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Fluconazole, like many other antifungals, has a classic mechanism of action: it inhibits a fundamental enzyme in the metabolism of fungi. Although this same enzyme also inhabits mammals, its action is much weaker and does not represent a risk. Remember that fluconazole is one of many drugs approved by the FDA many years ago. In theory, what happens is that the fungus can no longer adequately synthesize its cytoplasmic membrane, fundamental for it to continue functioning, and begins to accumulate sterols or molecules that it should not. Depending on the dose of this drug used, we could have an effect that ranges from static, where the fungus is not killed, but stops its proliferation, to fungicide, where it ends completely.
Publications will be authored by the investigators and authorship offered according to NHMRC criteria. Dr Kranzler has been a consultant, advisory board member or continuing medical education speaker for Alkermes, Lundbeck and Otsuka. DOC kb.
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