35.lincosamides Flashcards
Name drugs that belong to the group of Lincosamides
1.Lincomycin - caps.250mg
2. Clindamycin - caps.150mg and 300mg
give a definition of Clindamycin
is a chlorine-substitued derivative of lincomycin,
MoA of clindamycin
1.binds to 50S subunit - bacterioSTATIC
2. used in treatment against Gram +
-MRSA, streptococci, anaerobic bacteria
which microorganism is always resistant to clindamycin
c.difficile
administration of clindamycin
1.iv
2.oral
distribution of clindamycin
1.well into all body fluids, including bone
2.poor entry into CSF
3.highly PBB
metabolism of clindamycin
undergoes extensive oxidative metabolism to inactive products
excretion of clindamycin
into the bile, low urinary elimination - poor for UTI
ADRs of clindamycin
1.skin rashes
2.diarrhea - pseusomembranous colities due to C.difficile overgrowth - give metronidazole
3.hematotoxicity
4.hepatotoxicity
SoA of lincosamides
broad (gram +)