Anti Folate Flashcards
Sulfonamides moa
Inbit dihydropteroate SYNTHASE
Structural analogs of paba
Sulfonamides
Oral, absorbable short acting sulfonamide
Sulfisoxazole
Sulfisoxazole use
used almost exclusively for UTI
Oral, absorbable intermediate acting sulfonamide
Sulfadiazine
Sulfamethoxazole
Oral, absorbable long acting sulfonamide
Sulfadoxine
Oral, non absorbable sulfonamide
Sulfasalazine
Topical sulfonamides
Sodium sulfacetamide
Malenide acetate
Silver sulfadiazine
Sulfadiazine + pyrimethamine + folinic acid
Toxoplasmosis
Leishmaniasis
Sulfadoxine + pyrimethamine
Malaria tx
Trimethoprim + sulfamethoxazole
DOC for pneumocystis jiroveci pneumonia
Toxoplasmosis
Nocardiosis
Sulfasalazine use
Not absorbed, acts locally, so use in GI lesions like ulcerative colitis and enteritis
Topical tx for bacterial conjunctivitis and trachoma
Sodium sulfacetamide
Topical sulfonamide that inhibits carbonic anhydrase causing met acidosis
Mafenide acetate
Topical sulfonamide for burn wounds
Silver sulfadiazine
Causes stevens johnson syndrome
Sulfonamides
Other adrs of sulfonamides
Crystalluria, hematuria, obstruction
Hematopoiesis influence
Kernicterus
Bleeding with warfarin interaction
Combination ratio of trimethoprim and sulfonamides
1:5
less tri needed because it is more lipid soluble
Sequential synergistic blockade exhibited by
Trimethoprims when it follows sulfonamides
Synthetic fluorinated analogs of nalidixic acid
Fluoroquinolones
Fluoroquinolones MOA
Inhibits bacterial topoisomerase II (dna gyrase) and topoisomerase IV (separation of replicated dna into daughter cells)
First gen fluoroquinolone
Nalidixic acid
Second gen fluoroquinolone
Norfloxacin
Third gen fluoroquinolone
Ciprofloxacin
Levofloxacin
Ofloxacin