle 3. Give an example of an antifungal drug that is a Naturally occurring polyene macrolide antibiotic Amphotericin B 4. Discuss the pharmacokinetics of amphotericin B Not absorbed orally May be detected 7 weeks after discontinuation. Injectable preparations require addition of sodium deoxycholate. The half-life is about 24 hours, but up to 15 days with repeated doses Extensively bound to plasma proteins and is distributed throughout the body Eliminated slowly in urine 5. Which antifungal drug can be used for candida albicans and other candida species but not effective against skin infections caused by the dermatophytes? Nystatin 6. Which antifungal is a drug of choice for treating dermatophytosis and onychomycoses (nail fungal infection)? Terbinafine 7. Discuss the mechanism of action of terbinafine It inhibits fungal squalene decreasing the synthesis of ergosterol 8. Which antifungal is used for hair infections and requires treatment of 6 to 12 months? Griseofulvin 9. Is griseofulvin fungistatic or fungicidal? Fungistatic 10. Discuss the pharmacokinetics of griseofulvin in terms of absorption Oral absorption enhanced by fat containing meals 11. List three drugs classified as echinocandins Caspofungin Micafungin Anidulafunginare 12. List three drugs that can be used for local oral treatment Miconazole Nystatin Clotrimazole 13. List five species of the protozoal genus Plasmodium that causes malaria Plasmodium falciform P. vivax P. knoweles P. ovale P. malariae 14. List four antiprotozoal drugs used for malaria prophylaxis Doxycycline Mefloquine Chloroquine Atovaquone-proguanil 15. Which antiprotozoal is usually administered in combination with doxycycline, tetracycline, or clindamycin? Quinine 16. Discuss the pharmacokinetics of chloroquine Absorbed orally Distributed in erythrocytes, spleen, liver Kidneys and melanin containing Excreted in urine Tissues and leukocytes 17. List two anthelminthics used as chemotherapy for nematodes Ivermectin Mebendazole 18. Which anthelminthic is used as chemotherapy for trematodes Praziquantel 19. List two anthelminthics used as chemotherapy for cestodes Albendazole Niclosamide 20. Which anthelminthic is a drug of choice in inoperable cases and is used prophylactically before and after surgery? Albendazole