| Imidazoles may have antibacterial, antifungal, antiprotozoal, and anthelmintic activity. Several distinct phenylimidazoles are therapeutically useful antifungal agents with wide spectra against yeasts and filamentous fungi responsible for either superficial or systemic infections. The anthelmintic thiabendazole is also an imidazole with antifungal properties. Clotrimazole, miconazole, econazole, ketoconazole, itraconazole, and fluconazole are the most clinically important members of this group. |
| Imidazoles generally are poorly soluble in water but can be dissolved in organic solvents, such as chloroform, propylene glycol, and polyethoxylated castor oil (preparation for IV use but dangerous in dogs). An exception is fluconazole. Imidazoles are weak dibasic agents. Alterations in side-chain structure determine antifungal activity as well as the degree of toxicity. |