ANTI-MYCOBACTERIAL DRUGS Flashcards
Inhibits mycolic acid synthesis
Isoniazid
S/e of Isoniazid
Neurotoxicity (peripheral neuritis)
Hepatitis
Given to prevent neurotoxicity caused by Isoniazid
Pyridoxine (B6)
Isoniazid is a potent CYP450 inducer or inhibitor?
Inhibitor
Inhibits DNA-dependent RNA-polymerase
Rifampicin
Side effect seen in Rifampicin
Red orange urine
Is Rifampicin a potent CYP450 inducer or inhibitor?
Inducer
A rifampicin derivative that is not absorbed in the GIT, hence used for the prevention of hepatic encephalopathy and treatment for traveller’s diarrhea
Rifaximin
An equally effective anti-TB drug with less drug interaction and is the preferred anti-TB for AIDS patients
Rifabutin
Converted to pyrazinoic acid under acidic conditions of macrophage lysosomes
Pyrazinamide
Causes non-gouty polyarthritis and asymptomatic hyperuricemia
Pyrazinamide
Also known as “sterilizing agent” used during the first 2 months of TB therapy
Pyrazinamide
Most hepatotoxic anti-TB drugs
Pyrazinamide
P>R>I
Inhibits arabinosyl transferases
Ethambutol
Causes visual disturbances such as decreased VA, red-green color blindness, retrobulbar neuritis, and retinal damage
Ethambutol
Inhibits protein synthesis by binding to S12 ribosomal subunit
Steptomycin
Nephrotoxic, ototoxic and can cause CONGENITAL DEAFNESS
Streptomycin
ALL 1st line anti-TB drugs are bactericidal except: (2)
Pyrazinamide (can be bactericidal on actively dividing Mtb)
Ethambutol
Anti-Leprosy drug that inhibits folic acid synthesis
Dapson
Most active drug against M. leprae
Dapsone
Repository form of Dapsone
Acedapsone
Anti-leprosy drug that binds to guanine bases in bacterial DNA
Clofazimine
Used for sulfone-resistant Leprosy
Clofazamine
S/e of Clofazamine
Skin discoloration