83. Drogas Usadas Leishmaniasis, Tripanosomiasis y Toxoplasmosis
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Transcript of 83. Drogas Usadas Leishmaniasis, Tripanosomiasis y Toxoplasmosis
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8/17/2019 83. Drogas Usadas Leishmaniasis, Tripanosomiasis y Toxoplasmosis
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UNIVERSIDAD CENTRAL DEL ECUADORFACULTAD DE CIENCIAS MÉDICAS
CARRERA DE MEDICINACÁTEDRA DE FARMACOLOGÍA
83. DROGAS USADAS: LEISHMANIASIS,
TRIPANOSOMIASIS Y TOXOPLASMOSISINTEGRANTES
Simba Góm! Ma"i#$i %a!m&'S()i* T(""* Rai*a N()ia
S#+"! Ci*'"(* Dia'a E*-a'&a
P7 – 5to
DR. ANTONIO SALAS
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L E I S H M AN I AS I S
FORMAS CLINICAS• CUTANEA L. m$i/a'a 0 L. b"a!i)i'*i*• MUCOCUTANEA L. "(1i/a), L. ma2(" L. a3i(1i/a• VICERAL L. 4('(5a'i, L. i'-a'#m 0 L.
/3a6a*i
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ANTIMONIALESPENTAVALENTES
7 E*ib(6)#/('a( 4*(4i( 81'(*am9
7a'im('ia( 4m6)#mi'a
8G)#/a'im9
7 Vi*/"a)
7 M#/(/#+'a
7/#+'a
I'""' /(' )*i*ma "4($
"i1a'(i(' 0 6)#ai(' i'3ib )a '!ima
"i1a'(i(' "4#/a*a
A4mi'i*"a/ió':I'"am#*/#)a",
i'"a5'(*a
E$/"/ió' "'a)
Vi4a m4ia ;3
E-/(* a45"*(*:4bi)i4a4, mia)6ia,a""a)6ia, /-a)a,)a"6ia, ma)*a"
6'"a)
4()(" ' )#6a" 4 )a
i'0//ió',"(mb(B 4&a*
M#/(/#+'a:>?m6@6@4&a 1(" ?
4&a*
L*i('* 4"mi/a*'i/a*: 7m) i'"5a)(
4 4&a*
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MILTEFOSINAEm1)a4( ')a*m+*a*i* '/+'/" 4*'(, /('"a1"((!((*
1a"a )a**1/i* 4)i*3ma'ia1a'am'*i* 06#0a''*i*
A/a /('"a1"(ma*i6(*0 ama*i6(*,
Ma* -/i5a 'L. 4('(5a'i75i*/"a)
E' T"i1a'(*(ma/"#!i 1"( '(' T. b"#/i
A)"a. Mab()i*m( 4)&1i4(* ' )ammb"a'a
>. I'"" )a*
*a)* /)#)a"*. bi(*&'*i* 4)6)#/(*i)-(*-ai4i)i'(*i()
La m#a/ió' ' )a/('-("ma/ió' 4 )a
)i1(1"(&'aATPa*a i1( P4"mi'a )aa1a"i/ió' 4"*i*'/ia
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A4mi'i*"a/ió' ("a)
Vi4a m4ia ;7B 4&a*
NO i5 1(" '" a/i5i4a43m()&i/a
A"4(" 1i6a*"i(, '+#*a, 5ómi(,4ia""a, * 3a/' ma* *5"(* ')a* #)ima* *ma'a* 4
"aami'(
NO ' 'i(* m'("* 4 > a(* 0mba"a!a4a*
D )//ió' ' Li*3ma'ia*i*5i*/"a): >,m6@6@4&a 4i5i4i4a ' 4(*i* 1(" >B 4&a*
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PENTAMIDINA
P'ami4i'a, *i)mi4i'a 0 1"(mi4i'a *(' 4"i5a4(*4 )a 4iami4i'a
A4mi'i*"a/ió' i'"am#*/#)a" i'"a5'(*a,$/"/ió' "'a)
Vi4a m4ia ; 3I'""' ' )a
-("ma/ió' 4 ADN1a"a*ia"i(,
"a'*-("ma/ió' 4-()a(, i'3ib )a*
(1(i*(m"a*a ATP741'4i'* 4)
P'#m(/0*i* 2i"(5//i
T"aami'( 4 )a -("ma 5i*/"a) 0m#/(/#+'a 4 )i*3ma'ia*i*"*i*'* a )(* a'im('ia)*
1'a5a)'*-a* m1"a'a 4 "i1a'(*(mia*i*a-"i/a'a, ' )a '#m('&a 4 P. 2i"(5//i
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N-"(($i/a, 31a(($i/a, *( "5"*ib)*/(' )a 4*/('i'#a/ió' 4) -+"ma/(
A4mi'i*"a/ió' IV m#0 "+1i4a3i1('*ió', ma"(, /-a)a,
5ómi(, a#i/a"4ia, a#i1'a.IM 4()(", 3i'/3a!ó', ab*/*(*"i), '/"(*i* m#*/#)a" ' ))#6a" 4 i'0//ió'
P#4 3ab" )#/(1'ia, a'mia,"(mb(/i(1'ia, 3i1(6)i/mia,3i1(/a)/mia, 3i1"a)mia
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ANFOTERICINA J
a'ibiói/( 1()i'i/(#*a4( ' )
"aami'( 4 )a*
mi/(*i* *i*mi/a*,)i*3ma'ia*i*
5i*/"a), a'-("i/i'aJ a*(/ia4a a )&1i4(*
A4mi'i*"a/ió' IV 'i'-#*ió' /('i'#a,
a"a5i*a )a 1)a/'a0 m'i'6*
E$/"/ió' "'a)
7 I'3ib )(*
