Antibiotic Classes Flashcards

1
Q

B Lactams

A

​—Peptidoglycan cell wall

PENICILLINS, ampicillin, Flucloxacillin, Piperacillin

  • C DIF
  • High dose/ severe renal failure: Encephalopathy with fits
  • +Glandular fever=MacPapRash
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2
Q

Cephalosporin

A

—cell wall

as BLactams

1st Gen

  • Cefalexin

2nd Gen

  • Cefuroxime
  • Cefaclor

3rd Gen

  • Cefotaxime
  • Ceftazidime
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3
Q

Aminoglycoside

A

​irreversible to 30S

Gentamicin, streptomycin, neomycin

  • Ototoxic (deafness + vestibular dysfunction)
  • Nephrotoxic
  • CI Myathenia Gravis

SERUM concentrations need MONITORING

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4
Q

Macrolide

A

​REversible to 50S

-Clarithromycin, Erythromycin, Azithromycin, clindamycin

  • Cholestatic jaundice (Erythromycin)
  • Prolonged QTc
  • p450 inhibitors
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5
Q

Sulphonamides + Trimethoprim

A

Dihydrofolate reductase inhibitors

Sulphamethoxazole, Trimethoprim

  • Co-Trimoxazole (rare): Stevens-Johnson syndrome
  • Bone marrow suppression
  • Folate deficiency
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6
Q

Metronidazole + Tinidazole

A

​Metabolites –DNA (Nitroreductase)

  • Metalic taste
  • Disulfiram-like reaction (hangover-like)
  • Long term;
    • Peripheral neuropathy
    • Transient epileptiform seizures
    • Leucopenia
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7
Q

Quinilone examples

A

—-DNA synthesis

  • Ciprofloxacin
  • Norfloxacin
  • Levofloxacin
  • *CNS:** dizziness, headache, tremors
  • *Tendon** pathology (stop)
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8
Q

Tetracyclines

A

static: block tRNA

Tetracycline, doxycycline

  • Hepatotoxic
  • Impaired growth
  • Tooth discoloration
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