🦠microbiology review

Miltefosine

Written by the Fiveable Content Team • Last updated September 2025
Written by the Fiveable Content Team • Last updated September 2025

Definition

Miltefosine is an antimicrobial agent effective against certain protozoal infections, particularly leishmaniasis and amoebic meningoencephalitis. It works by disrupting cell membrane integrity and inhibiting cellular functions of the parasites.

5 Must Know Facts For Your Next Test

  1. Miltefosine is an FDA-approved drug for the treatment of visceral, cutaneous, and mucosal leishmaniasis.
  2. It is also used off-label to treat infections caused by free-living amoebae such as Naegleria fowleri.
  3. The drug was originally developed as an anti-cancer agent before its antiparasitic properties were discovered.
  4. Miltefosine can be administered orally, making it more convenient compared to other treatments that require intravenous administration.
  5. Side effects can include gastrointestinal disturbances, nephrotoxicity, and teratogenicity.

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