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Wirkungsweise und Pharmakokinetik neuerer Azol-Antimykotika

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Pilzinfektionen bei abwehrgeschwächten Patienten

Zusammenfassung

Paul Ehrlich gehörte zu den ersten, die konsequent darauf hingewiesen haben, daß es notwendig sei, Substanzen mit selektiver Toxizität zu entdecken, um eine erfolgreiche Chemotherapie mikrobiell verursachter Erkrankungen durchführen zu können. Es gilt also Unterschiede im Stoffwechsel von Mikro- und Makroorganis-men auszunutzen, um die Krankheitserreger maximal zu schädigen und den Wirtsorganismus zu schonen. In den meisten Fällen führten Zufälle auf die Spuren derartiger Wirkprinzipien. Dies gilt auch für die Azol-Antimykotika.

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Literatur

  • Bozzette SA, Larsen RA, Chiu J, Leal MAE, JacobsenJ, Rothman P, Robinson P, Gilbert G, McCutchan JA, Tilles J, Leedom JM, Richman DD and the California treatment group (1991) A placebo-controlled trial of maintenance therapy with fluconazole after treatment of cryptococcal meningitis in the acquired immunodeficiency syndrome. N Engl J Med 324:580–584

    Article  PubMed  CAS  Google Scholar 

  • Brammer KW, Farrow PR, Faulkner JK (1990) Pharmacokinetics and tissue penetration of fluconazole in humans. Rev Infect Dis 12 (Suppl 1):S318-S326

    Article  PubMed  Google Scholar 

  • Conney AH (1986) Induction of microsomal cytochrome P-450 enzymes: The first Bernhard B. Brodie lecture at Pennsylvannia State University. Life Sci 39:2493–2518

    Article  PubMed  CAS  Google Scholar 

  • Daneshmend TK, Warnock DW (1988) Clinical pharmocokinetics of ketoconazole. Clin Pharma-cokin 14:13–34

    Article  CAS  Google Scholar 

  • Daneshmend TK, Warnock DW, Ene MD, Johnson EM, Potten MR, Richardson MD, Williamson PJ (1984) Influence of food on the pharmacokinetics of ketoconazole. Antimicrob Agents Chemother 25:1–3

    PubMed  CAS  Google Scholar 

  • Denning DW, Follansbee SE, Scolaro M, Norris S, Edelstein H, Stevens DA (1991) Pulmonary aspergillosis in the acquired immunodeficiency syndrome. N Engl J Med 324:654–662

    Article  PubMed  CAS  Google Scholar 

  • Drouhet E, Dupont B (1987) Evolution of antifungal agents: past, present, and future. Rev Infect Dis 9 (Suppl 1):S4-S14

    Article  PubMed  CAS  Google Scholar 

  • Galgiani JN (1990) Suscetibility of Candida albicans and other yeasts to fluconazole: relation between in vitro and in vivo studies. Rev Inf Dis 12 (Suppl 3):S272-S275

    Article  CAS  Google Scholar 

  • Grant SM, Clissold SP (1989) Itraconazole. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in superficial and systemic mycoses. Drugs 37:310–344

    Article  PubMed  CAS  Google Scholar 

  • Grant SM, Clissold SP (1990) Fluconazole. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in superficial and systemic mycoses. Drugs 39:877–916

    Article  PubMed  CAS  Google Scholar 

  • Hardin TC, Graybill JR, Fetchick R, Woestenborghs R, Rinaldi MG, Kuhn JG (1988) Pharmacokinetics of intraconazole following oral administration to normal volunteers. Antimicrob Agents Chemother 32:1310–1313

    PubMed  CAS  Google Scholar 

  • Lazar JD, Wilner KD (1990) Drug interactions with fluconazole. Rev Infect Dis 12 (Suppl 1): S 327–S333

    CAS  Google Scholar 

  • Nebert DW, Go’nzalez FJ (1987) P-450 genes: structure, evolution, and regulation. Ann Rev Biochem 56:945–993

    Article  PubMed  CAS  Google Scholar 

  • Nebert DW, Nelson DR, Coon MJ, Estabrook RW, Feyereisen R, Fujii-Kuriyama Y, Gonzalez FJ, Guengerich FP, Gunsalus IC, Johnson EJ, Loper JC, Sato R, Waterman MR, Waxman DJ (1991) The P450 gene superfamily: Update on new sequences, gene mapping, and recommended nomenclature. DNA 10:1–14

