Antiparasitic
Antiparasitics are a class of
Broad-Spectrum antiparasitics, analogous to broad-spectrum antibiotics for bacteria, are antiparasitic drugs with efficacy in treating a wide range of parasitic infections caused by parasites from different classes.
Types
Broad-spectrum
Antiprotozoals
- Melarsoprol (for treatment of sleeping sickness caused by Trypanosoma brucei)
- Eflornithine (for sleeping sickness)
- Metronidazole (for vaginitis caused by Trichomonas)
- Giardia lamblia)
- Miltefosine (for the treatment of visceral and cutaneous leishmaniasis, currently undergoing investigation for Chagas disease)
Antihelminthic
Antinematodes
- Mebendazole (for most nematode infections)
- Pyrantel pamoate(for most nematode infections)
- roundworminfections)
- Diethylcarbamazine (for treatment of Lymphatic filariasis)
- river blindness)
Anticestodes
- tapeworminfections)
- Praziquantel (for tapeworm infections)
- Albendazole (broad spectrum)
Antitrematodes
Antiamoebics
- Rifampin
- Amphotericin B
Antifungals
Medical uses
Antiparasitics treat parasitic diseases, which impact an estimated 2 billion people.[1]
Administration
Antiparastics may be given via a variety of routes depending on the specific medication, including oral, topical, and intravenous.[4]
Resistance to antiparasitics has been a growing concern, especially in veterinary medicine. The Egg hatch assay can be used to determine whether a parasite causing an infection has become resistant to standard drug treatments.[10]
Drug development history
Early antiparasitics were ineffective, frequently toxic to patients, and difficult to administer due to the difficulty in distinguishing between the host and the parasite.[4]
Between 1975 and 1999 only 13 of 1,300 new drugs were antiparasitics, which raised concerns that insufficient incentives existed to drive development of new treatments for diseases that disproportionately target low-income countries. This led to new public sector and
Research
In the last decades, triazolopyrimidines and their metal complexes have been looked at as an alternative drug to the existing commercial antimonials, searching for a decrease in side effects and the development of parasite drug resistance.[13]
See also
- Balsam of Peru, which has antiparasitic attributes
- Naegleria fowleri
- Balamuthia mandrillaris
References
- ^ PMID 21628620.
- PMID 26474244.
- ^ PMID 12075057.
- ^ a b c d "ANTIPARASITICS". Purdue University Cytology Laboratories. Purdue Research Foundation. Retrieved 2015-08-30.
- PMID 24202339.
Nitazoxanide [NTZ: 2-acetyloxy-N-(5-nitro-2-thiazolyl)benzamide] is a thiazolide antiparasitic agent with excellent activity against a wide variety of protozoa and helminths. ... Nitazoxanide (NTZ) is a main compound of a class of broad-spectrum anti-parasitic compounds named thiazolides. It is composed of a nitrothiazole-ring and a salicylic acid moiety which are linked together by an amide bond ... NTZ is generally well tolerated, and no significant adverse events have been noted in human trials [13]. ... In vitro, NTZ and tizoxanide function against a wide range of organisms, including the protozoal species Blastocystis hominis, C. parvum, Entamoeba histolytica, G. lamblia and Trichomonas vaginalis [13]
- S2CID 219184877.
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- PMID 28521698.