1"/#"*("* 4)"6(*"()
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TRATAMIENTO DE LA TRIPANOSOMIASIS
E'-"m4a4 4C3a6a* (
"i1a'(*(mia*i*am"i/a'a
P"(4#/i4a 1("1a"+*i(*
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TRATAMIENTO CHAGAS
NI"(-#"a'(* : 'i-#"im($ 0'i"(imi4a!()
SINTOMATOLOGÍA
Mi(/a"4i(1a&aM6a/()('
M6a*ó-a6( TRATAMIENTO T. AFRICANA
P'ami4i'a 0 *#"ami'a
E-/i5a* '-a* a6#4a (
3m()i'-+i/a
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NIFURTIM X7D"i5a4( 'i"(-#"a'(
EFECTOS FARMACOLÓGICOS
7A/a *(b" -("ma* i'"a 0"a/)#)a"*: T"i1a'(ma*i(* 0 ama*i6(*
MECANISMO DE ACCIÓN
7G'"a 1"(4#/(* "a/i5(* ($i4a':*#1"ó$i4(, 1"ó$i4( 4 3i4"ó6'( 0
"a4i/a)* 3i4"($i)(
7Daa )a mmb"a'a /)#)a"1a"a*ia"ia, i'a/i5a/ió' '!im+i/a,
4a( 4) ADN
FARMACOCINÉTICA
Ab*("/ió' 6a*"(i'*i'a)
S 4i*"ib#0 1(" (4(* )(* 2i4(* 0)&#i4(* /("1("a)*
Pa*a )a 1)a/'a 0 ) LCRE-/( 1"im" 1a*( ' ) 3&6a4(
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FARMACOPATOLOGÍAGastrointstina!s " A'("$ia D()(" ab4(mi'a)N+#*a* Vómi(
SNC" i'*(m'i(, /-a)a, ma"(, $/ia/ió', 4)i"i(,1*i/(*i*
#i$rsnsi%i!i&a&" 4"maii*, b", i/"i/ia,a'a)a$ia
USOS
F("ma a6#4a 4C3a6a* 0 i'
a/i5i4a4 /('"a )a'-"m4a4 4) *#(
L#/(1'ia T"(mb(/i(1
'iaD-("ma/ió'( 4i*mi'#/ió'
4*1"ma(!(i
4*
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JENKNIDAKOLMECANISMO DE
ACCIN
I'"" /(' )a *&'*i*4 ma/"(m()/#)a*
FARMACOCINÉTICA7Ab*("b ' "a/(6a*"(i'*i'a)
7S )imi'a "ió'
7VM> 3("a*
FARMACOPATOLOGÍAN+#*a, 5ómi(, 4()("
ab4(mi'a),1()i'#"(1a&a 04"maii*, "a*3,
$a'ma*
INTERACCIONES
N( i'6"i" a)/(3()
C('"ai'4i/a4( 'mba"a!( 0 m'("*
4 > a(*
USOS
A'i7 T. /"#!i, m2("()"a4( 1(" )(* 'i(*
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EFLORNITHINE A'+)(6( 4) ("'i3i' E*ab) 0 * ma'i' a m1"a#"a ambi' T"aa" '-"m4a4 4) *#( T. b.6ambi'*
EFECTOS FARMACOLGICOS
I'3ib i""5"*ib)m' )a '!ima("'i3i' 4*/a"b($i)a*a
I'""#m1i'4( )a *&'*i* 41()iami'a* "#"i4a* 1a"a )a 4i5i*ió'0 4i-"'/ia/ió'
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Fa"ma/(/i'i/a
Vi4am4ia 4
3("a*
E)imi'a/ió' "'a)
Ni(*)imi'a'
ma*
"+1i4(
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Fa"ma/(1a()(6&a
Hi1"*'*ibi)i
4a4
Vómi(D()("ab4(mi'a)
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U*(*
T"i1a'(*(miami* 3m()i'-ai/a
T"i1a'(*(miami*
m'i'6('/-a)ii/a
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Piri'ta'ina
I'3ib4i3i4("-()a("4#/a*a
Fa"ma/(1a()(6& a•D1"*ió' 43ma(1(0*i*•D()(" ab4(mi'a)•Vómi(•A'miam6a)(b)+*i/a•
Ma"(•i'*(m'i(
Fa"ma/(/i'i/a
•Ab*("/ió' i'*i'a)•Vi4a m4ia 3("a*•Mab()i!a4a '3&6a4(•E)imi'a/ió' "'a)
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C('"ai'4i/a/i('*• Emba"a!( 8"
"im*"9
• Hi1"*'*ibi)i4a4
U*(*• A'i1a"a*ia"i(• T"aami'( 0
1"()a$i* 4
($(1)a*m(*i*• P"()a$i* 4 ma)a"ia
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E*1i"ami/i'a
Pa"/i4( a )a"i"(mi/i'a
Fa"ma/(/i'i/a• A4mi'i*"a/ió' ("a)• Vi4a m4ia B 3("a*• Mab()i!a4a ' )
3&6a4(• E)imi'a/ió' "'a) 0
-/a)
Fa"ma/(1a()(6& a• Dia""a• Vómi(• Na#*a
U*(*• I'-//i('*
ba/"ia'a*• T($(1)a*m(*i*• C"i1(1("i4i(*i*
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A#(5a#('• D"i5a4( 43i4"($i'a1(#i'('a
S#)-a4ia!i'a• E)imi'a/ió' "'a)• A"a5i*a ba"""a
3ma('/-+)i/a
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