Interaction of local anaesthetics with other antifungal agents against pathogenic Aspergillus.

Abstract:

:Aspergillus spp. are responsible for an increasing number of fungal infections in immunocompromised and transplant patients. Local anaesthetics (LAs) are growth inhibitors of bacteria and yeasts. Subinhibitory concentrations of the LAs lidocaine and bupivacaine blocked the germination of Aspergillus fumigatus, Aspergillus flavus and Aspergillus niger whilst also showing a positive interaction in vitro with the antifungal activity of amphotericin B, itraconazole and caspofungin and a negative interaction with voriconazole. At higher concentrations, both LAs present fungicidal activity against resting conidia owing to cell membrane lesions. Verapamil, nifedipine and lanthanum produced a similar inhibitory effect on conidia germination. Calcium chloride reverted the inhibitory effect of verapamil and LAs. This study highlights that drug interactions may affect the clinical efficacy of antifungals, either promoting or limiting their action.

authors

Rodrigues AG,Araujo R,Pina-Vaz C

doi

10.1016/j.ijantimicag.2005.11.011

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

339-43

issue

4

eissn

0924-8579

issn

1872-7913

pii

S0924-8579(06)00022-7

journal_volume

27

pub_type

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