2011
DOI: 10.1007/s12639-011-0040-9
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Therapeutic switching in leishmania chemotherapy: a distinct approach towards unsatisfied treatment needs

Abstract: Current drugs for the treatment of visceral leishmaniasis are inadequate. No novel compound is in the pipeline. Since economic returns on developing a new drug for neglected disease, leishmaniasis is so low that therapeutic switching represents the only realistic strategy. It refers to ''alternative drug use'' discoveries which differ from the original intent of the drug. Amphotericin B, paromomycin, miltefosine and many other drugs are very successful examples of ''new drugs from old''. This article reviews t… Show more

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Cited by 20 publications
(14 citation statements)
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“…FLU can favor the topical treatment of CL, because this drug presents high affinity for keratin prolonging its retention in the skin [ 12 ]; moreover FLU acts by inhibiting the P450 cytochrome that blocks the enzyme 14- α -demethylase, which is involved in the synthesis of the parasitic ergosterol membrane, thus helping to heal localised lesions [ 13 17 ].…”
Section: Introductionmentioning
confidence: 99%
“…FLU can favor the topical treatment of CL, because this drug presents high affinity for keratin prolonging its retention in the skin [ 12 ]; moreover FLU acts by inhibiting the P450 cytochrome that blocks the enzyme 14- α -demethylase, which is involved in the synthesis of the parasitic ergosterol membrane, thus helping to heal localised lesions [ 13 17 ].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, the extensive search for new drugs to treat leishmaniasis is definitely necessary because the limited number of currently available products present noticeable side effects and the resistance to these products is increasing ( Rocha et al 2005 ). Known antifungal drugs such as amphotericin B, miltefosine and azoles have also demonstrated activity against Leishmania parasites ( Moskowitz & Kurban 1999 , Tong et al 2007 , Shakya et al 2011 b). These successful results led to the development of the "therapeutic switching" or "alternative drug use" strategy ( Shakya et al.…”
mentioning
confidence: 99%
“…Known antifungal drugs such as amphotericin B, miltefosine and azoles have also demonstrated activity against Leishmania parasites ( Moskowitz & Kurban 1999 , Tong et al 2007 , Shakya et al 2011 b). These successful results led to the development of the "therapeutic switching" or "alternative drug use" strategy ( Shakya et al. 2011a ).…”
mentioning
confidence: 99%
“…However, the number of drugs used against this disease has been enriched by compounds already used against other diseases: antifungal azoles paromomycin sulfate (Humatin ® ) amphotericin B, miltefosine [15], and different approaches have been used in order to shorten courses of therapy and reduce toxicities [16].…”
mentioning
confidence: 99%