In vitro activities of terbinafine in combination with fluconazole and itraconazole against isolates of Candida albicans with reduced susceptibility to azoles

Antimicrob Agents Chemother. 1997 Aug;41(8):1812-4. doi: 10.1128/AAC.41.8.1812.

Abstract

A checkerboard microdilution method was applied to study the in vitro interaction of terbinafine with either fluconazole and itraconazole against 30 strains of Candida albicans. Synergy was observed in 40% of the terbinafine-fluconazole interactions and in 43% of the terbinafine-itraconazole interactions, while antagonism was not observed. Even when only additivity was achieved, the combinations still showed beneficial effects since at least twofold reductions in the MICs of both drugs were found in 100% of the terbinafine-fluconazole interactions and in 76% of the terbinafine-itraconazole interactions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology*
  • Azoles / pharmacology*
  • Candida albicans / drug effects*
  • Drug Interactions
  • Drug Therapy, Combination
  • Fluconazole / pharmacology*
  • Itraconazole / pharmacology*
  • Microbial Sensitivity Tests
  • Naphthalenes / pharmacology*
  • Terbinafine

Substances

  • Antifungal Agents
  • Azoles
  • Naphthalenes
  • Itraconazole
  • Fluconazole
  • Terbinafine