5-fluorocytosine susceptibility of pathogenic fungi in the presence of allopurinol: potential for improving the therapeutic index of 5-fluorocytosine

Antimicrob Agents Chemother. 1983 Sep;24(3):448-9. doi: 10.1128/AAC.24.3.448.

Abstract

The minimal inhibitory concentration of 5-fluorocytosine in 18 pathogenic fungal isolates was not altered by either allopurinol (100 microM) or oxypurinol (100 microM). Since allopurinol at this level clinically has been demonstrated to interfere with 5-fluorouracil anabolism, thereby reducing toxicity owing to 5-fluorouracil, allopurinol may be useful in counteracting the 5-fluorouracil-induced myelotoxicity observed in patients being treated with 5-fluorocytosine without interfering with the antifungal activity of 5-fluorocytosine.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Allopurinol / pharmacology*
  • Cytosine / analogs & derivatives*
  • Drug Interactions
  • Flucytosine / pharmacology*
  • Fungi / drug effects*

Substances

  • Allopurinol
  • Cytosine
  • Flucytosine