🏥 Fungal, Parasitic & Metabolic Diseases

by Didactic Med

Comprehensive Guide to Infectious, Metabolic & Other Conditions

6
Fungal Infections
5
Parasitic Diseases
3
Metabolic Disorders
2
Other Conditions

© 2024 Didactic Med - Educational Medical Tools

Evidence-based content for medical education

💊 Medication Quick Reference

Common medications for infectious & metabolic diseases

🦠 Antifungal Medications

Voriconazole
Loading: 6mg/kg IV q12h × 2, then 4mg/kg q12h
First-line for invasive aspergillosis
Liposomal Amphotericin B
3-5 mg/kg/day IV
Severe fungal infections, mucormycosis
Fluconazole
400-800mg daily
Candidiasis, cryptococcal maintenance
Posaconazole
300mg IV/PO daily
Prophylaxis, salvage therapy
Itraconazole
200mg BID
Histoplasmosis, mild aspergillosis
Echinocandins (Caspofungin)
70mg loading, then 50mg daily
Invasive candidiasis

🪱 Antiparasitic Medications

Praziquantel
40-60 mg/kg in divided doses
Schistosomiasis, cysticercosis
Albendazole
15 mg/kg/day (max 800mg)
Cysticercosis, hydatid disease
Artemether-Lumefantrine
4 tablets BID × 3 days
Uncomplicated malaria
IV Artesunate
2.4 mg/kg at 0, 12, 24h, then daily
Severe malaria
Pyrimethamine + Sulfadiazine
Pyri 200mg load → 75mg daily + Sulfa 1g QID
Toxoplasmosis treatment
Sodium Stibogluconate
20 mg/kg/day IM/IV × 20-30 days
Visceral leishmaniasis

🧬 Metabolic Disorder Treatments

Sapropterin (Kuvan)
10-20 mg/kg/day
PKU - BH4 responsive patients
Pegvaliase (Palynziq)
Titrate from 2.5mg to 20-40mg daily
Adult PKU patients
Enzyme Replacement Therapy
Disease-specific dosing
Various mucopolysaccharidoses
Medical Foods (PKU)
Individualized to maintain Phe levels
Phenylketonuria dietary management

🏥 Other Important Medications

Prednisone
0.5-1 mg/kg/day
Sarcoidosis, allergic bronchopulmonary aspergillosis
Methotrexate
10-25 mg weekly
Steroid-sparing agent for sarcoidosis
Oral Retinoids
Acitretin 25-50mg daily
Severe ichthyosis
Trimethoprim-Sulfamethoxazole
1 DS tablet daily
Toxoplasma prophylaxis (CD4 <100)

📊 Key Dosing Reminders

⚠️ Always verify dosing with current guidelines

  • Adjust antifungals for renal/hepatic function
  • Monitor drug levels for voriconazole
  • Check G6PD before primaquine
  • Consider drug interactions with azoles
  • Monitor Phe levels in PKU treatment