Synergistic Activities of Fluconazole and Voriconazole with Terbinafine against Four Candida Species Determined by Checkerboard, Time-Kill, and Etest Methods

ABSTRACT The in vitro activities of fluconazole or voriconazole plus terbinafine were evaluated against 20 Candida isolates by the checkerboard, time-kill, and Etest methods. Synergism (C. albicans, C. glabrata, and C. tropicalis) and indifference (C. krusei) were observed. Correlation among methods was good. The Etest is a suitable method to determine drug interactions.

[1]  N. Wood,et al.  Pharmacokinetics and Safety of Voriconazole following Intravenous- to Oral-Dose Escalation Regimens , 2002, Antimicrobial Agents and Chemotherapy.

[2]  J. Pemán,et al.  Patterns of Amphotericin B Killing Kinetics against Seven Candida Species , 2004, Antimicrobial Agents and Chemotherapy.

[3]  M. Rinaldi,et al.  In Vitro Activities of Terbinafine in Combination with Fluconazole, Itraconazole, Voriconazole, and Posaconazole against Clinical Isolates of Candida glabrata with Decreased Susceptibility to Azoles , 2002, Journal of Clinical Microbiology.

[4]  A. Rodrigues,et al.  Antifungal activity of ibuprofen alone and in combination with fluconazole against Candida species. , 2000, Journal of medical microbiology.

[5]  D. Andes,et al.  In Vivo Pharmacokinetics and Pharmacodynamics of a New Triazole, Voriconazole, in a Murine Candidiasis Model , 2003, Antimicrobial Agents and Chemotherapy.

[6]  E. Bruck,et al.  National Committee for Clinical Laboratory Standards. , 1980, Pediatrics.

[7]  F. Müller,et al.  Synergism of Voriconazole and Terbinafine against Candida albicans Isolates from Human Immunodeficiency Virus-Infected Patients with Oropharyngeal Candidiasis , 2001, Antimicrobial Agents and Chemotherapy.

[8]  S. Clissold,et al.  Fluconazole. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in superficial and systemic mycoses. , 1990, Drugs.

[9]  J. Kovarik,et al.  Multiple-dose pharmacokinetics and distribution in tissue of terbinafine and metabolites , 1995, Antimicrobial agents and chemotherapy.

[10]  Plomarz R. Irani,et al.  Comparative Efficacies of Terbinafine and Fluconazole in Treatment of Experimental Coccidioidal Meningitis in a Rabbit Model , 2000, Antimicrobial Agents and Chemotherapy.

[11]  M. Worsley Infection control and prevention of Clostridium difficile infection. , 1998, The Journal of antimicrobial chemotherapy.

[12]  G. Silling Fluconazole: optimized antifungal therapy based on pharmacokinetics , 2002, Mycoses.

[13]  F. Barchiesi,et al.  In vitro activities of terbinafine in combination with fluconazole and itraconazole against isolates of Candida albicans with reduced susceptibility to azoles , 1997, Antimicrobial agents and chemotherapy.

[14]  R. Rathbun,et al.  Review of the safety and efficacy of voriconazole , 2002, Expert opinion on investigational drugs.

[15]  F. Barchiesi,et al.  In-vitro interaction of terbinafine with amphotericin B, fluconazole and itraconazole against clinical isolates of Candida albicans. , 1998, The Journal of antimicrobial chemotherapy.

[16]  M. Ghannoum,et al.  Quality Control Limits for Broth Microdilution Susceptibility Tests of Ten Antifungal Agents , 2000, Journal of Clinical Microbiology.

[17]  J. Meis,et al.  In Vitro Activities of Pentamidine, Pyrimethamine, Trimethoprim, and Sulfonamides against Aspergillus Species , 2002, Antimicrobial Agents and Chemotherapy.

[18]  D. Faulds,et al.  Terbinafine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in superficial mycoses. , 1992, Drugs.