Aminoglycosides Flashcards
What are the aminoglycosides?
Gentamicin Tobramycin Amikacin Streptomycin Neomycin
Aminoglycoside Spectrum
Gram +: Strep, Staph, Entero
Gram -: Most aerobic gram-negatives
Synergistic with B-lactams and vancomycin
Aminoglycoside PK
Cidal, [ ] dependent killing
Postantibiotic effect
Poor CNS-P
Renal
Aminoglycoside ADRs
Ototoxicity
Nephrotoxicity
Isoniazid PK
Antimycobacterial
good CNS-P
CYP450 inhibitor
Hepatic
Isoniazid ADR
GI
Peripheral Neuropathy
Hepatitis
CNS
Rifampin PK
Antimycobacterial
CYP450 Inducer
Biliary
Rifampin ADR
Orange-Red sweat/urine
Flu-Like symptoms
Hepatotoxicitty
Pyrazinamide PK
Antimicobacterial
Good CNS-P
Renal
Pyrazinamide ADR
Hepatotoxicity
Hyperuricemia (gout)
GI
Ethambutol PK
Antimcycobacterial
Good CNS-P w/inflammation
Renal
Ethambutol ADR
Optic Neuritis (reversible)