Anti TB and Anti Hansens Flashcards
Mechanism of resistance to isoniazod
Overexpression of inhA
Mutation or deletion of KatG
Mutation of kasA
Mechanism of action of rifampicin
Inhibits initiation of RNA synthesis
Rifampicin is mainly excreted in
Bile and feces
The active form of pyrazinamide
Pyrazinoic acid
What converts isoniazid to active form
KatG
Which three anti TB drugs cause hepatotoxicity
Isoniazid
Rifampicin
Pyrazinamide
Major side effects of PZN
Hepatotoxicity
Ototoxicity
Hyperuricemia
The only antiTB drug administered parenterally
Streptomycin
Major adverse effect of streptomycin
Ototoxicity
Mode of action of ethambutol
Tuberculostatic
AntiTB drugs contraindicated in pregnancy
Streptomycin and pyrazinamide
TB treatment in HIV when rifampicin is contraindicated
Rifabutine
Chief secondary drug for sulfone resistant hansenites
Clofazimine
WHO standard for chemotherapy of leprosy for paucibacillary form
Dapsone and rifampicin
WHO chemotherapy for multibacillary form of leprosy
Rifampicin dapsone and clofazimine
Most frequent major side effect of isoniazid
Hepatitoxicity
MOA of isoniazid
Inhibits DNA synthesis by inhibitung mycolase synthetase
Isoniazid is activates by
KatG
Isoniazid is acetylates in the lover by
Acetyl hydrazine
ADRs of isoniazid
Peripheral neuritis
Hepatotoxicity
Pyridoxine deficiency
Rifampicin is mainly excreted in
Bile and feces
Side effect of rifampicin
Hepatotoxicity
Urine and tears discoloration
Difference of isoniazid and rifampicin when considering microsomal enzyme
Isoniazid is a hepatic microsomal enzyme inhibitor
Rifampicin is a hepatic microsomal enzyme inducer
Adverse effect or pyrazinamide
Hepatic injury
Hyperuricemia
Clinical use of pyrazinamide
Residual intracellular organisms that may cause relapse
ADRs of streptomycin
Nephro
Oto
Facial paresthesias
MOA of ethambutol
Inhibitis mycobacterial arabinosul transferase
Tuberculostatic
ADRs of ethambutol
Optic neuritis
Hyperuricemia
Contraindicated drugs during pregnanxy
Pyrazynamide
Streptomycin
For TB treatment in HIV when rifampicin is contraindicated
Rifabutine
MOA of dapsone
Inhibit folic acid synthesis
Chief secondary drug for sulfone resistant patient
Clofazimine
Type of hypersensitivity present in tupe II leprosy reaction
Hypersensitivity type III or immune complex mediated
What drug prevents erythema nudosum
Clofazimine