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.
- 1Antifungal Drugs
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