    Article  CAS  Google Scholar 

  • Pont A, Graybill JR, Craven PC, Galgiani JN, Dismuks WE, Reitz RE, Stevens DA (1984) High-dose ketoconazole therapy and adrenal and testicular function in humans. Arch Intern Med 144:2150–2153

    Article  PubMed  CAS  Google Scholar 

  • Pont A, Goldman ES, Sugar AM, Siiteri PK, Stevens DA (1985) Ketoconazole-induced increase in estradiol-testosterone ratio. Probable explanation for gynecomastia. Arch Intern Med 145:1429–1431

    Article  PubMed  CAS  Google Scholar 

  • Richardson K, Cooper K, Marriott MS, Tarbit MH, Troke PF, Whittle PJ (1990) Discovery of fluconazole, a novel antifungal agent. Rev Inf Dis 12 (Suppl 3):S267-S271

    Article  CAS  Google Scholar 

  • Rodrigues AD, Waddell PR, Ah Sing E, Morris BA, Wolf CR, Ioannides C (1988) Induction of the rat hepatic microsomal mixed-function oxidases by 3 imidazole-containing antifungal agents: Selectivity for the cytochrome P450 IIB and P450III families of cytochromes P450. Toxicol 50:283–301

    Article  CAS  Google Scholar 

  • Saag MS, Dismukes WE (1988) Azole antifungal agent: Emphasis on new triazoles. Antimicrob Agents Chemother 32:1–8

    PubMed  CAS  Google Scholar 

  • Shepherd FA, Hofert B, Evans WK, Emery G, Trachtenberg J (1985) Ketoconazole. Use in the treatment of ectopic adrenocorticotropic hormone production and Cushing’s syndrome in small-cell lung cancer. Arch Intern Med 145:863–864

    Article  PubMed  CAS  Google Scholar 

  • Sugar AM, Stern JJ, Dupont B (1990) Overview: treatment of cryptococcal meningitis. Rev Infect Dis 12(Suppl 3):S338-S348

    Article  PubMed  Google Scholar 

  • Tarbit MH (1990) Pharmacokinetic aspects of antifungal therapy. In: Ryley JF (Ed) Chemotherapy of fungal diseases, Springer, Berlin Heidelberg New York, pp 183–204

    Chapter  Google Scholar 

  • Thorpe JE, Baker N, Bromett-Petit M (1990) Effect of oral antacid administration on the pharmacokinetics of oral fluconazole. Antimicrob Agents Chemother 34:2032–2033

    PubMed  CAS  Google Scholar 

  • Trenk D, Brett W, Jähnchen E, Birnbaum D (1987) Time course of cyclosporine/itraconazol interaction. Lancet 11:1335–1336

    Article  Google Scholar 

  • Tricot G, Joosten E, Boogaerts MA, Vande Pitte J, Cauwenbergh G (1987) Ketoconazole versus Itraconazole for antifungal prophylaxis in patients with severe granulocytopenia: Preliminary results of two non-randomized studies. Rev Infect Dis 9 (Suppl 1):S94-S99

    Article  PubMed  Google Scholar 

  • Troke PF, Andrews RJ, Pye GW, Richardson K (1990) Fluconazole and other azoles: translation of in vitro activity to in vivo and clinical efficacy. Rev Inf Dis 12 (Suppl 3):S276-S280

    Article  CAS  Google Scholar 

  • Van Cauteren H, Heykants J, de Coster R, Cauwenbergh G (1987) Itraconazole: pharmacologic studies in animals and humans. Rev Inf Dis 9 (Suppl 1):S43-S46

    Article  Google Scholar 

  • Vanden Bossche H (1985) Biochemical targets for antifungal azole derivatives: hypothesis on the mode of action. Curr Top Med Mycol 1:313–351

    Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Stahlmann, R., Schulz-Schalge, T., Lode, H. (1991). Wirkungsweise und Pharmakokinetik neuerer Azol-Antimykotika. In: Staib, F., Huhn, D. (eds) Pilzinfektionen bei abwehrgeschwächten Patienten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76845-3_9

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  • DOI: https://doi.org/10.1007/978-3-642-76845-3_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-54391-6

  • Online ISBN: 978-3-642-76845-3

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