Paper II
2016 October (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Two differences between ketoconazole and fluconazole

Q81 marksShort Answers

Answer

  • Route/spectrum: Ketoconazole is used mainly topically/for superficial infections and has significant hepatotoxicity limiting systemic use; fluconazole has good oral bioavailability, excellent CSF penetration, and is preferred for systemic infections including cryptococcal meningitis
  • Drug interactions/toxicity: Ketoconazole is a stronger CYP450 inhibitor with more drug interactions and greater hepatotoxicity risk; fluconazole has fewer interactions and a better safety profile

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