Paper II
2024 March (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Triazole Antifungal agents.

Q84 marksShort Answers

Answer

Triazole antifungals inhibit fungal cytochrome P450 14-alpha-demethylase, blocking conversion of lanosterol to ergosterol.

Examples: Fluconazole, Itraconazole, Voriconazole, Posaconazole.

Uses: Fluconazole — candidiasis, cryptococcal meningitis (good CNS penetration); Itraconazole — dermatophyte and dimorphic fungal infections; Voriconazole — invasive aspergillosis, the current first-line agent for this indication.

Adverse effects: hepatotoxicity, CYP450 inhibition (numerous drug interactions), visual disturbances (voriconazole specifically), teratogenicity.

Other Years Asked


Revise MBBS
Preview