Question
Griseofulvin
Q53 marksShort Notes
Answer
Griseofulvin is an antifungal active against dermatophytes.
Mechanism of action
- Deposits in keratin precursor cells of skin/hair/nails
- Binds to fungal microtubular protein, disrupting mitotic spindle formation and inhibiting fungal cell division (fungistatic)
Uses
- Dermatophytosis (tinea infections of skin, hair, nails) — not effective against Candida or other yeasts
Adverse effects
- GI upset, headache
- Hepatotoxicity
- Photosensitivity
- Disulfiram-like reaction with alcohol
- Enzyme induction — reduces efficacy of oral contraceptives, warfarin
- Contraindicated in pregnancy (teratogenic) and porphyria
- 1Antifungal Drugs
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